At a glance
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Early Surfactant Followed by Nasal CPAP to Reduce the Use of Mechanical Ventilation Without Additional Morbidity in Infants 1250- 2000 Grams With RDS
In Brief
A Phase 3 clinical trial evaluating Early surfactant and Standard practice for Infant, Newborn and 2 related conditions. Terminated early, enrolled 61 participants across 13 sites.
Signals
Detailed Summary
Mechanical ventilation (MV) of preterm infants with respiratory distress syndrome (RDS) is associated with lung injury and nosocomial infection. Moderately premature infants with mild respiratory distress do not routinely receive artificial surfactant early in their course of treatment. This multi-center, randomized trial tested whether early surfactant therapy and nasal continuous positive airway pressure (CPAP) in infants 1,250-2,000g with RDS reduced mechanical ventilation usage without added complications. Infants with mild to moderate respiratory distress syndrome were enrolled in the trial and given either early administration of surfactant followed by extubation within 30 minutes and the use of CPAP, or standard practice (surfactant according to current center practice, only after initiation of mechanical ventilation), to see whether the experimental method would reduce the need for subsequent mechanical ventilation.
Study Details
Timeline
Interventions
Early surfactant followed by extubation within 30 minutes and application of continuous positive airway pressure (CPAP)
Surfactant according to current center practice, only after initiation of mechanical ventilation.