Video vs. Direct Laryngoscopy for Less Invasive Surfactant Administration

Purpose

Many preterm babies born between 22-28+6 weeks' estimated gestational age (EGA) need surfactant, a medicine that helps the lungs. The goal of the study is to compare the use of video-based visualization to direct visualization during a procedure called less invasive surfactant administration (LISA). The main questions the study aims to answer are: 1) does one method of visualization have a increased rate of giving the medicine successfully on the first attempt? 2) what benefits are there of each method?

Conditions

  • Respiratory Distress Syndrome (Neonatal)
  • Surfactant Deficiency Syndrome Neonatal

Eligibility

Eligible Ages
Between 0 Hours and 3 Days
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Infants born ≤28 weeks GA successfully resuscitated in the delivery room (DR) and maintained on CPAP • Need for surfactant in the first 36 hours of life based on clinical assessment and/or meeting threshold per unit protocol

Exclusion Criteria

  • Infants born ≥29 weeks GA or - Infants with known congenital anomalies or - Infants who are determined by the primary care team to receive comfort care only or - Infants who are intubated at any time prior to surfactant administration

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Video Laryngoscopy 		A video laryngoscopy will be used to visualize the vocal cords and place the LISA catheter for surfactant administration
  • Procedure: Video Laryngoscopy
    Video Laryngoscopy will be used to visualize the vocal cords and place the LISA catheter
Active Comparator
Direct Laryngoscopy 		Direct laryngoscopy (no camera) will be used to visualize the vocal cords and place the LISA catheter for surfactant administration
  • Procedure: Direct Laryngoscopy
    Direct Laryngoscopy will be used to visualize the vocal cords and place the LISA catheter

Recruiting Locations

Parkland Hospital
Dallas, Texas 75235
Contact:
Office of Research Administration
214-645-8300
irb@utsouthwestern.edu

More Details

Status
Recruiting
Sponsor
University of Texas Southwestern Medical Center

Study Contact

Principal Investigator, MD
214-648-3383
riti.chokshi@utsouthwestern.edu