NCT06408480

Neonatologist-performed Lung Ultrasound in the Delivery Room

Neonatologist-performed Lung Ultrasound During Immediate Transition After Birth to Predict the Need for Respiratory Support Persisting More Than 1 Hour - a Pilot Study

• Status: Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 40 (estimated)
• Sponsor: Medical University of Graz · Academic / Other
• Sex: All
• Age: 60 Minutes
• Healthy volunteers: Not accepted

Summary

The objective of this study is to evaluate the role of the neonatologist-performed lung ultrasound (NPLUS) during immediate transition after birth of late preterm and full-term neonates using the lung ultrasound score to predict the need of respiratory support persisting more than 1 hour after birth.

Detailed description

Lung ultrasound is an emerging clinical tool to assess the lung in a dynamic way. Recently, the focus has been on establishing lung ultrasound in the neonatal intensive care unit (NICU) as a point-of care application. Neonates born by a Caesarean section are particularly prone to have an altered adaption to extrauterine life. Especially in the first hours after birth, respiratory distress syndromes (RDS) may occur due to delayed lung fluid clearance after birth. While acute RDS in the first hours after birth may be a self-limiting disorder and therefore a benign condition, it remains difficult to identify neonates in need for further respiratory support at the NICU. Admission to the NICU not only causes parental stress but also contributes to additional healthcare costs. There is emerging evidence that NPLUS is a reliable tool to differentiate between the causes leading to RDS in neonates. Using a neonatologist performed lung ultrasound score for the early identification of neonates in need of respiratory support persisting more than 1 hour would be therefore highly advantageous.

Conditions

• Neonatal Disease

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Neonatologist-performed lung ultrasound	lung ultrasound conducted in min 5, 15, 30, 60 min after birth in late preterm and term infants

Timeline

• Start date: 2024-05-01
• Primary completion: 2025-05-31
• Completion: 2025-05-31
• First posted: 2024-05-10
• Last updated: 2024-05-16

Locations

1 site across 1 country: Austria