No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
0 Months – 72 Hours
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
76 (estimated)
Sponsor
Medical University of Graz · Other
Who this trial is looking for
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Respiratory distress syndrome (RDS) is common in very preterm infants due to surfactant deficiency. Surfactant replacement therapy is lifesaving, and current guidelines recommend the less invasive surfactant administration (LISA) technique. However, the optimal duration of surfactant instillation during LISA has never been systematically evaluated. Rapid instillation may provoke transient hypoxia …
Respiratory distress syndrome (RDS) is common in very preterm infants due to surfactant deficiency. Surfactant replacement therapy is lifesaving, and current guidelines recommend the less invasive surfactant administration (LISA) technique. However, the optimal duration of surfactant instillation during LISA has never been systematically evaluated. Rapid instillation may provoke transient hypoxia and bradycardia, while slower administration might improve physiological stability and cerebral oxygenation.
This randomised controlled trial investigates whether the duration of surfactant administration (1 minute versus 5 minutes) affects cerebral and systemic oxygen stability in extremely preterm neonates (\< 28 weeks).
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Preterm neonate \<28+0 weeks (gestational age up to 27 weeks and 6 days)
* Indication of surfactant administration via the LISA method
* Postnatal age \< 72 hours
Exclusion Criteria:
* Invasive ventilation, indication of INSURE procedure
* Severe pulmonary or cardiac malform…
Inclusion Criteria:
* Preterm neonate \<28+0 weeks (gestational age up to 27 weeks and 6 days)
* Indication of surfactant administration via the LISA method
* Postnatal age \< 72 hours
Exclusion Criteria:
* Invasive ventilation, indication of INSURE procedure
* Severe pulmonary or cardiac malformation affecting oxygenation or congenital cerebral malformation
* Preexisiting diagnose of any IVH \> grade 2 or PVH.
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