Unique ID issued by UMIN | UMIN000021785 |
---|---|
Receipt number | R000025069 |
Scientific Title | Effectiveness of MIST (minimally invasive surfactant therapy) under bronchoscopy in treating neonatal respiratory distress syndrome |
Date of disclosure of the study information | 2016/04/05 |
Last modified on | 2023/10/11 11:23:15 |
Effectiveness of MIST (minimally invasive surfactant therapy) under bronchoscopy in treating neonatal respiratory distress syndrome
Minimally invasive surfactant therapy under bronchoscopy in treating neonatal respiratory distress syndrome
Effectiveness of MIST (minimally invasive surfactant therapy) under bronchoscopy in treating neonatal respiratory distress syndrome
Minimally invasive surfactant therapy under bronchoscopy in treating neonatal respiratory distress syndrome
Japan |
Neonatal respiratory distress syndrome
Pediatrics |
Others
NO
We have designed a mode of minimally invasive surfactant therapy using a thin bronchoscope. A thin bronchoscope is inserted into the trachea, and surfactant is administered through the working channel under direct observation. The objective of this study is to assess the effectiveness of this mode which has no need for endotracheal intubation or the use of a laryngoscope.
Safety,Efficacy
Short term prognosis of respiration in patients treated with bronchoscopic MIST.
Short term prognosis of respiration includes the following
1. Days under mechanical ventilation
2. Days under supplemental oxygen
3. Incidence of airway diseases
4. Need for endotracheal intubation or additional surfactant
1. Morbidity of diseases often seen in premature infants(intraventricular hemorrhage, pneumothorax, patent ductus arteriosus, bronchopulmonary dysplasia, sepsis, necrotizing enterocolitis)
2. Length of hospitalization, mortality rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Device,equipment |
Place the infant inside the incubator and start nasal continuous positive airway pressure. Displace one of the prongs, and insert the bronchoscope from the open nostril. Place the tip of the bronchoscope inside the trachea. Slowly inject artificial lung surfactant (120mg per 1kg dissolved in normal saline) through the working channel. Push the surfactant inside the working channel with air. Remove the bronchoscope after confirming opening of the trachea. Place the prong back into the nostril.
Not applicable |
Not applicable |
Male and Female
Patients fulfilling all of the following criteria will be included
1. Patients born at Tokyo Women's Medical University Medical Center East, and admitted to the NICU
2. Patients diagnosed with respiratory distress syndrome
3. Informed consent obtained from parents
4. Patients thought to be appropriate for the study by the attending physician
Patients fulfilling any of the following criteria will be excluded
1. Patients with severe birth asphyxia
2. Patients with multiple malformation syndrome, or other suspected underlying diseases
3. Patients needing vasoactive drugs
4. Patients with tendency to bleed
5. Patients with congenital infections
6. Patients thought to be inappropriate for the study by the supervising physician
30
1st name | Hisaya |
Middle name | |
Last name | Hasegawa |
Tokyo Women's Medical University Adachi Medical Center
Neonatology
123-8558
4-33-1 Kohoku, Adachiku, Tokyo
03-3857-0111
hisayani@dnh.twmu.ac.jp
1st name | Masanori |
Middle name | |
Last name | Wasa |
Tokyo Women's Medical University Adachi Medical Center
Neonatology
123-8558
4-33-1 Kohoku, Adachiku, Tokyo
03-3857-0111
wasa.masanori@twmu.ac.jp
Tokyo Women's Medical University Adachi Medical Center
Tokyo Women's Medical University Adachi Medical Center
Self funding
Tokyo Women's Medical University Ethics Committee
8-1, Kawadacho, Shinjukuku, Tokyo
03-3353-8111
Krinri.bm@twmu.ac.jp
NO
2016 | Year | 04 | Month | 05 | Day |
Unpublished
Completed
2016 | Year | 01 | Month | 19 | Day |
2016 | Year | 04 | Month | 05 | Day |
2016 | Year | 01 | Month | 19 | Day |
2022 | Year | 03 | Month | 31 | Day |
2016 | Year | 04 | Month | 05 | Day |
2023 | Year | 10 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025069