High Frequency Oscillatory Ventilation Versus High Frequency Jet Ventilation for Congenital Diaphragmatic Hernia

Description

The purpose of this study is to conduct a prospective study of all congenital diaphragmatic hernia (CDH) neonates managed at the University of Utah newborn intensive care unit (NICU) and Primary Children's Hospital NICU that required mechanical ventilation at birth. As both high frequency jet ventilation (HFJV) and high frequency oscillatory ventilation (HFOV) are standard approaches to ventilatory support of all neonates including CDH, CDH infants will be randomized at the time of birth or admission to either HFJV or HFOV as initial ventilator mode, stratified by position of the liver in the abdomen or thorax (if known) by 24 hours of age. Measures of oxygenation, ventilation and hemodynamics of the CDH cohort managed on HFOV compared to those on HFJV.

Conditions

Congenital Diaphragmatic Hernia

Study Overview

Study Details

Study overview

The purpose of this study is to conduct a prospective study of all congenital diaphragmatic hernia (CDH) neonates managed at the University of Utah newborn intensive care unit (NICU) and Primary Children's Hospital NICU that required mechanical ventilation at birth. As both high frequency jet ventilation (HFJV) and high frequency oscillatory ventilation (HFOV) are standard approaches to ventilatory support of all neonates including CDH, CDH infants will be randomized at the time of birth or admission to either HFJV or HFOV as initial ventilator mode, stratified by position of the liver in the abdomen or thorax (if known) by 24 hours of age. Measures of oxygenation, ventilation and hemodynamics of the CDH cohort managed on HFOV compared to those on HFJV.

High Frequency Oscillatory Ventilation Versus High Frequency Jet Ventilation as Initial Mode of Ventilation for Congenital Diaphragmatic Hernia

High Frequency Oscillatory Ventilation Versus High Frequency Jet Ventilation for Congenital Diaphragmatic Hernia

Condition
Congenital Diaphragmatic Hernia
Intervention / Treatment

-

Contacts and Locations

Salt Lake City

Primary Children's Hospital, Salt Lake City, Utah, United States, 84113

Salt Lake City

University Hospital, Salt Lake City, Utah, United States, 84132

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Admitted to either the University of Utah and/or Primary Children's Hospital NICU within 24 hours of birth
  • 2. Requiring mechanical ventilation
  • 3. Umbilical arterial line or peripheral arterial line in place
  • 4. Obtained signed consent
  • 5. Infant is ≤ 24 hours of age
  • 1. Severe anomaly
  • 1. Chromosomal abnormalities
  • 2. Major congenital anomalies, including cardiac, central nervous system and syndromes
  • 2. Post-natal diagnosis \> 24 hours of life
  • 3. Unable to obtain consent for participation
  • 4. Unable to randomize within 24 hours of life

Ages Eligible for Study

to 24 Hours

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Utah,

Michelle Yang, MD, PRINCIPAL_INVESTIGATOR, University of Utah

Study Record Dates

2025-02-28