Trial of aerosolised surfactant for preterm infants with respiratory distress syndrome
| Autor: | Helen G. Liley, James Fink, Tim Schindler, David J. Durand, Jeanette M. Asselin, Kei Lui, Luke A Jardine |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Neonatal intensive care unit medicine.medical_treatment Gestational Age Pilot Projects neonatology 03 medical and health sciences 0302 clinical medicine Drug Delivery Systems Pulmonary surfactant 030225 pediatrics Fraction of inspired oxygen therapeutics Medicine Humans Neonatology Continuous positive airway pressure Treatment Failure Phospholipids Original Research Aerosols Respiratory Distress Syndrome Newborn Respiratory distress Continuous Positive Airway Pressure business.industry Infant Newborn Obstetrics and Gynecology Pulmonary Surfactants General Medicine 030228 respiratory system Anesthesia Pediatrics Perinatology and Child Health Gestation Female business Infant Premature |
| Zdroj: | Archives of Disease in Childhood. Fetal and Neonatal Edition |
| ISSN: | 1468-2052 |
| Popis: | ObjectiveTo evaluate the safety of an aerosolised surfactant, SF-RI 1, administered via nasal continuous positive airway pressure (nCPAP) and a prototype breath synchronisation device (AeroFact), to preterm infants with respiratory distress syndrome (RDS).DesignMulticentre, open-label, dose-escalation study with historical controls.SettingNewborn intensive care units at Mater Mothers’ Hospital, Brisbane, and Royal Hospital for Women, Sydney, Australia.PatientsInfants 26 weeks through 30 weeks gestation who required nCPAP 6–8 cmH2O and fraction of inspired oxygen (FiO2) InterventionsIn part 1, infants received a single dose of 216 mg/kg of aerosolised surfactant. In part 2, infants could receive up to four doses of aerosolised surfactant. Three historical control infants were matched for each enrolled infant.Main outcome measuresTreatment failure was defined as Respiratory Severity Score (FiO2×cmH2O nCPAP) >2.4, nCPAP >8 cmH2O, arterial carbon dioxide >65 mm Hg, pH Results10 infants were enrolled in part 1 and 21 in part 2 and were compared with 93 historical controls. No safety issues were identified. In part 2, 6 of 21 (29%) AeroFact-treated infants compared with 30 of 63 (48%) control infants met failure criteria. Kaplan-Meier analysis of patients in part 2 showed a trend towards decreased rate of study failure in the AeroFact-treated infants compared with historical controls (p=0.10).ConclusionThe AeroFact system can safely deliver aerosolised surfactant to preterm infants with RDS who are on nCPAP.Trial registration numberACTRN12617001458325. |
| Databáze: | OpenAIRE |
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