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Trial registered on ANZCTR
Registration number
ACTRN12612000392864
Ethics application status
Approved
Date submitted
4/04/2012
Date registered
5/04/2012
Date last updated
11/03/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Oropharyngeal airway for prevention of airway obstruction during positive pressure ventilation in preterm infants < 34 weeks gestation during neonatal resuscitation - a randomised trial
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Scientific title
For preterm infants born less than 34 weeks gestation requiring intermittent positive pressure ventilation in the delivery room, does the use of an oropharyngeal airway with a face mask reduce the prevalence of airway obstruction compared to using a face mask alone?
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Secondary ID [1]
262560
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nil
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Universal Trial Number (UTN)
U1111-1129-7550
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neonatal Resuscitation
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Premature birth
286236
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Condition category
Condition code
Reproductive Health and Childbirth
268348
268348
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0
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Complications of newborn
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Respiratory
286442
286442
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0
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Normal development and function of the respiratory system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Use of an oropharyngeal airway during manual face mask intermittent positive pressure ventilation of newly born infants < 34 weeks gestation
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Intervention code [1]
266892
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Treatment: Devices
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Comparator / control treatment
Use of a face mask alone during manual intermittent positive pressure ventilation of newly born infants < 34 weeks gestation
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Control group
Active
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Outcomes
Primary outcome [1]
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The prevalence of moderate to severe airway obstruction during mask intermittent positive pressure ventilation (IPPV) of preterm infants in the delivery room (DR). This will be measured by a respiratory function monitor.
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Assessment method [1]
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Timepoint [1]
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Duration of IPPV received by the infant in the DR
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Secondary outcome [1]
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Changes in heart rate and pre-ductal oxygen saturations in the first 10 minutes of life measured by a pulse oximeter placed on the right wrist.
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Assessment method [1]
296915
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Timepoint [1]
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First 10 minutes from birth
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Secondary outcome [2]
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Intubation in the DR
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Assessment method [2]
296916
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Timepoint [2]
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Duration of DR resuscitation
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Secondary outcome [3]
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Duration of ventilatory support in hospital
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Assessment method [3]
296917
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Timepoint [3]
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Duration of hospital stay in level 3 neonatal intensive care unit
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Eligibility
Key inclusion criteria
Infants less than 34 weeks gestation born in a tertiary level perinatal unit receiving IPPV in the DR with access to a respiratory function monitor.
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Minimum age
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Hours
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Maximum age
0
Hours
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Infants born less than 34 weeks and not receiving active resuscitation. Infants with a known congenital anomaly. infants > 33 weeks gestation.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Two strata will be created by gestational age (24 - 27 weeks and 28-33 weeks). The unique trial number will be block randomized and computer generated externally. For each strata, these will be sealed in sequentially numbered opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The unique trial number will be block randomized and computer generated externally. The size of the blocks will be determined by statisticians and not revealed to the study investigators and/or the treating physicians.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/12/2011
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Actual
27/12/2011
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Date of last participant enrolment
Anticipated
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Actual
15/12/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
132
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Accrual to date
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Final
137
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Royal Women's Hospital - Parkville
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Recruitment outside Australia
Country [1]
7700
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Canada
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State/province [1]
7700
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Alberta
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health Medical and Research Council
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
285041
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Australia
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Primary sponsor type
Hospital
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Name
Royal Women's Hospital, Melbourne
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Address
20 Flemington Road
Parkville
VIC 3052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
283903
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Country [1]
283903
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Royal Women's Hospital Research and Human Research Ethics Committees
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Ethics committee address [1]
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20 Flemington Road Parkville VIC 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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17/08/2011
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Approval date [1]
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11/10/2011
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Ethics approval number [1]
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11/40
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Summary
Brief summary
Approximately 5-10% of newly born infants receive assistance in the delivery room to establish regular breathing. Healthcare workers provide artificial ventilation using a manual ventilation device and a face mask to fit around the infant’s nose and mouth. Several factors can reduce the effectiveness of mask ventilation. These include poor face mask application resulting in leak or airway obstruction and spontaneous movements of the baby. Airway obstruction may be due to inadvertent manual compression of the soft tissues of the neck, tongue and thus the trachea, or hyperextension or flexion of the head. In addition, if the face mask is held on the face too tight, it may obstruct the mouth and nose. Using a simple device such as an oropharyngeal airway may reduce the prevalence of obstruction during mask ventilation and lead to more effective mask ventilation. This randomized trial is investigating whether for newly born infants requiring positive pressure ventilation in the delivery room, does the use of an oropharyngeal airway with a face mask reduce the degree of airway obstruction compared to using a face mask alone. Physiological recordings of the resuscitation will be made measuring delivered and expired tidal volumes, prevalence and degree of airway obstruction as well as oxygen saturations and heart rate. Data will also be collected and compared between the groups on common neonatal morbidities including duration of assisted ventilation in the nursery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Omar Kamlin
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Address
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The Royal Women's Hospital
20 Flemington Road
Parkville
Vic 3052
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Country
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Australia
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Phone
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+61383453769
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Fax
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Email
32827
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[email protected]
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Contact person for public queries
Name
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Omar Kamlin
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Address
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Department of Newborn Research
Royal Women's Hospital
20 Flemington Road
Parkville
VIC 3052
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Country
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Australia
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Phone
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+61383453763
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Fax
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+61383453789
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Email
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[email protected]
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Contact person for scientific queries
Name
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Omar Kamlin
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Address
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Department of Newborn Research
Royal Women's Hospital
20 Flemington Road
Parkville
VIC 3052
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Country
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Australia
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Phone
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+61383453763
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Fax
7002
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+61383453789
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A randomized trial of oropharyngeal airways to assist stabilization of preterm infants in the delivery room.
2019
https://dx.doi.org/10.1016/j.resuscitation.2019.08.035
N.B. These documents automatically identified may not have been verified by the study sponsor.
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