The Impact of Lung Recruitment Maneuver in 24-32 Weekers, and the Incidence of Bronchopulmonary Dysplasia
Bronchopulmonary Dysplasia
About this trial
This is an interventional prevention trial for Bronchopulmonary Dysplasia focused on measuring lung recruitment maneuver, preterm babies, Bronchopulmonary dysplasia
Eligibility Criteria
Inclusion Criteria:
- 24-32 weeks preterm babies.
- Babies on assist-control volume guarantee ventilation with FiO2 > 30% to reach oxygen saturations within 90-95%.
- Age less than 48 hours.
- Born in Cipto Mangunkusumo Hospital and Bunda Menteng Hospital.
- Parents/guardians agreed to participate in this study with sign informed consent.
Exclusion Criteria:
- Weight birth <750 grams.
- APGAR score at 10 minutes are <5.
- Born with congenital heart disease except patent ductus arteriosus or presistence foramen ovale.
- Born with congenital disorder that need surgery intervention (for example :
diaphragmatic hernia, atresia ani, esophageal atresia, duodenal atresia.
Born with congenital disorder that worsening of the respiratory distress (for example
- hydrops fetalis, phrenic nerve paralysis, abnormality of chest wall, abnormality of air way (for example : Choanal atresia, Laryngeal stenosis, cleft palate.
- Born inborn error metabolism disease.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
lung recruitment maneuver (LRM) group
without lung recruitment maneuver (LRM) group
The lung recruitment maneuver (LRM) will be done by increasing of PEEP 0,2 cm H2O every 3 minutes, until reach the opening pressure. After that PEEP decrease gradually until get the closing pressure. Than the investigators will back to the opening pressure for 3 minutes, and the final PEEP will be put backo 0,2 above closing pressure.
Another group get standart protocol only.