Adaptive Dynamic Inspiratory Nasal Apparatus (ADINA): Comparison to High Flow Nasal Cannula (HFNC)
Loma Linda University
Summary
This study is to evaluate the feasibility of using a pressure limited nasal cannula system instead of a high flow nasal cannula system in the management of premature babies with respiratory distress.
Description
NCPAP has been used increasingly to manage respiratory distress in newborns as well as apnea of prematurity. Humidified high flow nasal cannula devices (flows 1-8 lpm) have also been used in neonatal intensive care units. This study is to evaluate the feasibility of using a pressure limited nasal cannula system instead of a high flow nasal cannula system in the management of premature babies with respiratory distress.
Eligibility
- Age range
- 0–0 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Neonates admitted to NICU * Weights of 400-500 grams * Requiring oxygen greater than 30% * No evidence of focal lobar consolidation in lung fields Exclusion Criteria: * Intolerance to procedure * gelatinous skin * known allergy to adhesive material * interference with therapy * profound sepsis * pneumonia * unmanaged apnea/bradycardia * known or suspect complex congenital heart disease * severe cleft lip or palate * suspect or proven lethal congenital anomaly * intolerance to the interface used in the devices * inability to secure an appropriate fit of the patient nasa…
Interventions
- DeviceAdaptive Dynamic Inspiratory Nasal Apparatus
Oxygen will be administered via ADINA
- DeviceHigh flow Nasal Canula
Oxygen will be administered via nasal canula
Location
- Loma Linda University Medical CenterLoma Linda, California