Albany Medical College
The goal of this study is to learn if a foam belly strap, called "NeoBellyBand," can help with belly bloating, pauses in feedings, feeding success, and earlier discharge home for preterm infants who are requiring pressurized breathing support. Infants whose parents/ caregivers have consented to the study will be randomly chosen with a 50/50 chance of treatment with the NeoBellyBand or receiving standard NICU care. The main question it seeks to answer is if there are less interruptions to the feeding protocol for infants who have a NeoBellyBand placed on them compared with infants who do not. Infants on the treatment arm will have their bellies measured by trained personnel and have bands placed on them, which will be worn for most of the day while on breathing support with pressure.
Background Preterm neonates who require respiratory support benefit from the use of non-invasive respiratory support over invasive mechanical ventilation to decrease rates of chronic lung disease \[1\]. Non-invasive support typically involves positive end-expiratory pressure which allows for distending pressures to keep the alveoli of the lungs open \[1\]. In our institution, this typically includes continuous positive airway pressure (CPAP) or non-invasive mechanical ventilation (NIMV). Mechanistically, due to the positioning of the trachea adjacent to the esophagus, the provision of pressure…
Inclusion Criteria: * Born at \<32w0d GA * Chronologic age \>7 days, treatment or control protocol started by 21 days of life * On non-invasive positive pressure respiratory support (NIMV or CPAP), either as primary support or after extubation from invasive mechanical ventilation * Has received 80 mL/kg/day of feeds at least once Exclusion Criteria: * Skin integrity concerns * Known abdominal or respiratory anomalies * Umbilical lines in place * Transferred to AMC NICU after 7 days of life * Known genetic or major anatomic anomalies
This study involves the placement of an abdominal binder for preterm infants on non-invasive pressure breathing support.
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