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CompletedNCT04107090Updated Sep 27, 2019

Role of Lung Ultrasound In Assessment Of Recruitment Maneuvers In Ventilated Preterms With Respiratory Distress Syndrome and Its Correlation With Tracheal IL-6 Level

An interventional study of lung recruitment maneuver and tracheal IL-6 level in Respiratory Distress Syndrome, Newborn, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to participants aged 1 Hour to 2 Days. Per ClinicalTrials.gov, last updated 2019-09-27.

Sponsored by Ain Shams University · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 7 months after the study started (first participant enrolled Jan 2018, registered Sep 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
1 Hour to 2 Days
Sex
All
01

Study summary

This work is designed to:

  1. Evaluate the efficacy of lung ultrasonography in detecting opening and closing lung pressures in ventilated preterm neonates with respiratory distress syndrome.
  2. Determine the efficacy of lung ultrasonography in optimizing lung volume and its correlation with pulmonary inflammatory reaction as evidenced by IL-6 level in tracheal aspirate.
Read the detailed description

The studied population included 44 preterm infants. Anthropometric measurements, gestational age, sex, mode of delivery, maternal disease and Apgar score were found to be matched in the two studied groups indicating successful randomization as seen in these balanced demographic variables between the groups.

The studied population included 44 preterm infants. Then they were allocated randomly to one of 2 groups in order by admission:

Group A: included 22 patients on whom the recruitment maneuver was applied guided by lung ultrasonography.

Group B: included 22 patients on whom the recruitment maneuver was not ultrasound guided. This is considered the control group.

Anthropometric measurements, gestational age, sex, mode of delivery, maternal disease and Apgar score were found to be matched in the two studied groups indicating successful randomization as seen in these balanced demographic variables between the groups.

02

Conditions studied

03

In context

Respiratory Distress Syndrome

1,597 studies on the registry are indexed under Respiratory Distress Syndrome; 312 are open to participants now.

This study's enrollment of 44 is below the median of 60 across 961 interventional studies indexed under Respiratory Distress Syndrome.

Browse Respiratory Distress Syndrome studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Hour to 2 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Gestational age ≤ 36 weeks.
  2. In need for invasive mechanical ventilation for RDS according to Downes Score .

Exclusion criteria

Exclusion Criteria:

  • excluded:

    1. Major upper or lower airway anomalies.
    2. Significant congenital anomalies including cardiac, abdominal or respiratory.
    3. Surgical cases
    4. Inborn errors of metabolism
    5. Early onset sepsis.
    6. Meconium aspiration syndrome.
    7. Hypoxic ischemic encephalopathy.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    US guided lung recruitment

    Group A: it included 22 patients on whom the recruitment manoeuvre was applied guided by lung ultrasonography.

    Other: lung recruitment maneuver · Other: tracheal IL-6 level · Other: US guided lung recruitment maneuver

  • Other
    Non US guided lung recruitment

    Group B: it included 22 patients on whom the recruitment maneuver was not ultrasound guided. This is considered the control group.

    Other: lung recruitment maneuver · Other: tracheal IL-6 level

Interventions

  • Otherlung recruitment maneuver

    Lung recruitment maneuver done for ventilated preterm neonates diagnosed with respiratory distress syndrome

  • Othertracheal IL-6 level

    tracheal IL-6 level was measured before and after recruitment maneuver

  • OtherUS guided lung recruitment maneuver

    Lung recruitment maneuver done for ventilated preterm neonates diagnosed with respiratory distress syndrome guided by lung ultrasound

06

What researchers measure

Primary outcomes

  1. Lung ultrasound and diagnosis of respiratory distress syndrome

    Forty four preterm neonates diagnosed with respiratoey distress syndrome had lung ultrasound assessment . Its grading was N=normal (presence of lung sliding with A lines or fewer than two isolated B lines) , B1=multiple well-defined B lines , B2=multiple coalescent B lines , C=Consolidation.

    Time frame: 1 year

  2. Lung ultrasound and recruitment maneuver

    An ultrasound re aeration score is calculated from changes in the ultrasound pattern of each region examined during the recruitment maneuver (N,B1,B2,C).

    Time frame: 1 year

  3. Lung ultrasound guided recruitment maneuver and the period of oxygen dependency.

    The relation between early lung recruitment maneuver guided by lung ultrasound and how many days requiring oxygen therapy in the NICU .

    Time frame: 1 year

  4. Lung ultrasound guided recruitment maneuver and the total number of NICU admission days.

    The relation between early lung recruitment maneuver guided by lung ultrasound and how many days requiring admission in the NICU .

    Time frame: 1 year

  5. Lung ultrasound guided recruitment maneuver and its relation to lung inflammation

    Tracheal aspirate IL-6 is measured initially before recruitment maneuver, and on the third day if still ventilated ,or before extubation if done earlier than the third day.

    Time frame: 1 year

07

Study locations

1 site
  • Ain Shams Univeristy
    Cairo, 11517, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 27, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04107090
Lead sponsor
Ain Shams University
Responsible party
Dina Reda Fikry Kamel (Assistant Lecturer, Ain Shams University) — Principal investigator
First posted
Sep 27, 2019
Start date
Jan 20, 2018
Primary completion
Mar 1, 2019
Completion
May 20, 2019
Last update
Sep 27, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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