Status:

WITHDRAWN

Noninvasive Positive Airway Pressure in the Pediatric Emergency Department for the Treatment of Acute Asthma Exacerbations

Lead Sponsor:

Vanderbilt University Medical Center

Conditions:

Asthma

Eligibility:

All Genders

2-18 years

Phase:

NA

Brief Summary

Previous investigations and anecdotal experience have shown safety and utility of Noninvasive Positive Pressure Ventilation/Bilevel Positive Airway Pressure (NIPPV/BiPAP) for the treatment of asthma i...

Eligibility Criteria

Inclusion

  • 2-18 years old
  • For subjects 3 years and older, a known history of asthma as diagnosed by the PCP or per the Vanderbilt problem list
  • For children ages 2-3 years, four or more episodes of wheezing in the past year that lasted more than 1 day and affected sleep AND one of the following: parental history of asthma, a physician diagnosis of atopic dermatitis, or evidence of sensitization to aeroallergens
  • Acute asthma exacerbation
  • Pediatric Asthma Score (PAS) ≥ 8
  • Parents willing and able to sign consent
  • Children over the age of 6 willing to provide assent

Exclusion

  • History of congenital heart disease, chronic respiratory disease including bronchopulmonary dysplasia, cystic fibrosis, pulmonary hypertension or any chronic lung disease other than asthma
  • History of sickle cell disease
  • Recently diagnosed pneumonia
  • Current tracheostomy, on home ventilator or home oxygen requirement
  • Recent diabetic ketoacidosis
  • Requiring immediate intubation
  • Weight less than 5 kilograms
  • Any contraindication to BiPAP use including altered mental status, recent bowel surgery, intractable vomiting, inability to protect airway
  • A history of prematurity of ≤ 30 weeks gestation

Key Trial Info

Start Date :

January 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 19 2013

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01497691

Start Date

January 1 2013

End Date

November 19 2013

Last Update

August 24 2017

Active Locations (1)

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1

Vanderbilt Children's Hospital

Nashville, Tennessee, United States, 37232