Breathing in sync: can timing ventilation to a Preemie's own breaths prevent dangerous oxygen dips?
NCT ID NCT03289936
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Researchers compare two ways of giving nasal breathing support to preterm infants born before 32 weeks of pregnancy. One method delivers puffs of air on a fixed rhythm, while the other syncs each puff to the baby's own breathing using a flow sensor. The trial tracks how often babies experience low oxygen, pauses in breathing, and slow heart rates during their first days on this support.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nasal intermittent positive pressure ventilation, delivered with or without synchronization to the baby's own breathing
- What this could lead to
- If synchronized ventilation reduces breathing pauses and oxygen dips, it could become the preferred first-line breathing support for preterm infants.
- What could go wrong
- This is a small, short-term crossover study of 30 infants. It measures breathing events, not long-term outcomes like lung health or brain development, so any benefit may not translate into lasting clinical improvement.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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30 people
The number who actually took part.
- Started
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Nov 2020
- Finished
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Dec 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Up to 32 weeks
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Gestational age at birth \<32 weeks * First approach to NIV ventilation (primary or after extubation) * Parent's informed consent Exclusion Criteria: * Neurological (including IVH \> 2° grade) or surgical diseases * Sepsis (clinical or laboratory confirmed) * Chromosomal or genetic abnormalities * Major malformations and congenital anomalies * Cardiac problems (including hemodynamically significant PDA) * Contraindication to NIV (i.e. nasal trauma and gastrointestinal surgery within the previous 7 days).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ospedale S.Anna di Torino
Torino, (TO), 10126, Italy
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Other studies related to the condition(s) this trial covers.
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