HAAPI

  • Research type

    Research Study

  • Full title

    High flow with Automatic Apnoeic oxygenation for Preterm Intubations- Randomised control trial (HAAPI)

  • IRAS ID

    358508

  • Contact name

    Vrinda Nair

  • Contact email

    vrinda.nair1@nhs.net

  • Sponsor organisation

    South Tees NHS Foundation Trust

  • ISRCTN Number

    ISRCTN40770512

  • Duration of Study in the UK

    1 years, 5 months, 31 days

  • Research summary

    Some premature babies need placement of a breathing tube in the airway as a lifesaving procedure. This procedure is called intubation and one of the most difficult procedures to perform especially in a small premature baby. Intubation in neonates has a low success rate, as most often the procedure has to be stopped and then retried. One of the main reasons to stop the procedure is that a baby’s oxygen and heart rate goes low during the procedure. Providing breathing support using nose prongs (called high flow) along with automatic control of oxygen could better support the babies during the procedure and prevent low levels of oxygen. However, we do not know whether providing breathing support using “high flow” along with automatic control of oxygen is better than only providing breathing support using “high flow” and manual adjustment of the amount of oxygen. With the proposed study, we would like to compare providing breathing support using the “high flow” with manually adjusted oxygen as compared to providing breathing support using “high flow” along with automatic control of oxygen in babies undergoing intubation procedure to study which method prevents low oxygen levels most effectively.

  • REC name

    North of Scotland Research Ethics Committee 1

  • REC reference

    25/NS/0055

  • Date of REC Opinion

    30 May 2025

  • REC opinion

    Favourable Opinion