Comparison of a Demand Oxygen Delivery
Comparison of a Demand Oxygen Delivery to Continuous Flow for Administration of Oxygen During Sleep
Children's Hospital Medical Center, Cincinnati
10 participants
Jan 9, 2023
INTERVENTIONAL
Conditions
Summary
Conducting a randomized control trial of oxygen in children with Down syndrome to treat moderate to severe obstructive sleep apnea. The aim of the study is to conduct a comparison between the 2 methods of oxygen delivery during sleep in 15 children from Cincinnati Children's Hospital and Children's Hospital of Los Angeles. 2 polysomnographies will be performed, one with continuous flow and the second with pulse flow.
Eligibility
Inclusion Criteria3
- Age 5-17 years with or without Down Syndrome (DS).
- Children with obstructive sleep apnea (OSA) and obstructive apnea hypopnea index (OAHI) 5-40 / hour: The rationale for selecting this range of OAHI is that a large number of children with DS with this range of OSA severity are untreated for months to years. It is important to understand the response to oxygen across the spectrum of disease severity. Notably, children with severe disease are left with few options (e.g., tracheostomy).
- Absence of clinically significant hypoxia defined as oxygen saturation < 88% for 5 minutes or episodic desaturation to 60% as these levels would otherwise identify children eligible to routinely receive oxygen.
Exclusion Criteria5
- Current CPAP use with documented compliance (> 4 hrs/ night; > 70% of nights).
- Oxygen saturation < 90% at rest during wakefulness
- Chronic daytime or nighttime use of supplemental oxygen.
- Unable to participate in a Polysomnogram (PSG).
- Enrolled or planning to enroll in another study that may conflict with protocol requirements or confound results in this trial.
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Interventions
The concentrator weighs 4.7 lbs. and has a battery life of 13 hours. It has 6 settings with 1 providing the lowest pulse flow and 6 provides the highest flow. The setting will be increased every 30 minutes by 1 when oxygen nadir is lower than 94% and or obstructive index is ≥ 5 /hour.
Locations(1)
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NCT06609694