Comparison of gradual versus sudden weaning of preterm neonates from nasal CPAP
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 7, Issue 1
Abstract
Background: Advantages and disadvantages of CPAP are well known but ideal strategy of weaning from CPAP is still unknown. The point at which neonate is considered stable to attempt weaning from CPAP is also not defined clearly. Aim: Tocompare Gradual Vs Sudden weaning methods in pre-terms on Bubble CPAP. Material and Methods: A total of 91 preterm newborns admitted in NICU and to be weaned from CPAP were randomized in two groups. Babies in one group were weaned by gradual weaning while those in the other group were weaned by sudden weaning. Our primary outcome was to assess the success of both the weaning methods. Secondary outcome was to assess the mortality and morbidities associated with both the weaning methods. Results: Among the babies who succeeded weaning, 44 babies (48.3%) were from the gradual weaning group as compared to 33 (36.2%) in the sudden weaning group. Failure rate was more (14.2%) in the sudden weaning group. Success rate was more (58.2%) in babies with birth weight 1.5-2.5 kgs and gestational age of 32-37 weeks. There was a correlation between failure in weaning from CPAP and high Silverman Anderson score. Conclusion: In our study, we found that, gradual weaning from CPAP with graded time off CPAP was a better weaning method as compared to sudden weaning. Sudden weaning was associated with increased CPAP failure. Implications of our study can be considered while weaning babies from respiratory support.
Authors and Affiliations
Harshal Wagh, Suhas Kumbhar
Keywords
Related Articles
- EP ID EP414037
- DOI -
- Views 237
- Downloads 0
Comparison and correlation between serum bilirubin and transcutaneous bilirubin in NICU Bidar
Background: Hyperbilirubinemia is one of the most common problem in neonates. An estimation of the bilirubin value is essential for decision making in jaundiced babies. Transcutaneous bilirubin screening is a quick, non...
Study of age at initiation, type and mode of giving complementary feeds in infants aged 6-12 months in urban and rural population
Bckground: According to WHO, Complementary Feeds (CF) should be given timely, adequately and appropriately. The present study was undertaken to find the age at initiation, type and mode of giving CF in 6 -12 months infan...
A study of clinical profile of the patients undergoing upper GI endoscopy at tertiary health care centre
Background: Upper gastrointestinal bleeding (UGIB) is a common gastrointestinal (GI) emergency presenting as hematemesis and/or melena and rarely as hematochezia and is associated with significant morbidity and mortality...
Incidence of hypoglycemia in newborn babies born with perinatal and postnatal risk factors
Background: Hypoglycemia is a common, preventable and neglected problem in many maternity hospitals in developing countries. In the presence of certain high risk factors like small for date, large for date, prematurity e...
Correlation of mucocutaenous manifestations of HIV infection with the degree of immunosupression in children
Background: Skin is commonly involved in HIV infection. Dermatological manifestations in HIV patients tend to be more severe, may manifest atypically, are often resistant to treatment, and tend to have a high rate of rec...