Efficacy of indigenous bubble CPAP in treating respiratory distress of newborn
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 4, Issue 1
Abstract
Background: Respiratory illness remains one of the most common causes of neonatal death in the developing world. The respiratory support during distress is provided to neonates using either mechanical ventilation or Continuous Positive Airway Pressure (CPAP).Aim and Objectives: To study the efficacy of indigenous bubble CPAP in treating respiratory distress among newborns also, to study the variation in outcome of BCPAP with changing gestational age. Material and Methods: It’s a prospective, observational type of study conducted on the babies requiring BCPAP at the time or during the hospital stay over a period of 2 years. The final outcome in terms of success and failure evaluated and also studied with reference to gestational ages. Results: Out of 1571 patients, a total of 748 (47.61%) required BCPAP. There were 452 males with 276 (61.06%) managed successfully with a Poor outcome among males compared to females (77.03%). There is an increase in chance of success regarding outcome of BCPAP as the gestational age increases. Out of 748 babies kept on BCPAP, 244 (32.6%) failed and remaining 504 (67.4%) were showed favourable results with BCPAP. Summary and Conclusions: BCPAP is increasingly used as a first choice for ventilator support in tertiary centres. It reduces morbidity and mortality, as well as the need for mechanical ventilation. It can be administered by trained nurses and is safer than mechanical ventilation.
Authors and Affiliations
Suresh Narayan Singh, Shivprasad Mundada
Keywords
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