Use of Bubble Continuous Positive Airway Pressure in A Level II Neonatal Intensive Care Unit: A Descriptive Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Background: Respiratory distress (RD) is an important cause of admission to the neonatal intensive care unit, which frequently requires respiratory support. Invasive mechanical ventilation is accompanied by many short-term complications and the long-term risk of chronic lung injury. Continuous positive airway pressure (CPAP), being noninvasive, is an effective mean of providing respiratory support and thereby reduces the mortality and morbidity in neonates. Objective: To assess the efficacy of bubble CPAP (BCPAP) on immediate outcome of preterm and term neonates with mild to moderate RD in a Level II neonatal intensive care unit (NICU) in a tertiary care Government Hospital, Hyderabad, India. Materials and Methods: Retrospective study was conducted at Level II NICU, Department of Neonatology, Niloufer Hospital from January to June 2016. All admitted neonates of gestational age >28 weeks with mild to moderate RD requiring BCPAP were included in the study. Results: The total number of babies presenting with RD during the study period was 393. A total of 115 patients were put on BCPAP. The mean gestational age of the study population was 32.37 ± 3.42 weeks. The mean birth weight was 1.65 ± 0.610 kg. 71 were males (61.7%) and 44 were females (38.2%). Inborn babies were 25 (21.7%) and outborn babies were 90 (78.2%). The most common reason for starting CPAP was RD syndrome (76.5%), followed by pneumonia (12.1%). Out of 115 neonates placed on BCPAP, 63 (54.7%) were managed on BCPAP alone and were weaned successfully while 52 babies (45.3%) required mechanical ventilation and were considered in failure group. The success rate was better seen in inborn babies (60%; 15 out of 25) than outborn babies (53%; 48 out of 90). Conclusion: BCPAP is useful in a tertiary care hospital where human resources are deficit. Availability of more CPAP facilities in peripheral hospitals can further improve the incidence of mortality and morbidity by decreasing the delayed referrals.
Authors and Affiliations
Hima Bindu Singh, Usha Rani Hasthi, Neetika Ashwani, Namala Bharadwaj, Suguna Chejeti
Keywords
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