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- Title
USE OF INDIGENOUSLY DESIGNED NASAL BUBBLE CONTINUOUS POSITIVE AIRWAY PRESSURE (NB-CPAP) IN NEONATES WITH RESPIRATORY DISTRESS - EXPERIENCE FROM A MILITARY HOSPITAL.
- Authors
Ahmed, Zeeshan; Ul Hassan Shah, Syed Awais; Khan, Umer Nawaz; Subhani, Fahim Ahmed
- Abstract
Objective: To study the efficacy and safety of an indigenously designed low cost nasal bubble continuous positive airway pressure (NB-CPAP) in neonates admitted with respiratory distress. Study Design: A descriptive study. Place and Duration of Study: Combined Military Hospital (CMH), Peshawar from Jan 2014 to May 2014. Material and Methods: Fifty neonates who developed respiratory distress within 6 hours of life were placed on an indigenous NB-CPAP device (costing 220 PKR) and evaluated for gestational age, weight, indications, duration on NB-CPAP, pre-defined outcomes and complications. Results: A total of 50 consecutive patients with respiratory distress were placed on NB-CPAP. Male to Female ratio was 2.3:1. Mean weight was 2365.85 ± 704 grams and mean gestational age was 35.41 ± 2.9 weeks. Indications for applying NB-CPAP were transient tachypnea of the newborn (TTN, 52%) and respiratory distress syndrome (RDS, 44%). Most common complications were abdominal distension (15.6%) and pulmonary hemorrhage (6%). Out of 50 infants placed on NB-CPAP, 35 (70%) were managed on NB-CPAP alone while 15 (30%) needed mechanical ventilation following a trial of NB-CPAP. Conclusion: In 70% of babies invasive mechanical ventilation was avoided using NB-CPAP.
- Subjects
CONTINUOUS positive airway pressure; NEONATAL diseases; RESPIRATORY distress syndrome treatment; CLINICAL indications; ARTIFICIAL respiration complications; THERAPEUTICS
- Publication
Pakistan Armed Forces Medical Journal, 2016, Vol 66, Issue 5, p645
- ISSN
0030-9648
- Publication type
Article