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Bubble Nasal Continuous Positive Airway Pressure (bCPAP) versus Control in Neonates with Respiratory Distress
- Source :
- Journal of the College of Physicians and Surgeons Pakistan. 30:805-809
- Publication Year :
- 2020
- Publisher :
- College of Physicians and Surgeons Pakistan, 2020.
-
Abstract
- Objective To compare the effectiveness of bubble continuous positive airway pressure (bCPAP) and oxygen inhalation via nasal cannula in neonates presenting with respiratory distress, using Silverman Anderson Retraction Score (SARS). Study design Randomised clinical trial. Place and duration of study Department of Paediatrics, Unit-1, KEMU/Mayo Hospital, Lahore, Pakistan, from April 2017 to June 2018. Methodology A total of 120 neonates fulfilling inclusion and exclusion criteria were enrolled and were randomly allocated in two groups: Group A and Group B. In group A, neonates were given bCPAP for respiratory support, while neonates in group B were given nasal oxygen as control group. Neonates in both groups were followed for 48 hours. The effectiveness was determined by the reduction in SARS, up to or less than score 3, at the end of a 48-hour period. Data were collected and analysed by SPSS version 20.0. P-value ≤0.05 was taken as significant. Results In Group A, effectiveness was found to be 93.3%, and in Group B effectiveness was 71.7% (p = 0.003). Median reduction in SARS from 00 to 48 hours, in group A (bCPAP) was 4 (4 - 5) while in group B (control), it was 3 (2 - 3); statistically significant (p Conclusion Bubble CPAP was more effective than nasal oxygen alone, in treatment of respiratory distress among neonates. This study suggested that bCPAP should be used more frequently in NICUs of Pakistan to reduce burden of neonatal morbidity due to respiratory distress. Key Words: Bubble CPAP, Respiratory distress, Neonates, Silverman Anderson Retraction Score.
- Subjects :
- medicine.medical_treatment
medicine.disease_cause
Group A
Group B
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
medicine
Humans
Pakistan
030212 general & internal medicine
Continuous positive airway pressure
Child
Respiratory Distress Syndrome
Respiratory Distress Syndrome, Newborn
Continuous Positive Airway Pressure
Respiratory distress
business.industry
Infant, Newborn
General Medicine
Clinical trial
Treatment Outcome
Anesthesia
Bubble CPAP
Inclusion and exclusion criteria
business
Nasal cannula
Subjects
Details
- ISSN :
- 16817168 and 1022386X
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Journal of the College of Physicians and Surgeons Pakistan
- Accession number :
- edsair.doi.dedup.....47e0c3b292825383731f301eb33e49d2