Start Submission Become a Reviewer

Reading: A descriptive study on the use of bubble CPAP in a level 2 neonatal intensive care unit in B...

Download

A- A+
dyslexia friendly

Original Articles

A descriptive study on the use of bubble CPAP in a level 2 neonatal intensive care unit in Bangalore, India

Authors:

Hyalyad Sunita C Parasuramappa ,

Subbaiah Institute of Medical Sciences, India, IN
About Hyalyad
Subbaiah Institute of Medical Sciences, India
X close

Gangadhar B Belavadi

Bangalore Medical College & Research Institute, Bangalore, India, IN
About Gangadhar
Bangalore Medical College & Research Institute, Bangalore, India
X close

Abstract

Background: Respiratory distress syndrome (RDS) is an important cause of mortality and morbidity in preterm infants. An effective way to reduce the incidence of chronic lung injury is to use continuous positive airway pressure (CPAP) and avoid mechanical ventilation. 

Objective: To assess the effectiveness of bubble CPAP (BCPAP) on immediate outcome of preterm infants with mild to moderate RDS in a level 2 neonatal intensive care unit (NICU) in Bangalore, India.

Method: A prospective analytical study was carried out on preterm neonates of gestational age 28 to 36 weeks with mild to moderate RDS admitted to a level 2 NICU in Bangalore, India, from November 2011 to May 2013. Downe score (DS) was used to assess the severity of RDS. Effectiveness of CPAP was judged using DS and fraction of inspired oxygen (FiO2) requirement.

Results: BCPAP was effective in 91% of the studied babies. At the start of CPAP 11%, 48% and 41% of babies had DS of 4, 5 and 6 respectively. At 6 hours of CPAP therapy, 56% of the babies had a score of less than 4. At 12 hours of CPAP therapy 89% of babies had a score of 4 or less, only 3% and 8% of the babies having DS of 5 and 6 respectively. Nine percent of the babies persisted in having a FiO2 requirement of 50% or more at 6 and 12 hours of CPAP therapy. 

Conclusion: BCPAP was effective in 91% of the studied preterm neonates of gestational age 28 to 36 weeks with mild to moderate RDS in a level 2 NICU in Bangalore, India.

Sri Lanka Journal of Child Health, 2017; 46: 211-217

 


How to Cite: Parasuramappa, H.S.C. & Belavadi, G.B., (2017). A descriptive study on the use of bubble CPAP in a level 2 neonatal intensive care unit in Bangalore, India. Sri Lanka Journal of Child Health. 46(3), pp.211–217. DOI: http://doi.org/10.4038/sljch.v46i3.8319
Published on 05 Sep 2017.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus