Bubble nasal CPAP in the management of respiratory distress syndrome (one year experience in low resources unit)
Joint Authors
Umran, Raid M. R.
Sharba, Shamil A. Z.
Jumah, Ala
Source
Issue
Vol. 10, Issue 4 (31 Dec. 2013), pp.809-816, 8 p.
Publisher
University of Babylon College of Medicine
Publication Date
2013-12-31
Country of Publication
Iraq
No. of Pages
8
Main Subjects
Topics
Abstract EN
Respiratory Distress Syndrome is a clinical manifestation due to a deficiency or dysfunction of pulmonary surfactant.
The use of CPAP for RDS Produces more regular breathing pattern, establishes and maintains functional residual capacity, decreases upper airway resistance, results in progressive alveolar recruitment, inflates collapsed alveoli and reduces intrapulmonary shunting, decreases upper airway collapsibility and reduces obstructive apneas, promotes the release of and conservation of surfactant on the alveolar surface. Objective : To evaluate the effectiveness of using bubble CPAP in the management of respiratory distress syndrome and to identify the risk factors associated with its failure. Patients and methods: 63 newborns who have been diagnosed as RDS were started on Bubble CPAP with bi-nasal prongs.
Bubble CPAP was considered to be successful if the respiratory distress improved and the baby could be successfully weaned off from CPAP.
Based on radiological findings, the severity of RDS was graded as mild, moderate and severe. Results : The mean gestational age was 30.67 ± 2.16 weeks and mean birth weight was 1525.34 ± 441.49 grams.
The median age of starting CPAP was 2 hours of life.
The median duration of CPAP was 36 hours.
42 (66.67 %) newborns were survived and weaned successfully from CPAP and 21 (33.33 %) failed to weaned successfully from CPAP and turn to mechanical ventilation.
extreme low birth weight, lower gestational age, multiple pregnancies, radiological signs of severe RDS, and delay in the application of CPAP, and long duration of CPAP treatment were associated with poor neonatal out come and failure of CPAP ( p value < 0.05).
Sepsis, apnea and shock are the main immediate complications of RDS patients which may adversely affect the CPAP success.
American Psychological Association (APA)
Sharba, Shamil A. Z.& Umran, Raid M. R.& Jumah, Ala. 2013. Bubble nasal CPAP in the management of respiratory distress syndrome (one year experience in low resources unit). Medical Journal of Babylon،Vol. 10, no. 4, pp.809-816.
https://search.emarefa.net/detail/BIM-345114
Modern Language Association (MLA)
Sharba, Shamil A. Z.…[et al.]. Bubble nasal CPAP in the management of respiratory distress syndrome (one year experience in low resources unit). Medical Journal of Babylon Vol. 10, no. 4 (2013), pp.809-816.
https://search.emarefa.net/detail/BIM-345114
American Medical Association (AMA)
Sharba, Shamil A. Z.& Umran, Raid M. R.& Jumah, Ala. Bubble nasal CPAP in the management of respiratory distress syndrome (one year experience in low resources unit). Medical Journal of Babylon. 2013. Vol. 10, no. 4, pp.809-816.
https://search.emarefa.net/detail/BIM-345114
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 814-816
Record ID
BIM-345114