A comparative study of the use of continuous positive airway pressure with or without surfactant in management of preterm with respiratory distress
Other Title(s)
دراسة مقارنة بين استخدام جهاز ضغط ممر الهواء الإيجابي المستمر مع أو بدون المادة المقللة للتوتر السطحي (السرفاكتانت) في علاج ضيق التنفس لدى الأطفال الخدج
Joint Authors
Jabri, Majidah Farghali
Muhammad, Samiyah Atwah
al-Dali, Imad Hammad
Source
Issue
Vol. 39, Issue 2 (31 May. 2015), pp.133-142, 10 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2015-05-31
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Pharmacy, Health & Medical Sciences
Abstract EN
Background: Respiratory Distress Syndrome (RDS) is a clinical manifestation due to a deficiency or dysfunction of pulmonary surfactant.
The use of continuous positive airway pressure (CPAP) for RDS produces a 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, promotes the release of and conservation of surfactant on the alveolar surface.
Objectives: The aim of the study was comparing nasal continuous positive airway pressure (NCPAP) with and without surfactant therapy in the management of preterm neonates with RDS.
Patients and methods: This is a randomized, controlled clinical trial that performed on 100 newborns (28-32 weeks) who were born in Assiut University Hospital (Egypt) from T' of January 2011 to the end of December 2011 with evidence of mild to moderate respiratory distress syndrome.
They were treated with supplemental oxygen in the delivery room and randomly assigned within the 48 hours of life to intubation, early surfactant, exlubation, and nasal continuous positive airway pressure (treatment group) or nasal continuous airway pressure only (control group).
Results: within one year 100 infants were randomly assigned, 50 to the treatment group and 50 to the control group.
The need for mechanical ventilation, intraventricular hemorrhage and mortality were significantly lower in the treatment group; however PDA was higher in the treatment group.
All other outcomes were comparable between both groups.
Conclusion: NCPAP is a safe protocol for RDS in preterm neonates and it decreased the need for subsequent mechanical ventilation and decreased the incidence of air-leak syndrome especially when combined with early surfactant therapy.
Reduction in the need for mechanical ventilation is an important achievement when medical Resources are limited and may result in less chronic lung disease in both developed and developing countries
American Psychological Association (APA)
Jabri, Majidah Farghali& Muhammad, Samiyah Atwah& al-Dali, Imad Hammad. 2015. A comparative study of the use of continuous positive airway pressure with or without surfactant in management of preterm with respiratory distress. Assiut Medical Journal،Vol. 39, no. 2, pp.133-142.
https://search.emarefa.net/detail/BIM-725964
Modern Language Association (MLA)
Jabri, Majidah Farghali…[et al.]. A comparative study of the use of continuous positive airway pressure with or without surfactant in management of preterm with respiratory distress. Assiut Medical Journal Vol. 39, no. 2 (May. 2015), pp.133-142.
https://search.emarefa.net/detail/BIM-725964
American Medical Association (AMA)
Jabri, Majidah Farghali& Muhammad, Samiyah Atwah& al-Dali, Imad Hammad. A comparative study of the use of continuous positive airway pressure with or without surfactant in management of preterm with respiratory distress. Assiut Medical Journal. 2015. Vol. 39, no. 2, pp.133-142.
https://search.emarefa.net/detail/BIM-725964
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 141-142
Record ID
BIM-725964