EFFECTS OF EARLY NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE IN PRETERM NEONATES WITH HYALINE MEMBRANE IN A TERTIARY CENTRE

Dr. G. Ravindranath; Dr. K Vittal Kumar; Dr. A. Revanth Kumar; Dr. N. Partha Sarathy

Volume : VII, Issue : VI, June - 2017

EFFECTS OF EARLY NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE IN PRETERM NEONATES WITH HYALINE MEMBRANE IN A TERTIARY CENTRE

Dr. G. Ravindranath, Dr. K Vittal Kumar, Dr. A. Revanth Kumar, Dr. N. Partha Sarathy

Abstract :

Introduction: Hyaline Memane Diseaseis the commonest cause of respiratory distress in preterm infants.Lower the gestation, higher is the incidence of RDS and early intervention of this condition is essential for the survival of the neonate. Thus this study was conducted to assess the effect of non–invasive approach in the form of early nasal NCPAP in the management of the babies with hyaline memane disease. Methodology: Prospective study conducted among all the preterm neonates who were put on NCPAP treatment in the period December 2014 to May 2016. Data was collected by assessing blood gas analysis and pulse oximetry and evaluating the Silvermann Anderson (SA) scoring. Collected information was compiled in Microsoft excel 2013 and analyzed in SPSS Vr. 11 (Trial) Software, usingChi square test and reported as frequencies and percentages. Results: Total number of deliveries in the study period was 2598 and preterm births (<37 weeks) was 323 (12.42 p.c). Incidence of Hyaline Memane Disease (HMD) in ASRAM medical college during the study period i.e., from December 2014 to May 2016 was determined to be 110. Incidence of HMD in neonates with gestational age between 28–34 weeks: 4.2%. NCPAP was administered to 50 babies from the period 0 to 6 hours. Success ratefound among those 50 neonates treated was 80 p.c. Conclusion:Use of early nasal NCPAP which is simple, non–invasive, has low capital outlay and does not require expertise, is the option for us where most places cannot provide invasive ventilation.