Bubble CPAP in Neonatal Respiratory Distress Syndrome- An experience in a Special Newborn Care Unit

Dr Usha rani Thota; N Srinivasa Suresh; Swapna Nalam

Volume : VII, Issue : IV, April - 2018

Bubble CPAP in Neonatal Respiratory Distress Syndrome- An experience in a Special Newborn Care Unit

Dr Usha Rani Thota, N Srinivasa Suresh, Swapna Nalam

Abstract :

Objectives:To determine the efficacy of BCPAP in terms of immediate outcome in preterm neonates with mild to moderately severe HMD.

Material and Methods: This is a prospective study done in special care newborn unit attached to Gandhi Hospital. Fifty preterm babies with respiratory distress syndrome with Silverman score less than 7 were kept on BCPAP and were monitored for improvement and complications.

Results: BCPAP was successful in 43 and failed in 7 babies. Babies with gestational age of 32–34 weeks and 28–30wks had a CPAP success rate of 95.45% and 78.5% respectively. Babies born to mothers who received antenatal steroids had better outcome as compared to babies born to mothers who had not received antenatal steroids.Age of start of CPAP, duration of CPAP and maximum

FiO ₂neededare significantly less in success group.Mean duration of hospital stay and mean duration of O₂ administration are less in success group. Incidence of complications like sepsis, pneumothorax,nasal septal damage were more in failure group. Mortality rate in CPAP success group is 2.32% whereas in CPAP failure group it is 28.57% which was statistically significant.

Conclusions: BCPAP improves the outcome of babies with mild to moderately severe respiratory distress syndrome. Routine usage of BCPAP in SNCUs would improve the survival of neonates with respiratory distress syndrome.