Bubble cpap copy
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Transcript of Bubble cpap copy
DR.YOGESH BHADANI,
DR.NILESH PANCHAL,
DR.K.M.MEHARIYA
B.J.M.C , CIVIL HOSPITAL, AHMEDABAD.
INTRODUCTION Bubble CPAP is simple, inexpensive and gentle
method of respiratory support in pre terms
It prevents the alveolar collapse with marginal stability.
Better recruitment of alveoli thus increases the functional capacity of lungs .
It result in less ventilator induced lung injury than mechanical ventilation, hence reduce incidence of chronic lung disease
Oscillations produced by continuous bubbling contribute to gas exchange
It can identify large leaks at nares ( bubbling stops )
It maintain more uniform pressure.
.
Oscillations produced by continuous bubbling contribute to gas exchange
It can identify large leaks at nares ( bubbling stops )
It maintain more uniform pressure.
AIMS AND OBJECTIVES The present study was conducted
to study the effectiveness of bubble CPAP in pre-terms with RDS
MATERIALS AND METHODThe present study was carried out on 72 pre-terms who presented within 6 hours of birth
DESIGN : A prospective analysis
SETTING : NICU , Department of paediatrics ,
B.J.Medical College ,Civil hospital ,Ahmedabad.
STUDY PERIOD : 1-1-2010 to 20-5-2010
….
We recorded following data of each patients
Maturity ,sex and weight
presentation time after birth
Downe’s score on arrival
Duration of bubble CPAP
Failure
Recurrent apnea
Survival rate
….
All pre-terms meeting our criteria randomisedaccording to gestational age
36 patients as case put on bubble CPAP and 36 patients as control given other conventional therapy like oxygen with head box or with nasal prongs
.
All pre-terms meeting our criteria randomised according to gestational age .
36 patients as case put on bubble CPAP and 36 patients as control given other conventional therapy like oxygen with head box or nasal prongs
SELECTION CRITERIA Preterms presented with RDS admitted within 6 hours
of birth in NICU BJMC.
EXCLUSION CRITERIA Pre-terms presented with RDS Admitted after 6 hours
of birth.
Other causes of RDS like hypoglycemia,septicemia and metabolic disorders.
Patients not completed treatment
OBSERVATIONCASE CONTROL
MALE 21 20
FEMALE 15 16
M:F Ratio 1.4:1 1.25:1
WEIGHT CASE CONTROL
<1 Kg 6 (16.66%) 7 (19.44%)
1-1.5 Kg 12 (33.33%) 14 (38.88%)
1.5-2 Kg 18 (50%) 15 (41.66%)
.PRESENTATION
CASE CONTROL
At Birth 5 (13.88%) 8 (22.22%)
Within 2 hrs. 14 (38.88%) 13 (36.11%)
2-6 hrs. 17 (47.22%) 15 (41.66%)
DOWNE’S SCORE
CASE CONTROL
2-4 20 (55.55%) 22 (61.11%)
4-6 14 (38.88%) 13 (36.11%)
>6 2 (5.55%) 1 (2.77%)
.CASE CONTROL
RecurrentApnea
6 (16.66%) 8 (22.22%)
.CASE CONTROL
VentilatorySupport
3 (8.33%) 5 (13.88%)
DURATION OF CPAP
3-4 Days 8 (22.22%)
4-5 Days 10 (27.77%)
5-7 Days 15 (41.66%)
Failure 3 (8.33%)
.CASE CONTROL
SURVIVALRATE
33 (91.66%) 30 (83.33%)
CONCLUSION Bubble CPAP has markedly reduced mortality due to
RDS in pre terms.
.