To study the effectiveness of indigenous bubble CPAP in management of respiratory distress in newborns

Jain, Hemant; Arya, Sunil; Mandloi, Rashika; Menon, Suresh

doi:10.17511/ijpr.2016.i05.04

Cited by 4 publications

(6 citation statements)

References 2 publications

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“…8% and CHD 2%. Other observation was 72% of meconium aspiration syndrome babies put on bubble CPAP survived which was similar to observation done by Jain H et al [7] Out of 100 cases 73% improved, 21% further required mechanical ventilation and 6% were discharge against medical advise. Regarding the outcome of CPAP, many studies have shown lower mortality and morbidity rate in infants with birth weight greater than 1500 gm who were put on CPAP compared to those managed on mechanical ventilation.…”

Section: Talawar Et Al; Indigenous Bubble Cpap In Neonates With Respisupporting

confidence: 81%

“…This study demonstrates the potential impact of introducing a low cost, appropriate bubble CPAP system. The low cost indigenous bubble CPAP system we used was almost similar to that used in other studies by Charanjit Kaur et al, [5] Shrestha et al, [6] Pooniya V et al, [4] Jain H et al [7] In our study common indication for bubble CPAP was respiratory distress syndrome 32%, followed by birth asphyxia 28%, MAS 11%, TTNB 8%, apnea of prematurity…”

Section: Discussionsupporting

confidence: 57%

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Efficacy of Indigenous Bubble CPAP in Neonates withRespiratory Distress

Talawar¹,

Pattar²,

Yelamali³

et al. 2019

AJCPN

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Background: Respiratory distress in newborn due to varied aetiology is one of the common causes for new born admission to NICU, new born morbidity and mortality. Bubble CPAP is a simple, cost effective and gentle mode of respiratory support in newborns with respiratory distress. It reduces the need for mechanical ventilation in appropriately selected cases. In this paper we review our institute experience of using very low cost indigenous CPAP as primary way of respiratory support and its outcome. Objectives: Effectiveness of indigenous CPAP as a low cost measure in treatment of respiratory distress in newborn period and its outcome. Design: Prospective observational study. Subjects and Methods: This study included 100 consecutive both term and preterm newborns admitted for respiratory distress due to varied aetiologies like respiratory distress syndrome, transient tachypnea of newborn, apnea of prematurity, birth asphyxia, meconium aspiration syndrome, etc in our NICU over a period of 1 year. Exclusion criteria being babies put on CPAP for post-extubation respiratory distress and babies with severe life threatening surgical conditions. Downe's scoring for term and Silvermann's scoring for preterm babies were used to assess the severity of respiratory distress and also to assess the response to indigenous CPAP. Results: Out of 100 newborns with respiratory distress treated with indigenous CPAP, 73% improved, 21% were further put on mechanical ventilation and 6% were discharged against medical advise. Failure of CPAP was associated with co morbidities like sepsis, congenital heart diseases, PPHN and IVH. Conclusion: Indigenous bubble CPAP is low cost equipment (Total cost Rs.301) effective in treatment of respiratory distress in newborn at resource limited neonatal intensive care units where newborn admissions are in excess.

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Section: Talawar Et Al; Indigenous Bubble Cpap In Neonates With Respisupporting

confidence: 81%

Section: Discussionsupporting

confidence: 57%

Efficacy of Indigenous Bubble CPAP in Neonates withRespiratory Distress

Talawar¹,

Pattar²,

Yelamali³

et al. 2019

AJCPN

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“…In our study, the survival rate was 72.9 % in B-CPAP group and 75.7% in I-CPAP group. 6,15 Thus, I-CPAP has similar survival rates as compared to B-CPAP. The complications, such as, culture proven sepsis (22.9% in B-CPAP versus 12.12% in I-CPAP) and NSD (47.9% in B-CPAP vs 6% in I-CPAP, p value 0.000062) were comparable to another recent study.…”

Section: Discussionmentioning

confidence: 96%

“…4500-8000) can prove to be effective and non-invasive way to provide ventilation to patients of RDS in a setup with limited resources. 6,7 It can be used as a delivery room CPAP at peripheral health centres and for transport of new-borns to tertiary care hospital.…”

Section: Introductionmentioning

confidence: 99%

Bubble continuous positive airway pressure machine versus indigenous bubble continuous positive airway pressure as a respiratory support in preterm babies with respiratory distress syndrome: a prospective outcome research at a tertiary care centre in Gujarat, India

Thaddanee

Chaudhari

Chauhan

et al. 2018

Int J Contemp Pediatr

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Background: In India, there is high burden of prematurity in newborns due to high birth rate and lack of good antenatal care. The objective of this study was to compare the outcome (efficacy and safety) of Bubble Continuous Positive Airway Pressure (B-CPAP) machine and Indigenous Bubble Continuous Positive Airway Pressure (I-CPAP) as a primary mode of respiratory support in preterm new-borns with respiratory distress syndrome (RDS). It was a prospective observational comparative study conducted at NICU of a tertiary care teaching hospital of western Gujarat, India, from December 2016 to July 2017.Methods: Eighty-one preterm babies <36 weeks of gestation age with respiratory distress (Silverman Anderson scoring >4) within 6 hours of birth were included (out of 182 preterm newborns with respiratory distress syndrome) and put on respiratory support either with B-CPAP machine (n = 48) or with I-CPAP (n = 33). Outcome was compared in the form of CPAP failure, survival and complication rates.Results: There was no significant difference in the demographic profile of patients in both groups except number of neonates between 1.5-2.5 kg birth weight were significantly high in B-CPAP (45.8%) compared to I-CPAP (33.3%) (p = 0.00074). There were no significant differences in CPAP failure rates in B-CPAP (27%) versus I-CPAP (24.2%). The survival rate (72.9% in B-CPAP) versus (75.7% in I-CPAP) in both groups was also similar (CI 95%, p = 0.774). The complications, such as moderate to severe nasal septal damage, occurred significantly more frequent with B-CPAP machine (47.9%) than on I-CPAP (6%) (CI 95%, p = 0.000062).Conclusions: Efficacy of I-CPAP as a primary mode of respiratory support for preterm new-born with respiratory distress was comparable to B-CPAP. The ease with which it can be assembled makes it a suitable alternative to B-CPAP.

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“…recent study in this issue by Jain H et al highlighted that indigenous bCPAP is an effective and non-invasive way to provide ventilation in a setup with limited resources. It can be used to manage respiratory distress ISSN 2349-5499 Editorial Pediatric Review: International Journal of Pediatric Research Available online at: www.pediatricreview.in due to RDS, congenital pneumonia & meconium aspiration syndrome[8].…”

mentioning

confidence: 99%