Use of low-cost bubble continuous positive airway pressure in neonates with respiratory distress at a tertiary care hospital Quetta

https://doi.org/10.53730/ijhs.v6nS10.14122

Authors

  • Mohammad Yousaf Kakar Consultant Pediatrician, Department of Pediatrics Sandeman Provencial Hospital Quetta, Pakistan
  • Sana Bushra Consultant Paediatrician Sandamen Provincial Hospital Quetta, Pakistan
  • Barkha Paryani Consultant Pediatrician at Paeds Unit 2 SPH Quetta, Pakistan
  • Sandeep Kumar Kalra Assistant Professor, Department of Medicine, Bolan Medical College Balochistan, Pakistan
  • Misbah Munir Assistant Professor Pediatrics, Mekran Medical College Turbat, Pakistan
  • Safa Jan Abdul Rahim Paediatric Resident, Al Qasimi Women and Children hospital, Sharjah, UAE, Pakistan
  • Ayesha Abdul Razzaq Consultant Pediatrician, DHQ hospital Uthal, Lasbela, Pakistan

Keywords:

respiratory distress, low cost bubble, preterm infants

Abstract

Introduction: Respiratory distress is a prevalent and serious consequence of neonatal sepsis, premature birth and neonatal pneumonia which is responsible for more than half of all neonatal fatalities worldwide. Objective: To assess the use of low-cost bubble continuous positive airway pressure in neonates with respiratory distress at a tertiary care hospital Quetta. Methodology: The current study was cross sectional study carried out at the pediatrics department, Sandeman Provencial Hospital Quetta from 16th May 2017 to 16th Nov 2017. All in patients who fulfilled the inclusion criteria in the Department of pediatrics, Sandeman Provinvical Hospital Quetta were included in the study. After taking informed written consent, bubble continuous positive airway pressure was used in all the included patients to assess the outcome variable i.e survival. All the collected information was entered in the prescribed Performa. Results: In the current study, totally, 138 patients with respiratory distress were included. 84 patients (60.9%) were males & 54 (39.1%) were females, with the mean age of 6.98+2.78 years. The mean gestational age of mother was 38.5±1.26 weeks, the mean duration of achieving 21% O2 was 81.60 (±0.81) hours, mean stay in hospital was 22.07 (±1.7) days. In our study 95 neonates (68.8%) survived. 

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References

Lawn JE, Kerber K, Enweronu-Laryea C, Cousens S, editors. 3.6 million neonatal deaths—what is progressing and what is not? Semin Perinatol; 2010: Elsevier.

Clair CS, Norwitz ER, Woensdregt K, Cackovic M, Shaw JA, Malkus H, et al. The probability of neonatal respiratory distress syndrome as a function of gestational age and lecithin/sphingomyelin ratio. Am J Perinatol. 2008;25(08):473-80.

Duke T. Neonatal pneumonia in developing countries. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2005;90(3):F211-FF9.

Gnanaratnem J, Finer NN. Neonatal acute respiratory failure. Curr Opin Pediatr. 2000;12(3):227-32.

Simoes EA, Cherian T, Chow J, Shahid-Salles SA, Laxminarayan R, John TJ. Acute respiratory infections in children. Disease Control Priorities in Developing Countries 2nd edition. 2006.

Kamath BD, MacGuire ER, McClure EM, Goldenberg RL, Jobe AH. Neonatal mortality from respiratory distress syndrome: lessons for low-resource countries. Pediatrics. 2011;127(6):1139-46.

Howson CP, Kinney MV, McDougall L, Lawn JE, Group BTSPBA. Born too soon: preterm birth matters. Reproductive health. 2013;10:1-9.

Nowadzky T, Pantoja A, Britton JR. Bubble continuous positive airway pressure, a potentially better practice, reduces the use of mechanical ventilation among very low birth weight infants with respiratory distress syndrome. Pediatrics. 2009;123(6):1534-40.

Watson A. Premarket Notification Decision for Fisher & Paykel Healthcare Bubble CPAP System. US Food and Drug Administration: 510 (k) Number K100011. 2010.

Bonner KM, Mainous RO. The nursing care of the infant receiving bubble CPAP therapy. Adv Neonatal Care. 2008;8(2):78-95.

De Klerk A, De Klerk R. Nasal continuous positive airway pressure and outcomes of preterm infants. J Paediatr Child Health. 2001;37(2):161-7.

Morley CJ, Davis PG, Doyle LW, Brion LP, Hascoet J-M, Carlin JB. Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med. 2008;358(7):700-8.

Schmölzer GM, Kumar M, Pichler G, Aziz K, O’Reilly M, Cheung P-Y. Non-invasive versus invasive respiratory support in preterm infants at birth: systematic review and meta-analysis. BMJ. 2013;347.

Courtney SE, Pyon KH, Saslow JG, Arnold GK, Pandit PB, Habib RH. Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: an evaluation of three devices. Pediatrics. 2001;107(2):304-8.

DiBlasi RM. Nasal continuous positive airway pressure (CPAP) for the respiratory care of the newborn infant. Respir Care. 2009;54(9):1209-35.

Lee K-S, Dunn MS, Fenwick M, Shennan AT. A comparison of underwater bubble continuous positive airway pressure with ventilator-derived continuous positive airway pressure in premature neonates ready for extubation. Neonatology. 1998;73(2):69-75.

Nekvasil R, Krátký J, Penkova Z, Stejskal J. High frequency" bubble" oscillation ventilation in the neonatal period. Cesk Pediatr. 1992;47(8):465-70.

Kaur C, Sema A, Beri RS, Puliyel JM. A simple circuit to deliver bubbling CPAP. Indian Pediatr. 2008;45(4):312.

Lucking SE, Fields AI, Mahfood S, Kassir MM, Midgley FM. High-frequency ventilation versus conventional ventilation in dogs with right ventricular dysfunction. Crit Care Med. 1986;14(9):798-801.

Chiaranda M, Rubini A, Fiore G, Giron G, Carlon GC. Hemodynamic effects of continuous positive-pressure ventilation and high-frequency jet ventilation with positive end-expiratory pressure in normal dogs. Crit Care Med. 1984;12(9):750-4.

Ammari A, Suri M, Milisavljevic V, Sahni R, Bateman D, Sanocka U, et al. Variables associated with the early failure of nasal CPAP in very low birth weight infants. Newborn Infant Nurs Rev. 2006;6(2):68-75.

Koti J, Murki S, Gaddam P, Reddy A, Dasaradha Rami Reddy M. Bubble CPAP for respiratory distress syndrome in preterm infants. Indian Pediatr. 2010;47:139-43.

Shah L, Chowdhury MA, Hoque M, Rahman A. Effect of Bubble CPAP in PTLBW Neonates with Respiratory Distress. Acad J Pediatr Neonatol. 2017;3(2):555609.

Koyamaibole L, Kado J, Qovu JD, Colquhoun S, Duke T. An evaluation of bubble-CPAP in a neonatal unit in a developing country: effective respiratory support that can be applied by nurses. J Trop Pediatr. 2006;52(4):249-53.

Pieper C, Smith J, Maree D, Pohl F. Is nCPAP of value in extreme preterms with no access to neonatal intensive care? J Trop Pediatr. 2003;49(3):148-52.

Published

03-04-2023

How to Cite

Kakar, M. Y., Bushra, S., Paryani, B., Kalra, S. K., Munir, M., Rahim, S. J. A., & Razzaq, A. A. (2023). Use of low-cost bubble continuous positive airway pressure in neonates with respiratory distress at a tertiary care hospital Quetta. International Journal of Health Sciences, 6(S10), 1589–1597. https://doi.org/10.53730/ijhs.v6nS10.14122

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Peer Review Articles