The Early use of CPAP in Neonatal Pneumonia: Randomized Control Trial
Loading...
Date
2018-03
Journal Title
Journal ISSN
Volume Title
Publisher
Society for Health Care & Research Development
Abstract
Background: Aim- To assess clinical resolution of neonatal pneumonia by early use of CPAP. Study design- Randomized control trial.Methods: Neonates with a gestational age of >35 weeks having tachypnea (RR≥ 60/min) and respiratory distress were included in the study. The neonates were subjected to a radiological examination for confirmation of pneumonia. Further a sepsis screen was performed, if the screen was positive, the patient was enrolled for inclusion in the study. The randomization allocation was done and the babies allotted to the study (CPAP) group or the control group. Babies in study group were put on CPAP soon after randomization allocation and the babies in the control group were managed as per the unit protocol. Results: It has shown that the early use of CPAP in addition to standard treatment results in early resolution of clinical pneumonia & significant reduce the duration of oxygen therapy. Further it lowered the need for mechanical ventilation. However there was no difference in the duration of hospital stay in the two groups. CPAP was well tolerated by the neonates (both late preterm and term) with few complications. No baby’s condition gave concern that there could be a significant air leak. Conclusion: In our study, the early use of CPAP in addition to standard treatment results in early resolution of clinical pneumonia & significant reduce the duration of oxygen therapy. Further it lowered the need for mechanical ventilation. CPAP was well tolerated by the newborn (both late preterm and term) with few complications.
Description
Keywords
Citation
Munian Dinesh, Biswas Ratan Kumar, Mukherjee Ranajit. The Early use of CPAP in Neonatal Pneumonia: Randomized Control Trial. Annals of International medical and Dental Research. 2018 Mar; 4(2): 6-10