The Early use of CPAP in Neonatal Pneumonia: Randomized Control Trial

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dc.contributor.authorMunian, Dineshen_US
dc.contributor.authorBiswas, Ratan Kumaren_US
dc.contributor.authorMukherjee, Ranajiten_US
dc.date.accessioned2019-12-06T09:25:57Z
dc.date.available2019-12-06T09:25:57Z
dc.date.issued2018-03
dc.description.abstractBackground: 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.en_US
dc.identifier.affiliationsMD (Pediatrics), Assistant Professor, Dept. of Neonatology, IPGME&R, Kolkata-20.en_US
dc.identifier.affiliationsDM (Neonatology), Assistant Professor, Dept. of Neonatology, IPGME&R, Kolkata-20.en_US
dc.identifier.affiliationsMD (Pediatrics), Associate Professor, Dept. of Neonatology, IPGME&R, Kolkata-20en_US
dc.identifier.citationMunian 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): 6-10en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/188542
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber2en_US
dc.relation.volume4en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2018.4.2.PE2en_US
dc.titleThe Early use of CPAP in Neonatal Pneumonia: Randomized Control Trialen_US
dc.typeJournal Articleen_US
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