Open Access
Subscription Access
To Compare the Efficacy and Complication of Nasal Prongs vs Nasal Mask CPAP in Neonates
Background: CPAP refers to the application of positive pressure to the airway of a spontaneously breathing infant throughout the respiratory cycle.
Objectives: To study the clinical pattern of CPAP in neonate
Method: Total 75 patient were enrolled in the study, 38 in the nasal mask and 37 were in the nasal prongs group. The result of the study was analysed by using Fisher exact test and unpaired t test for continuous variable.
Results: The base line characteristics such as birth weight, male and female, match in both the groups. The babies who were < 32wks and < 1500gm birth weight had more frequent trauma in both the groups. The severity of trauma was more as the duration of CPAP was increasing in both the groups. There was no difference of co morbidities like PDA, ROP, IVH in both the groups.
Conclusion: The of duration of CPAP was less in nasal prongs than nasal mask which is statistically significant, but there were no statistically significance of nasal trauma in comparison of both the groups
Keywords
- Goldsmith JP, Karotkin EH. Continuous distending pressure in Assisted Ventilation of the Neonate. JB Saunders: Philadelphia;1996.p.151-65.
- Cartlidge P. The epidermal barrier. Semin Neonatol 2000;5:273–80.
- Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulasenegative staphylococcal sepsis. J Perinatol 2003;23:94–7.
- DeRowe A, Landsberg R, Fishman G. Neonatal iatrogenic nasal obstruction. Int J Pediatr Otorhinolaryngol 2004;68:613–7.
- Smith LP, Roy S. Treatment strategy for iatrogenic nasal vestibular stenosis in young children. Int J Pediatr Otorhinolaryngol 2006;70:1369–73.
- Khalaf MN, Brodsky N, Hurley J, Bhandari V. A prospective randomized, controlled trial comparing synchronized nasal intermittent positive pressure ventilation versus nasal continuous positive airway pressure as modes of extubation. Pediatrics 2001;108:13–7.
- Shanmugananda K, Rawal J. Nasal trauma due to nasal continuous positive airway pressure in newborns. Arch Dis Child Fetal Neonatal Ed 2007;92:F18.
- Yong SC, Chen SJ, Boo NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birth weight infants: a randomised control study. Arch Dis Child Fetal Neonatal Ed 2005;90:F480–3.
- Conner J, De Klerk R. Care of the Infant on nCPAP. The Vermont Oxford Network Delivery Room Management Clinical Trial, 2008. Available at: http://www.vtoxford.org
- McCoskey L. Nursing Care Guidelines for prevention of nasal breakdown in neonates receiving nasal CPAP. Adv Neonatal Care 2008;8:116–24.
- Squires AJ, Hyndman M. Prevention of nasal injuries secondary to NCPAP application in the ELBW infant. Neonatal Netw 2009;28:13–27.
- Chernick V. Continuous distending pressure in hyaline membrane disease: of devices, disadvantages, and a daring study. Pediatrics 1973;52:114–5.
- Kattwinkel J, Fleming D, Cha C., A device for administration of continuous positive airway pressure by the nasal route. Pediatrics 1973;52:131.
- Rego MA, Martinez FE. Clinical and laboratorial repercussions of the nasal CPAP in preterm newborns 2000 Sep-Oct;76(5):339-48.
Abstract Views: 235
PDF Views: 126