Bubble cpap copy

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Bubble cpap copy

  1. 1. A STUDY OF EFFECTIVENESS OF BUBBLE CPAP IN PRE-TERM NEWBORN WITH RESPIRATORY DISTRESS SYNDROME<br />DR.YOGESH BHADANI,<br /> DR.NILESH PANCHAL,<br />DR.K.M.MEHARIYA<br />B.J.M.C , CIVIL HOSPITAL, AHMEDABAD.<br />
  2. 2. INTRODUCTION<br />Bubble CPAP is simple, inexpensive and gentle method of respiratory support in pre terms<br /> It prevents the alveolar collapse with marginal stability.<br />Better recruitment of alveoli thus increases the functional capacity of lungs .<br />It result in less ventilator induced lung injury than mechanical ventilation, hence reduce incidence of chronic lung disease<br />
  3. 3. Oscillations produced by continuous bubbling contribute to gas exchange<br />It can identify large leaks at nares ( bubbling stops )<br />It maintain more uniform pressure.<br />
  4. 4. .<br />Oscillations produced by continuous bubbling contribute to gas exchange<br />It can identify large leaks at nares ( bubbling stops )<br />It maintain more uniform pressure.<br />
  5. 5. AIMS AND OBJECTIVES<br />The present study was conducted<br /> to study the effectiveness of bubble CPAP in pre- terms with RDS <br /> <br />
  6. 6. MATERIALS AND METHOD<br /> The present study was carried out on 72 pre-terms who presented within 6 hours of birth<br />DESIGN : A prospective analysis<br />SETTING : NICU , Department of paediatrics ,B.J.Medical College ,Civil hospital ,Ahmedabad. <br />STUDY PERIOD : 1-1-2010 to 20-5-2010 <br />
  7. 7. ….<br />We recorded following data of each patients<br />Maturity ,sex and weight<br />presentation time after birth<br />Downe’s score on arrival<br />Duration of bubble CPAP<br />Failure<br />Recurrent apnea<br />Survival rate<br />
  8. 8. ….<br />All pre-terms meeting our criteria randomised according to gestational age<br />36 patients as case put on bubble CPAP and 36 patients as control given other conventional therapy like oxygen with head box or with nasal prongs<br />
  9. 9. .<br />All pre-terms meeting our criteria randomised according to gestational age .<br />36 patients as case put on bubble CPAP and 36 patients as control given other conventional therapy like oxygen with head box or nasal prongs<br />
  10. 10. SELECTION CRITERIA<br />Preterms presented with RDS admitted within 6 hours of birth in NICU BJMC.<br />
  11. 11. EXCLUSION CRITERIA<br />Pre-terms presented with RDS Admitted after 6 hours of birth.<br />Other causes of RDS like hypoglycemia,septicemia and metabolic disorders.<br />Patients not completed treatment<br />
  12. 12. OBSERVATION<br />
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  20. 20. CONCLUSION<br />Bubble CPAP has markedly reduced mortality due to RDS in pre terms.<br />
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