Use of Bubble CPAP in Preterm Neonates with Respiratory Distress at a Tertiary Care Hospital

Objective: To determine the outcome of Bubble Continuous Positive Airway Pressure (bCPAP) Therapy use in preterm neonates with respiratory distress admitted large public sector children hospital.Methods: This prospective observational study was conducted at National Institute Child Health (NICH) from March 2016 to February 2017. All diagnosed within 24 hours treated bCPAP were consecutively included. Respiratory defined on basis presence any three following symptoms (i) tachypnea (ii) chest indrawing (iii) grunting (iv) nasal flaring (v) hypoxemia. Outcome measured terms survival, median for duration achieve 21% O2 , apnea, hyperemia nose, abdominal distention, hospital stay, and weight gain. Results: Of 70 neonates, birth 2700 (2300 – 3000) gm, 3 (2 72) hours, stay 8 (6–10) days. The complications bubble CPAP showed that distension found higher followed by nose apnea i.e., 18 (25.7%), 17 (24.3%), 4 (5.7%) respectively. Survival significantly associated (p-value 0.049) no <0.001). Whereas female 0.017), low 0.012) neonate who reported survival Conclusion: administration is an effective modality managing illness Neonates due fewer shorter stay.