Muhammad Nadeem Hameed, Saba Abdul Sattar.
Role of nasal CPAP in management of neonates with respiratory distress.
Pak Paed J Jan ;34(2):75-9.

Objective: To evaluate the role of nasal continuous airway pressure in management of neonates with respiratory distress. Setting: Neonatal Intensive care Unit, Shalamar Hospital, Lahore. Study Period: January 2007 till December 2008. Patients and Method: During study period 331 (7.2%) neonates delivered in this hospital presenting with predominant symptom of respiratory distress were included. 84 infants who failed to maintain SaO2 > 85% on humidified oxygen alone, were given nasal CPAP of 3-10 cm of water through Benveniste’s valve and silastic nasal prongs . Results: Mean duration of administering CPAP was 58 hours. Hyaline membrane disease was the commonest indication for starting CPAP and was associated with best survival rate (60.6%). Outcome was better in infants weighing > 1500 gm. Conclusion: Nasal CPAP is an effective and easy therapeutic tool in managing neonates with respiratory distress. Abbreviations: ETT – Endotracheal Tube, CPAP –Continuous Positive Airway Pressure, HMD – Hyaline Membrane Disease, SaO2 - Oxygen Saturation, IPPV – Intermittent Positive Pressure Ventilation, Transient Tachypnea of Newborn, MAS – Meconium Aspiration Syndrome , CHD – Congenital Heart Disease

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