Health Condition 1: null- Respiratory distress syndrome
Conditions
Interventions
Intervention1: Rotation group: The appropriate sized Drager mask and Hudson prongs will be rotated every 8 hourly (each nursing shift) for delivering CPAP. Care will be taken during these changes to m
Sponsors
Fernandez Hospital
Eligibility
Inclusion criteria
Inclusion criteria: All inborn neonates less than 31 weeks of gestation and developed respiratory distress (presence of at least two out of three signs: tachyp-nea >60/min, intercostal retractions, and expiratory grunt) within 6 hours of life
Exclusion criteria
Exclusion criteria: Neonates with Perinatal depression (5 minute Apgar score of and Conditions where CPAP would be contraindicated such as neonates with poor spon-taneous respiratory efforts or apnea, worsening shock, suspected or proven persistent pulmonary hypertension of newborn, severe metabolic acidosis (pH -10), severe respiratory acidosis (pH 55mmHg) and mas-sive pulmonary hemorrhage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence and severity of nasal injury at removal of CPAP and at discharge from the NICU based on the objective scoring and a subjective assessmentTimepoint: At stoppage of CPAP | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of CPAPTimepoint: Discharge;incidence of bronchopulmonary dysplasiaTimepoint: Discharge;Intraventricular hemorrhageTimepoint: Discharge;Need for mechanical ventilationTimepoint: 7 days;Periventricular leukomalaciaTimepoint: Discahrge;Ventilator associated pneumoniaTimepoint: Till 2 days after removal of CPAP | — |
Countries
India
Contacts
Public ContactDr Tejopratap oleti
Fernandez hospital
Outcome results
None listed