Health Condition 1: J988- Other specified respiratory disorders
Conditions
Interventions
Intervention1: Bubble NIPPV: Babies will be put on bubble NIPPV for respiratory distress within 6 hours after birth .and pressure delivered will be measured by manometer
Control Intervention1: Ventila
Sponsors
Department of Neonatology Institute of obstetrics and Gynecology Madras Medical College
Eligibility
Inclusion criteria
Inclusion criteria: all Neonates more than 28 weeks of gestation and more than 1 kg ,with respiratory distress developed within 6 hours of life
Exclusion criteria
Exclusion criteria: Delivery room intubation Major congenital /lethal anomalies Birth asphyxia ,with APGAR score of less than 6 at 5 min
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delivered distended pressure in Bubble NIPPV and Ventilator NIPPV in neonates more than 28 weeks of gestation with respiratory distressTimepoint: Pressure delivered will be measured at 0 , 12 hours and 24 hours after starting intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of respiratory supportTimepoint: total number of days on which baby on respiratory support ,weaned to room air;Failure of deviceTimepoint: pressure requiring more than 24/7 and 20/7 in ventilator NIPPV and Bubble NIPPV to maintain spo2 with one of the following ,ph 7.2 pCO2 60 mmHg , apnea more than 3 per hour , Apnea requiring Bag and Mask ventilation , spo2 less than 85 % with maximum seetting;Need of surfactant in pre term babyTimepoint: as CPG 2021 guidelines , spo2 more than 30 % on maximum setting of device;To compare the complicationsTimepoint: Feed intolerance , defined by vomiting more than 2 episodes and abdomen distension , Air leaks;total length of hospital stay in both groupTimepoint: total number of days after which baby discharged or dies | — |
Countries
India
Contacts
Public ContactMangalabharathi
Professor of Neonatology and Head of the department ,institute of obstetrics and Gynecology
Outcome results
None listed