Comparing the effectiveness of establishing continuous positive airway pressure through RAM cannula with nasal mask and nasal prong in newborns admitted to neonatal intensive care unit.
Conditions
Interventions
Intervention 1: Intervention group:Babies treated with RAM cannula: Babies in this group are supported by a Neotech RAM cannula of the right size according to the manufacturer's instructions, which is
Sponsors
Esfahan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
196 Days to 238 Days
Inclusion criteria
Inclusion criteria: Babies born with a gestational age of 28-34 weeks Need to connect to continuous positive airway pressure within the first hour of birth Apgar more than 6 in the fifth minute Absence of congenital malformation including nasal obstruction or severe upper airway malformation such as Cowan's atresia, cleft lip and palate, congenital diaphragmatic hernia, cardiac anomalies, tracheoesophageal fistula, Pierre-Robin sequence Absence of wounds or lesions in the nose and upper lip of the baby Consent of parents of infants to participate in the study Having at least a bachelor's degree in nursing At least one year of clinical experience in neonatal intensive care unit
Exclusion criteria
Exclusion criteria: Death of a baby Changing the type of respiratory interface The baby needs endotracheal intubation The baby needs resuscitation Parents' unwillingness to continue the treatment process Referral of the baby to another hospital during the study Unwillingness of nurses to continue cooperation Failure to answer questionnaire questions Changing the place of clinical activity to another department during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean success and failure of continuous positive airway pressure. Timepoint: From the start of the intervention for 72 hours. Method of measurement: A researcher-made checklist for the effectiveness of continuous positive airway pressure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Frequency distribution of nose injuries. Timepoint: During the study. Method of measurement: Nose injury checklist.;Average satisfaction score of nurses. Timepoint: Immediately after the intervention. Method of measurement: A researcher-made questionnaire of nurses' views on the ease of doing work with three types of respiratory interfaces. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZeinab Keshavarzian kelishadi
Esfahan University of Medical Sciences
Outcome results
None listed