This is a single-blind randomized controlled trial done in a Level III neonatal intensive care unit. Preterm newborns with RDS were randomized to receive oxygen therapy through bubble CPAP vs ventilator-derived CPAP. Differences in arterial blood gases, oxygen saturation, number of surfactant and CPAP failure rate between study groups were analyzed.
Background and Objective: Respiratory distress syndrome (RDS) among premature infants is one of the major causes of neonatal death. The use of continuous positive airway pressure (CPAP) has become a standard of care for preterm newborns with RDS. In countries faced with the challenge of improving neonatal care, cost-effective innovations for respiratory support are a promising intervention. This study determined the efficacy of a low-cost bubble CPAP as an alternative non-invasive oxygen therapy for newborn infants with RDS. METHODS: This is a single-blind randomized controlled trial done in a Level III neonatal intensive care unit. Preterm newborns with RDS were randomized to receive oxygen therapy through bubble CPAP vs ventilator-derived CPAP. Differences in arterial blood gases, oxygen saturation, number of surfactant and CPAP failure rate between study groups were analyzed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
70
The Vayu bCPAP uses a constant flow of dry oxygen from the source with an adjustable flow meter. Oxygen is blended by Venturi blender with ambient air to create a source of oxygen-enriched air of adjustable concentration.
Mechanical Ventilator Driven CPAP
Ilocos Training and Regional Medical Center
San Fernando City, La Union, Philippines
Partial pressure of arterial oxygen (pa02) using Arterial Blood Gas
Difference in the Partial pressure of arterial oxygen (pa02) using Arterial Blood Gas
Time frame: 8 months
Partial pressure of carbon dioxide (pC02) using Arterial Blood Gas
Difference in the Partial pressure of carbon dioxide (pC02) using Arterial Blood Gas
Time frame: 8 months
Oxygen Saturation
Difference in the oxygen saturation using pulse oximeter
Time frame: 8 months
CPAP Failure
Difference in the number of CPAP failure
Time frame: 8 months
surfactant use
total number of surfactant use
Time frame: 8 months
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