“OUTCOMES OF NASAL PRONGS IN INFANTS WITH RESPIRATORY DISTRESS”
Main Article Content
Keywords
Infants, Nasal Prongs, Outcomes, Respiratory Distress
Abstract
INTRODUCTION: The World Health Organization recommends administering oxygen by nasopharyngeal catheter, nasal catheter, and nasal prongs as an essential therapeutic strategy. Non-invasive respiratory support, such as nasal continuous positive airway pressure (nCPAP), can alleviate respiratory distress.
OBJECTIVE: To determine the outcomes of nasal prongs in infants with respiratory distress.
STUDY DESIGN AND SETTING: A cross-sectional study was conducted at Children's Hospital, SMBB Medical University, Larkana, Pakistan from June 2022 to September 2023.
MATERIALS AND METHODS: All patients who met the inclusion criteria and visited SMBBMU in Larkana were included in the research. Informed permission was obtained after discussing the technique, hazards, and advantages of the study. Using the proper-sized Hudson RCI Infant Nasal Prong CPAP cannula system (sizes 0 and 1), nasal prongs were applied to all newborns in our research. The Hudson Nasal prong CPAP cannula system's appropriate-sized bonnets were covered with rubber bands and pins to directly attach the prongs to the Fisher & Paykel "Bubble" CPAP system (BC151). The prongs were continued for 3 days and outcomes were measured on 3rd day. All the obtained data were put in the proforma and data was analyzed by using SPSS statistical package version 23 software.
RESULTS: The patients' ages varied from one to twelve months, with a median of 5. Of the total number of children, 36 (60%) were female and 24 (40%) were male. The patients' oxygenation levels varied between 93 and 101, with a median of 96.0. Additionally, their oxygen flow rates varied between 1.7 and 3.5 liters per minute, with a median of 2.4, and their respiratory rate ranged from 14 to 28 per minute with a median of 21.0.
CONCLUSION: It may be concluded that an insignificant difference was observed in outcomes of nasal prongs in infants with respiratory distress with age group, gender, and gestational age. Further research is needed to evaluate the statistical significance using a larger sample size, and other parameters across numerous study locations in Pakistan are required to corroborate the current study's findings.
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Dr Khurram Soomro
Medical Officer Department of Paediatric Medicine SMBBMU Larkana.
Dr. Shankar Lal
MBBS, DCH FCPS (Paediatric) Associate Professor Department of Pediatric Medicine SMBBMU Larkana
Dr. Abdul Rehman Shaikh
Medical officer MBBS, FCPS(Paediatrics) Department of Paediatric Medicine SMBBMU, Larkana
Dr. Vijia Kumar Gemnani
MBBS, MPH Associate Professor Department of Community Medicine SMBBMU Larkana.
Dr. Saeed Ahmed Shaikh
MBBS, MPH Professor Department of Community Medicine SMBBMU Larkana
Dr. Faisal Saifullah Jamro
MBBS, Lecturer Department of Community Medicine SMBBMU Larkana