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Comparison between Bubble Non Invasive Ventilation and Ventilator Non Invasive ventilation in babies more than 28 weeks

Not Applicable
Conditions
Health Condition 1: J988- Other specified respiratory disorders
Registration Number
CTRI/2023/05/052969
Lead Sponsor
Department of Neonatology Institute of obstetrics and Gynecology Madras Medical College
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
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

Delivery room intubation

Major congenital /lethal anomalies

Birth asphyxia ,with APGAR score of less than 6 at 5 min

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
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 Outcome Measures
NameTimeMethod
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
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