Article Text

PDF
295 DURATION OF NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE IN NEONATES 23 TO 32 WEEKS' GESTATIONAL AGE.
  1. P. D. Cowan,
  2. K. E. Shattuck
  1. Departments of Respiratory Care and Pediatrics, The University of Texas Medical Branch, Galveston, TX

Abstract

During 2003 nasal continuous positive airway pressure (NCPAP) was introduced as the initial management of respiratory distress syndrome (RDS) in our NICU.

Objective To characterize the NCPAP course in babies with RDS.

Methods All newborns # 32 GA (n = 250, Jan 2004-Oct 2005) with RDS were intubated, given surfactant, and then extubated to NCPAP. For data analysis, infants were divided into 3 GA groups 23-26, 27-29, and 30-32 weeks. Comparisons within GA groups were made using ANOVA with Student's t-test for post hoc analysis.

Results GA was inversely related to days on NCPAP (Table). Postconceptual age (PCA) at NCPAP wean was similar in babies $ 26 wks GA.

Conclusions Babies 26-30 wks GA are weaned from NCPAP at a mean of approximately 30.5 weeks PCA and a weight of > 1,250 g. However, babies # 25 wks require longer courses of NCPAP, suggesting that factors other than RDS contribute substantially to their needs for respiratory support.

Statistics from Altmetric.com

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.