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Intra-gastric pressures in neonates receiving bubble CPAP
Prashant Tyagi1, Neeraj Gupta, Akanksha Jain
1Department of Pediatrics and Neonatology, St. Stephen's Hospital, Tis Hazari, New Delhi, 110054, India, drprashant.tyagi@gmail.com.
Indian Journal of Pediatrics
|September 5, 2014
Summary
Bubble continuous positive airway pressure (BCPAP) effectively treats neonatal respiratory distress without significantly increasing intra-gastric pressure. This study found no gastrointestinal complications in neonates receiving BCPAP.
Area of Science:
- Neonatal Medicine
- Pediatric Respiratory Care
- Critical Care
Background:
- Neonatal respiratory distress is a common condition requiring respiratory support.
- Continuous positive airway pressure (CPAP) is a standard treatment.
- Bubble CPAP (BCPAP) is an alternative delivery method via nasopharyngeal prong.
Purpose of the Study:
- To evaluate intra-gastric pressures in neonates receiving nasopharyngeal BCPAP.
- To assess the safety and efficacy of BCPAP in neonates.
Main Methods:
- Twenty-seven neonates received BCPAP at 6 cm water pressure.
- Intra-gastric pressure was measured using an orogastric tube with a pressure sensor before and during BCPAP.
- Clinical variables including Downe's score, oxygen saturation, and blood gases were recorded.
Main Results:
- BCPAP significantly improved respiratory distress parameters (Downe's score, SpO2, pH, pCO2).
- No significant increase in intra-gastric pressures was observed (p=0.834).
- No gastrointestinal complications such as abdominal distention or necrotising enterocolitis occurred.
Conclusions:
- Nasopharyngeal BCPAP at 6 cm water is effective for neonatal respiratory distress.
- BCPAP is not associated with a significant rise in intra-gastric pressures.
- The method is safe and well-tolerated in neonates.
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