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CLINICAL, PARACLINICAL CHARACTERISTICS AND EVALUATION OF NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE IN THE TREATMENT OF ACUTE RESPIRATORY FAILURE IN PREMATURE INFANTS AT DONG THAP GENERAL HOSPITAL IN 2022 – 2023
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Abstract
Background: Acute respiratory distress is a leading cause of mortality in premature infants. The use of Nasal Continuous Positive Airway Pressure (NCPAP) enhances oxygen supply and reduces the mortality rate associated with acute respiratory distress in premature infants. Objective To describe the clinical and subclinical characteristics, related factors, and evaluate the outcomes of NCPAP therapy in treating acute respiratory failure in premature infants at Dong Thap General Hospital in 2022 - 2023. Material and methods: A descriptive study was conducted on 125 premature infants with respiratory distress who were treated with NCPAP at Dong Thap General Hospital from July 2022 to July 2023. Results: The rate of respiratory distress was higher in male infants compared to females (69.6% vs. 30.4%). Infants with a birth weight of ≥ 1500g accounted for 78.4%, and those with a gestational age of ≥ 32 weeks accounted for 66.4%. The success rate of continuous positive pressure ventilation via the Benveniste valve was 89.6%. Factors such as birth weight <1500g, gestational age < 32 weeks, and FiO2 ≥ 40% after 1 hour of NCPAP use were associated with the NCPAP therapy outcomes. Conclusion: Nasal Continuous Positive Airway Pressure with the Benveniste valve is an effective method for treating respiratory distress in premature infants.
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Keywords
Acute respiratory failure, premature infants, nasal continuous positive airway pressure
References
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