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Journal of Tropical Pediatrics 1994 40(6):341-344; doi:10.1093/tropej/40.6.341
© 1994 by Oxford University Press
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Nasal Continuous Positive Airway Pressure in the Treatment of Respiratory Distress Syndrome: An Experience from a Developing Country

Mohamed Reda Bassiouny, Anil Gupta and Mussallam El Bualy

Division of Neonatology, Child Health Department, College of Medicine, Sultan Qaboos University P.O. Box 35, Post Code 123, Al Khod, Oman

Forty-four premature infants with respiratory distress syndrome (RDS) were admitted and initially treated with binasal continuous positive airway pressure (CPAP) using Beneveniste's valve and silastic nasal prongs. Twenty-seven cases (61 per cent) were successfully treated compared to 17 cases (39 per cent) who failed to respond to CPAP. Neither gestational age nor birth weight had a detremental effect on the success of nasal CPAP. There was significant improvement of RDS with a mild to moderate degree of severity on CPAP. No pneumothorax was reported in any of our cases. The success group had a significantly lower incidence of infection, apnea, intraventricular haemorrhage and retinopathy of prematurity.


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