The Use of bubble nasal CPAP in the management of IRDS -A Case report and literature review
Abstract
Abstract: A one hour old baby boy presented to the Special Care Baby Unit (SCBU) of the Ahmadu Bello University Teaching
Hospital (ABUTH), Shika, Zaria, on account of respiratory distress noticed from birth. He was a product of supervised pregnancy,
delivered at 37 weeks gestation via emergency caeserien section performed due to severe pre eclampsia and fetal distress.
APGAR scores were 2 and 7 at one and five minutes respectively. He weighed 1850 grams and was found to be dusky, inactive, hypothermic (T = 35.50C) and in severe respiratory distress (SPO2 ranged between 60 % and 72 %). He was tachypnoeic with respiratory rate persistently above 80 cycles/ min, and had reduced air entry in the mid and lower zones of the lungs bilaterally with wide spread coarse crepitations. A diagnosis of perinatal asphyxia was entertained with differential diagnoses of pulmonary hypoplasia, hyaline membrane disease and group B streptococcal (GBS) pneumonia. He had a full sepsis screen including chest radiograph and was commenced on supplemental oxygen via nasal cannula, antibiotics and other supportive measures. The patient however continued to have laboured breathingand subsequently had an apnoeic attack. He was resuscitated and commenced on bubble nasal CPAP.He did remarkably well and was weaned off CPAP after a total of 60 hours. A repeat chest radiograph showed remarkable aeration of the lungs as against an earlier one which showed a reticulogranular (ground glass) appearance.
Keywords: Neonates, Respiratory distress, Bubble Cpap, Downes score.
Downloads
Published
Issue
Section
License
This is an open-access journal, and articles are distributed under the terms of the Creative Commons Attribution 4.0 License, which allows others to remix, transform, and build upon the work even, commercially, as long as appropriate credit is given to the author, and the new creations are licensed under identical terms