Efficacy of Using Synchronized Nasal Intermittent Positive Pressure (SNIPPV) Versus Ordinary Continuous Positive Airway Pressure (CPAP) in Sick Neonate

Abstract

Nasal continuous positive airway pressure (NCPAP) for respiratory support reduces the need of endotracheal intubation and mechanical ventilation. A new mode with continuous positive pressure including a CPAP with intermittent mechanical rate synchronized with breathing SNIPPV. Objectives: Assessing effectiveness and safety of this mode SNIPPV with the ordinary CPAP. Methods: A prospective study on neonates with apneas and/or respiratory distress or fit for extubation randomized to receive the ordinary CPAP group1or receive the SNIPPVgroup2. Result:18 case in each group, in both males needed more support than females, no death among group 1 while1 case died in the second group, Apgar score mean nearly same for both groups it was 7.2&9.2 at 1&5 minutes group1 compared to 6.9& 8.8 at 1&5minutes group 2,1case in each group got PIE,2 cases in group1 had PDA compared to 3cases in the group 2, no cases of group1cases failed while 4cases in group 2 failed this support(p 0.032), no cases in group one develop CLD compared to two cases group two, no intestinal perforation in both groups. Conclusion: According to the data there was no significant difference in short and long term outcome between the ordinary CPAP and the SNIPPV when they used for sick neonates.