Wednesday, April 7, 2010

CPAP vs Bi-level CPAP in Preterm Infants

Arch Dis Child Feta Neonatal Ed March 2010. Gianluca et.al showed that in a RCT of 40 babies of 30 weeks mean GA, that Bi-level CPAP (8cm/4.5cms) needed shorter respiratory support 3.8 +/-1 days vs 6.2+/- 2 days in CPAP (6 cms) and shorter O2 dependency 6.5 +/- 4 days vs 13.8 +/- 8 days and discharged early at 35.6 weeks +/- 1.2 weeks vs 36.7 +/- 2.5 weeks. All were statistically significant.
I would like to see similar advantages in more premature babies such as <1 kg.

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