ผลการใช้ Nasopharyngeal Continuous Positive Airway Pressure (NP-CPAP) กับทารกแรกเกิดในโรงพยาบาลเจ้าพระยายมราช จังหวัดสุพรรณบุรี

บทคัดย่อ

Objective : To evaluate the effectivenecs of the Nasopharyngeal Continuous Positive Airway Pressure (NP—CPAP) in infants with mild to moderate respiratory distress syndrome (RDS), apnea of prematurity and post extubation to prevent apnea and re-intubation.

Method : A prospcetive study of infants with respiratory distress syndrome admitted to Neonatal Intensive Care Unit in Chaoprayayomraj Hospital between October 1^St 2007 and September 30^th 2008, who were treated with NP-CPAP.

Result : Forty six cases were enrolled. The best result was in cases had early NP-CPAP and cases had apnea of prematurity. But in 25 cases had post extubation while 13 cases had re-intubation. There were 42 cases survived with 13 cases had complication (ROP, CLD).

Conclusion : The NP-CPAP with the infants of effective in the management at the early period of illness. lt can decrease the mortality rate and weaning faster. The appropriate and supportive treatment are also important in the manage strategy for the good outcome and few complication.