Value of Neo-Puff as a tool for Sustained Lung Inflation in Preterm babies

Abstract

Preterm labor is an obstetrics emergency and a threat to population health. 75% of infant mortality is related to preterm labor, to detect and predict efficacy of Neo-puff as a tool for sustained lung inflation on preterm, 100 preterm children were included in this study, The patients were divided in to 2 groups: Group A: SLI inflation and Group B: assessed as usually. Then the groups were compared regarding their outcome and their need of respiratory assessment. there was a statistical difference between groups regarding need to mechanical ventilator, as 34% of group A and 54% in group B (p=0.035), there was a statistical difference between groups regarding the time of use of mechanical ventilator, the use of mechanical ventilator in the 1st day was higher (46%) in group B, compared to only 14% of group A, p=0.004, there was no statistical difference between groups regarding occurrence of BPD, hospitalization or mortality rate. Sustained lung inflation is easier to perform even with a single operator; it reduces the necessity of mechanical ventilator in the first 72 hours without statistically evident adverse effects. However, did not decrease the need for respiratory support, occurrence of BPD, hospitalization or mortality rate.