000			02890cam a2200349 a 4500
003			EG-GiCUC
005			20250223032513.0
008			200113s2019 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2019.Ra.C
100	0		_aRana Saber Bastawy Mahmoud
245	1	0	_aClinical predictors of nasal continuous positive airway pressure failure in prematures / _cRana Saber Bastawy Mahmoud ; Supervised Amira Abdelfatah Edris , Dalia Ahmed Khairy Abdelatif , Amira Mohamed Sabry Elsayed
246	1	5	_aالتنبؤات الاكلنيكيه لفشل الضغط الهوائى الايجابى المستمرالأنفى فى البدايات
260			_aCairo : _bRana Saber Bastawy Mahmoud , _c2019
300			_a144 P. : _bcharts , facimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_acauses of mortality & morbidity in preterm neonates.In recent years, use of continuous positive airway pressure (CPAP) has gained immense popularity as the primary mode of respiratory support in these infants. Its use has been associated with reduced need for mechanical ventilation and associated lung injury.Objectives: To evaluate the predictors associated with failure of nasal CPAP treatment in preterm babies. Patient and Methods: We prospectively observed 61 neonates initiated on nasal CPAP for respiratory distress in the first 24 h of life.CPAP was administered through neopuff starting from delivery room then shifted to NICU on variable flow CPAP using short binasal prongs and nasal mask CPAP.Results: Primary outcomes of the study showed that CPAP use was successful in 60.7% of studied case, and failed in 39.3%. the multivariate analysis showed that the chest X ray after CPAP, SBP {u2264} 66, chest X ray before CPAP and apnea were the important predictors for CPAP failure with odds ratio and 95% CI of 0.099 (0.017 {u2013} 0.587), 52.689 (1.715 {u2013} 161.995), 10.678 (1.340 {u2013} 85.105) and 4.427 (1.033 {u2013} 18.458), respectively.Conclusion: there are no clinically adequate predictors for early nasal CPAP failure at time of admission to the NICU. A threshold FiO2, hypercarbia, apnea, poor respiratory efforts, systemic hypotension, Silverman score, bandemia, congenital heart diseases were the most significant associations for CPAP failure
530			_aIssued also as CD
653		4	_a Nasal CPAP
653		4	_aCPAP Failure
653		4	_aPredictors for CPAP Failure
700	0		_aAmira Abdelfatah Edris , _eSupervisor
700	0		_aAmira Mohamed Sabry Elsayed , _eSupervisor
700	0		_aDalia Ahmed Khairy Abdelatif , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c76308 _d76308