Unsynchronized Nasal Intermittent Positive Pressure Ventilation is a simple technique of noninvasive ventilation which significantly reduces the rate of extubation failure in preterm neonates and is not associated with serious side effects.
Occurrence of acute respiratory distress syndrome (ARDS) is a relatively rare complication in paediatric patients with malaria. During the time of increase transmission we had three children, from Kanpur city that developed ARDS as a fatal complication of falciparum malaria. In all cases, ARDS was diagnosed by the presence of hypoxia with PaO2 / FiO2 ratio < 200 and bilateral pulmonary infiltration, and by excluding cardiac disease by echocardiography. Treatment with intravenous quinine with early mechanical ventilation was life saving in all the three cases.
The original version of this article unfortunately contained a mistake. Under Material and Methods, neonates in Group2 were given O 2 by headbox on a FiO 2 of 0.5, the flow rate being 8-10 L/min in NIPPV group and 2-3 L/min in O 2 by headbox group. 2-3 L/min should have been 5-8 L/min.The online version of the original article can be found at http://dx.doi.
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