Evaluation of the Effect of Inhaled Salbutamol in the Treatment of Neonates with a Diagnosis of TTN

Document Type : Original Article

Authors

1 Student Research Committee, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Mother and Newborn Health Research Center, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Introduction: Transient tachypnea of the newborn (TTN), the most common cause of transient respiratory distress in neonates, occurs due to insufficient or delayed absorption of fetal alveolar fluid immediately after birth. Given the limited number of studies evaluating the effectiveness of inhaled salbutamol in TTN patients, this study aimed to assess the therapeutic effects of inhaled salbutamol and to investigate its potential side effects.
Methods: This study was a double-blind randomized clinical trial involving 100 infants with a gestational age of at least 35 weeks, who were detected with TTN. The infants were randomly separated into two groups. Within the first 6 hours after birth, the intervention group was administered inhaled salbutamol, and the control group received normal saline, both by nebulization.  The effectiveness of salbutamol in changing clinical and laboratory parameters, as well as its potential side effects in infants with TTN were examined.
Results: The TTN score decreased significantly in the inhaled salbutamol group at the first and sixth hours after intervention in comparison to the control group. Additionally, the time required to initiate oral feeding was longer in the group receiving salbutamol. However, regarding the length of hospitalization, duration of oxygen therapy, and other clinical parameters, no significant difference was observed between the two groups.
Conclusion: Given that significant differences in the treatment of complications were not observed among the groups, inhaled salbutamol can be an effective and safe therapeutic option in infants suffering from TTN.

Keywords


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