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Papers by Nirav Potana

Research paper thumbnail of Umbilical Venous Catheter Versus Peripherally Inserted Central Catheter in Neonates: A Randomized Controlled Trial

Journal of Tropical Pediatrics, 2017

Peripherally inserted central catheter (PICC) and umbilical venous catheter (UVC) in terms of suc... more Peripherally inserted central catheter (PICC) and umbilical venous catheter (UVC) in terms of success rate, complications, cost and time of insertion in neonatal intensive care were compared. Neonates requiring vascular access for minimum 7 days were included. Sample size of 72 per group was determined. Trial was registered at Clinical Trials Registry of India (CTRI/2015/02/005529). Success rates of the UVC and PICC were 68.1% and 65.3%, respectively (p ¼ 0.724). Mean (SD) time needed for PICC and UVC insertion was 34.13 (34.69) and 28.31 (17.19) min, respectively (p ¼ 0.205). Mean (SD) cost of PICC insertion vs. UVC insertion was 60.9 (8.6) vs. 11.9 (8.7) US dollars (p < 0.0001). Commonest cause for failure of UVC was displacement [6 (8.3%)] and that for PICC was blockage [9 (12.5%)]. Conclusions: UVC is a cheaper alternative to PICC, with similar success rate, short-term complications and time needed for insertion.

Research paper thumbnail of Oral Sucrose for Pain in Neonates During Echocardiography: A Randomized Controlled Trial

Indian pediatrics, 2015

To test the efficacy of oral sucrose in reducing pain/stress during echocardiography as estimated... more To test the efficacy of oral sucrose in reducing pain/stress during echocardiography as estimated by Premature Infant Pain Profile score. Double-blind, parallel-group, randomized control trial. Tertiary-care neonatal care unit located in Western India. Neonates with established enteral feeding, not on any respiratory support and with gestational age between 32 and 42 weeks requiring echocardiography. Neonates in intervention group received oral sucrose prior to echocardiography. Assessment was done using Premature Infant Pain Profile score. There were 104 examinations; 52 in each group. Baseline characteristics like mean gestational age (37.6 vs. 37.1), birth weight (2.20 vs. 2.08), and feeding status (Breastfeeding- 59.6% vs. 44.2%, paladai feeding- 13.5% vs. 13.5%, and gavage feeding- 26.9% vs. 42.3%) were comparable. The mean (SD) premature infant pain profile score was significantly higher in control group [(7.4 (3.78) vs. 5.2 (1.92), P <0.001]. Oral sucrose significantly red...

Research paper thumbnail of Umbilical Venous Catheter Versus Peripherally Inserted Central Catheter in Neonates: A Randomized Controlled Trial

Journal of Tropical Pediatrics, 2017

Peripherally inserted central catheter (PICC) and umbilical venous catheter (UVC) in terms of suc... more Peripherally inserted central catheter (PICC) and umbilical venous catheter (UVC) in terms of success rate, complications, cost and time of insertion in neonatal intensive care were compared. Neonates requiring vascular access for minimum 7 days were included. Sample size of 72 per group was determined. Trial was registered at Clinical Trials Registry of India (CTRI/2015/02/005529). Success rates of the UVC and PICC were 68.1% and 65.3%, respectively (p ¼ 0.724). Mean (SD) time needed for PICC and UVC insertion was 34.13 (34.69) and 28.31 (17.19) min, respectively (p ¼ 0.205). Mean (SD) cost of PICC insertion vs. UVC insertion was 60.9 (8.6) vs. 11.9 (8.7) US dollars (p < 0.0001). Commonest cause for failure of UVC was displacement [6 (8.3%)] and that for PICC was blockage [9 (12.5%)]. Conclusions: UVC is a cheaper alternative to PICC, with similar success rate, short-term complications and time needed for insertion.

Research paper thumbnail of Oral Sucrose for Pain in Neonates During Echocardiography: A Randomized Controlled Trial

Indian pediatrics, 2015

To test the efficacy of oral sucrose in reducing pain/stress during echocardiography as estimated... more To test the efficacy of oral sucrose in reducing pain/stress during echocardiography as estimated by Premature Infant Pain Profile score. Double-blind, parallel-group, randomized control trial. Tertiary-care neonatal care unit located in Western India. Neonates with established enteral feeding, not on any respiratory support and with gestational age between 32 and 42 weeks requiring echocardiography. Neonates in intervention group received oral sucrose prior to echocardiography. Assessment was done using Premature Infant Pain Profile score. There were 104 examinations; 52 in each group. Baseline characteristics like mean gestational age (37.6 vs. 37.1), birth weight (2.20 vs. 2.08), and feeding status (Breastfeeding- 59.6% vs. 44.2%, paladai feeding- 13.5% vs. 13.5%, and gavage feeding- 26.9% vs. 42.3%) were comparable. The mean (SD) premature infant pain profile score was significantly higher in control group [(7.4 (3.78) vs. 5.2 (1.92), P <0.001]. Oral sucrose significantly red...

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