Publication: Short-Term Outcome of Mechanical Ventilation in Neonates
Date
2011
Authors
Article Type
Original Article
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 35 - 38
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Mechanical ventilation of newborn has been practiced for several years with several advances made in the way. As compared to the Western world and our neighbouring countries, neonatal ventilation in our country is still in its infancy.
Objectives: To analyze the common indications and outcome of neonates requiring mechanical ventilation.
Methods: This was a prospective observational study conducted on neonates requiring mechanical ventilation within first 24 hours of birth over a period of nine months.
Results: Birth asphyxia was the commonest indication for ventilation (59.67%) followed by asphyxia with meconium aspiration syndrome (MAS) (17.74%), hyaline membrane disease (HMD) (8.06%), MAS (6.45%) and intrauterine pneumonia (6.45%). Out of 62 babies, 22 (35.48%) survived. Babies with asphyxia had highest survival rate (51.35%). Neonates with HMD did not survive. Term babies and babies weighing ≥2500g had higher survival rate of 40.47% and 41.46% respectively, while babies less than 32 weeks had survival rate of 16.66% only.
Conclusions: Mechanical ventilation reduces the neonatal mortality; hence, facilities for neonatal ventilation should be included in the regional and central hospitals providing level II neonatal care.
Description
SM Gurubacharya
Registrar, Assistant Professor (NAMS), Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
DR Aryal
Consultant Pediatrician and Neonatologist, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
M Misra
Medical Officer, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
R Gurung
Medical Officer, NICU, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
Keywords
neonatal ventilation, hyaline membrane disease, low birth weight
Identifier
https://doi.org/10.3126/jnps.v31i1.3463