Respiratory distress in newborn: treated with ventilation in a level II nursery.
Indian Pediatr
;
1995 Feb; 32(2): 207-11
Article
in English
| IMSEAR
| ID: sea-12119
ABSTRACT
Fifty consecutive neonates with respiratory distress persisting beyond 6 h of age were studied during a 18 month period (total deliveries 2000/y). Twenty two neonates were managed with oxygen hood with increasing oxygen concentration, 28 with continuous positive airway pressure (CPAP) ventilation using a nasal cannula. Of these babies on CPAP, 10 were shifted to intermittent positive pressure ventilation (IPPV) on a pressure limited, time cycled ventilator (Neovent, Vickers). Babies were monitored with continuous hemoglobin oxygen saturation (SaO2), hourly blood pressure and vital charting. Radial arterial blood gas analysis (ABG) was done when feasible and especially on clinical deterioration. Oxygen (FiO2 0.95) from an oxygen concentrator was used as a source of continuous supply of oxygen. Commonest cause of respiratory distress was hyaline membrane disease (18%), followed by wet lung syndromes (14%), meconium aspiration (12%), asphyxia (12%) and septicemia (8%). In 8 babies, a lung biopsy (postmortem) was done to confirm the diagnosis. Nineteen of the 50 babies with respiratory distress died, there was a survival of 50% on CPAP and 30% on IPPV. No case of oxygen toxicity or other major complications was encountered. Even with moderate resources, neonatal ventilation in a Level II nursery is a challenging task. Babies less than 1000g require aggressive measures which is not very economical in a special care baby unit (SCBU).
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Respiration, Artificial
/
Respiratory Distress Syndrome, Newborn
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Intensive Care, Neonatal
/
Survival Rate
/
Prospective Studies
/
Intermittent Positive-Pressure Ventilation
Type of study:
Observational study
Country/Region as subject:
Asia
Language:
English
Journal:
Indian Pediatr
Year:
1995
Type:
Article
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