Neonatal mechanical ventilation.
Indian J Pediatr
;
2003 Jul; 70(7): 537-40
Article
in English
| IMSEAR
| ID: sea-78550
ABSTRACT
OBJECTIVE:
This study was undertaken to analyze indications, complications, outcome and the factors influencing neonatal mechanical ventilation.METHODS:
Prospective observational study conducted on 102 consecutive newborns, who required mechanical ventilation in a medical college tertiary neonatal care setting.RESULTS:
The commonest indication was birth asphyxia (37.3%), followed by hyaline membrane disease (HMD) (31.4%), meconium aspiration syndrome (MAS) (21.2%), septicemia (14.7%) and apnea of prematurity (5.9%). The overall survival rate in our study was 51%. Babies weighing less than 1.5 kg and less than 32 weeks of gestation had survival rates of 30% and 25% respectively. The best outcome among various indications was observed in babies with MAS (63.6%) followed by pneumonia (62.5%) and HMD (53.1%). Babies with birth asphyxia and septicemia had a low survival rate of only 42% and 40% respectively. The overall complication rate in the study was 58.8%. Common complications encountered were septicemia (42%), tube block (36%) and air leak (15%).CONCLUSION:
About half (51%) of newborns requiring mechanical ventilations for various indications survived and more than half (58.8%) developed complications. The study also reconfirms that survival rate increases with birth weight and gestational age irrespective of indication.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Asphyxia Neonatorum
/
Respiration, Artificial
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Meconium Aspiration Syndrome
/
Prospective Studies
/
Treatment Outcome
Type of study:
Observational study
Language:
English
Journal:
Indian J Pediatr
Year:
2003
Type:
Article
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