Volume : VII, Issue : XII, December - 2017

Experience with Neonatal Mechanical Ventilation at a Tertiary Care Hospital

Dr. Hima Bindu Singh, Dr. Usha Rani Hasthi, Dr. Neetika Ashwani, Dr. Namala Bharadwaj, Dr. Suguna Chejeti

Abstract :

 Background: To increase the survival of newborns with respiratory failure mechanical ventilation is an important treatment modality but the investment in terms of money, time, skill and infrastructure has its limited use in developing countries.

 Objective: To study the clinical profile and immediate outcome of neonates receiving mechanical ventilation at the Level III neonatal intensive care unit of Niloufer Hospital, a tertiary care hospital.

Methods: Hundred and thirty neonates were admitted at Level III NICU and received mechanical ventilation during the study period was included in the study. The baseline characteristics of the neonates, indications for mechanical ventilation and immediate outcome of the neonates with respect to birth weight, gestational age and their underlying etiology were studied.

Result: Hyaline Memane disease (n=65, 50.0 %) and community acquired sepsis (n=30, 23.0 %) were the major indications for mechanical ventilation followed by HIE and meconium aspiration syndrome. Mortality rate in the present study is 70.7%.  The mortality rates showed a decrease with increasing gestational age and birth weight.

Conclusion: Mechanical ventilation in resource limited and high flow units must be focused on neonates > 1000gms and/or > 28 wks. Although Neonatal Ventilation is well established entity in the western world still in developing countries a lot is desirable in terms of availability of good quality equipment and trained medical and paramedical personnel.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Hima Bindu Singh, Dr. Usha Rani Hasthi, Dr. Neetika Ashwani, Dr. Namala Bharadwaj, Dr. Suguna Chejeti, Experience with Neonatal Mechanical Ventilation at a Tertiary Care Hospital, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017


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