Volume : V, Issue : VI, June - 2016

NEONATAL MECHANICAL VENTILATION: INDICATIONS AND OUTCOME.

Dr. Nidhi Srinivas, Dr Roshan Ann Oommen, Dr Ashvij Shriyan

Abstract :

 Background and Aims: Decreasing mortality in sick and ventilated neonates is an endeavor of all neonatologists. To reduce the high mortality in this group of neonates, identification of risk factors is important. This study was undertaken to find out the indications of ventilation and complications in ventilated neonates and also study possible predictors of outcome. Subjects: Age <1–month; mechanically ventilated; not having suspected metabolic disorders or congenital anomalies; excluding postoperative patients. Methods: Neonates consecutively put on mechanical ventilation during the study period (October 2013 to November 2015) were enrolled. Primary diseases of the neonates along with complications present were listed. Clinical and laboratory parameters analyzed to find the predictors of mortality. Results: Total 280 neonates were ventilated. 52.5% were male. Mean age, weight, and gestational age were 21 ± 62 h, 2120 ± 660.5g, and 33.2 ± 4.9 weeks, respectively. 160 (57%) neonates died. Respiratory distress syndrome (RDS) (26.7%), sepsis (26.7%), and birth asphyxia (12%) were the most common indications for ventilation. Weight <2000 g, gestation <32 weeks, presence of sepsis, apnea, shock, hypoglycemia, neutropenia, and thrombocytopenia were significantly associated with mortality (P < 0.05). Resuscitation at birth, seizures, intra ventricular hemorrhage, or did not have a significant association with mortality. Conclusions: Weight <2000 g, gestation <32 weeks, shock, apnea, hypoglycemia, neutropenia, and thrombocytopenia were significant predictors of mortality in ventilated neonates.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR. NIDHI SRINIVAS, DR ROSHAN ANN OOMMEN, DR ASHVIJ SHRIYAN NEONATAL MECHANICAL VENTILATION: INDICATIONS AND OUTCOME. International Journal of Scientific Research,Vol.5, Issue : 6 JUNE 2016

Number of Downloads : 1195

References :