Neonatal Mechanical Ventilation Our 1 Year Experience At A Rural Hospital

Prajakta Dekate; Jayant Vagha; Sachin Damke

Volume : VI, Issue : XI, November - 2017

Neonatal Mechanical Ventilation Our 1 Year Experience At A Rural Hospital

Prajakta Dekate, Jayant Vagha, Sachin Damke

Abstract :

Background: Neonatal mortality accounts for nearly two thirds of infant mortality and half of under 5 mortalities in India. So, mechanical ventilation has become a must to enhance neonatal survival and is an essential component of neonatal intensive care. Objective: To determine the common indications and outcome of neonates requiring mechanical ventilation in neonatal intensive care unit. Method: This was a Prospective Observational study conducted on neonates who required mechanical ventilation over a period of 1 year (1st September 2015 –1st September 2016). Neonates admitted in NICU, requiring mechanical ventilation after taking an informed consent were enrolled in our study. Clinical course of the neonate including Indication of Ventilation and Complications were observed and studied in NICU. Details were entered in predesigned validated proforma and outcome as Survival/Death noted. Results: 103 neonates were ventilated over a period of 1 year, of whom 47 (45.6%) survived. The most common indication of ventilation were Birth asphyxia (30.1%), neonatal sepsis (21.4%), respiratory distress syndrome (19.4%) and congestive heart failure (9.7%). Survival rate was maximum in neonates with birth weight >2.5kg (58.6%) and >1.5kg – 2.5kg (56.5%) and least in neonates with birth weight <1.5kg (14.3%). Most common complication were Ventilator associated pneumonia (48.7%) and Sepsis (40.54%). 45.6% of neonates survived. Conclusion: Judicial use of neonatal intensive care measures in a developing country can result in a reduction of morbidity and mortality.