Short-Term Outcome of Mechanical Ventilation in Neonates

Authors

  • SM Gurubacharya Registrar, Assistant Professor (NAMS), Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
  • DR Aryal Consultant Pediatrician and Neonatologist, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
  • M Misra Medical Officer, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu
  • R Gurung Medical Officer, NICU, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu

DOI:

https://doi.org/10.3126/jnps.v31i1.3463

Keywords:

neonatal ventilation, hyaline membrane disease, low birth weight

Abstract

Mechanical ventilation of newborn has been practiced for several years with several advances made in the way. As compared to the Western world and our neighbouring countries, neonatal ventilation in our country is still in its infancy.
Objectives: To analyze the common indications and outcome of neonates requiring mechanical ventilation.
Methods: This was a prospective observational study conducted on neonates requiring mechanical ventilation within first 24 hours of birth over a period of nine months.
Results: Birth asphyxia was the commonest indication for ventilation (59.67%) followed by asphyxia with meconium aspiration syndrome (MAS) (17.74%), hyaline membrane disease (HMD) (8.06%), MAS (6.45%) and intrauterine pneumonia (6.45%). Out of 62 babies, 22 (35.48%) survived. Babies with asphyxia had highest survival rate (51.35%). Neonates with HMD did not survive. Term babies and babies weighing ≥2500g had higher survival rate of 40.47% and 41.46% respectively, while babies less than 32 weeks had survival rate of 16.66% only.
Conclusions: Mechanical ventilation reduces the neonatal mortality; hence, facilities for neonatal ventilation should be included in the regional and central hospitals providing level II neonatal care.

Key words: neonatal ventilation; hyaline membrane disease; low birth weight

DOI: 10.3126/jnps.v31i1.3463

J Nep Paedtr Soc 2010;31(1):35-38

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Published

2011-01-11

How to Cite

Gurubacharya, S., Aryal, D., Misra, M., & Gurung, R. (2011). Short-Term Outcome of Mechanical Ventilation in Neonates. Journal of Nepal Paediatric Society, 31(1), 35–38. https://doi.org/10.3126/jnps.v31i1.3463

Issue

Vol. 31 No. 1 (2011)

Section

Original Articles

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