NEONATAL MECHANICAL VENTILATION
Dr Atul Kulkarni*, Dr S S Vaidya**, Dr U R Warerkar***, Dr.Vijaykumar Gutte****
Dept.of Pediatrics, Ashwini Hospital, Solapur. *, Dept.of Pediatrics, Ashwini Hospital, Solapur. **, Dept.of Pediatrics, Ashwini Hospital, Solapur. ***, Dept.of Pediatrics, Ashwini Hospital, Solapur. ****
Objectives: The study was undertaken to analyze indications, complications, outcome and factors influencing neonatal mechanical ventilation.

Methods: Prospective observational study conducted on 50 consecutive newborns during Sept 2005 to Sept 2006 who required mechanical ventilation in Ashwini Hospital NICU, a tertiary neonatal care setting.

Inclusion criteria: All patients with respiratory failure assessed by clinical and lab criteria. Clinical criteria; resp distress - Silverman Anderson retraction score 7 or 7, lab criteria - ABG score 3 or > 3.

Exclusion criteria: Baby expired within 24 hours of ventilation baby with lethal congenital anomalies.

Results: Among 50 ventilated babies discharge 30, AMA 14, death 6, total survival rate (excluding AMA) is 83.3%

Various Indications for Mechanical Ventilation:

1.

Sepsis

22% (n=11)

2.

HMD

20% (n=10)

3.

Meconium aspiration

20% (n=10)

4.

Birth asphyxia

16% (n=8)

5.

Post operative

14% (n=4)

6.

Pneumonia

8% (n=4)

7.

Apnea of Prematurity

4% (n=2)



Survival Rate in Specific Indications:

1.

Post Operation

100%

2.

Pneumonia

100%

3.

Apnea of Prematurity

100%

4.

Meconium Aspiration

88%

5.

Birth asphyxia

80%

6.

HMD

75%

7.

Sepsis

70%


Common Complications
  1. Septicemia (n=4)
  2. Anticipated tube block (n=2)
  3. Pneumothorax (n=2)
  4. IVH (n=1)
  5. Subglottic stenosis (n=1)
Conclusion
  • Sepsis, meconium aspiration, HMD, Birth asphyxia were common indications for ventilation
  • Survival rate in our study was 83.3%
  • 10 patients developed complication
  • The study also reconfirms that survival rate increase with birth weight and gestational age irrespective of indications.
  • Application of optimum ventilatory strategy; meticulous fluid and electrolyte managements, early detection and treatment of complications improve the outcome of ventilation.
How to Cite URL :
Kulkarni A D, Vaidya S S D, Warerkar R U D, Gutte D.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=258
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.