Short-Term Outcome of Mechanical Ventilation in Neonates.
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Date
2011-01
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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.
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Keywords
neonatal ventilation, hyaline membrane disease, low birth weight
Citation
Gurubacharya S M, Aryal D R, Misra M, Gurung R. Short-Term Outcome of Mechanical Ventilation in Neonates. Journal of Nepal Paediatric Society. 2011 Jan-Apr; 31(1): 35-38.