Neonatal Mechanical Ventilation-Early Experiences in central India
Abstract
Introduction: This innovative technology of mechanical ventilation had been started since 1960s and reached to significant level in affluent nation but in our nation, it is in nascent stage. This is first kind of study measuring outcome of neonatal mechanical ventilation in central part of India.
Methodology: Study was conducted for one year after permission from Institutional Research board at Neonatal intensive care unit (NICU), of Kamla Raja Hospital, G.R. Medical College, Gwalior (M.P.). It was a prospective observational study & statistically, SSSP-10 system was applied for study. In our study, we used time cycled, pressure limited, continuous flow ventilator (DRAGGER-8000). Out of total 1160 admission during study period over one year in our NICU, 79 newborns (6.81%) requiring mechanical ventilation were enrolled. 70 (88.60%) newborn were given SIMV mode and 9 (11.40%) were given exclusive CPAP as per their indication.
Results: The overall survival rate was 48.10% (SIMV 42.85% (20 cases) and CPAP 88.88% (8 cases) respectively. The inborn babies were 35.44% (28 cases) and out born were 64.56% (51 cases) but survival was much better in inborn babies 64.28% (18 cases) compared to out born babies 39.21% (20 cases) which is statistically significant (p<0.05). Though male neonates were predominant 64.55% (51 cases), but outcome was better in female newborns 57.14% survival than Male.
Conclusion: Mechanical ventilation is in evolving phase in central part of India. In hands training & experience will further improve outcome after few decades.
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References
2. N.C. Mathur, Sailesh Kumar, A.L. Prasanna, U.K. Sahu, R. Kapoor, S. Roy, Rajiv Chandra and Y.C. Mathur. Intermittent positive pressure ventilation in a neonatal intensive care unit. Indian Pediatrics – April 1998; 35:(1) 4-7.
3. Riyas PK, Vijaykumar KM, Kulkarni ML. Neonatal mechanical ventilation. Indian J Pediatr 2003 Jul; 70(7): 537-40. [PubMed]
4. Krishnan L, Francis PP, D’Souza NA, Bhaskaranand N. Assisted ventilation in neonates : the Manipal experience. Indian J Pediatr 1994 Jul-Aug; 61(4):379-86. [PubMed]
5. Ruchi Rai and D.K. Singh. An Experience with Neonatal Ventilation in Eastern U.P.; Indian Journal of Pediatrics. November 2009;70(1):65-70.
6. Singh M, Deorari AK Paul VK Mittal M, Shankar Munshi U et al. three years experiences with neonatal ventilation from tertiary care hospital in delhi. Indian pediatrics 1993; 30: 783-789. [PubMed]
7. P.P. Maiya, D. Viswanath, S. Hegde, T.P. Srinivas, Shivprasad, C.C. Shantala, P. Umakumaran, Naveen B. And R.K. Hegde, Mechanical ventilation of new borns: experience from a level-II NICU 1275 Indian Pediatrics 1995, 32:1-12. [PubMed]
8. Dr. Shalini Tripathi, Dr. G.K. Malik, Dr. Amita Jain and Dr. Neera Kohli; Study of Ventilator Associated Pneumonia in Neonatal Intensive Care Unit. characteristics, risk factors and outcome. Internet Journal of Medical Update 2010 January; 5(1): 12-19.
9. H Tortman. The neonatal intensive care unit at the University Hospital of the West Indies. the first few years’ experience; West Indian med.j- Mar 2006; 55 (2): 32-36. [PubMed]
10. Lindorth M., Svenningsen, N.W. Ahlstrom, H. and Jonson, B. Evaluation of mechanical ventilation in newborn infants. Techniques and survival rates. Acta Paediatr Scand -1980; 69: 143-149.
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