The neonatal intensive care unit at the University Hospital of the West Indies: the first few years' experience

Trotman, H

doi:10.1590/s0043-31442006000200002

Cited by 14 publications

(24 citation statements)

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“…12 Babies with MAS requiring MV had the best outcome in Tortman H's study, 82% survived. 5 It is similar to our study. In our study one patient of RDS, we could give surfactant and the baby survived without any complication and with very short duration of mechanical ventilation.…”

Section: Resultssupporting

confidence: 91%

“…All these complications were also commonly found in other studies. 3,5,8 Fatality rate was high (38%) in this study. In developed country it was 9-14%.…”

Section: Resultsmentioning

confidence: 52%

“…Tortman H reported that babies who required mechanical ventilation due to RDS had 42% death in his study. 5 This number is much more than current study. A large number of the babies in his study were extreme low birth weight.…”

Section: Resultsmentioning

confidence: 67%

“…5,6 Five neonates were put on mechanical ventilation in this study due to septicemia and most of the neonate (80%) died. Mortality was significantly more (p <0.05) in neonate needed mechanical ventilation due to septicemia.…”

Section: Resultsmentioning

confidence: 99%

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Immediate Outcome of Mechanically Ventilated Neonates: Experience from a Tertiary Care Hospital

et al. 2016

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Section: Resultssupporting

confidence: 91%

“…All these complications were also commonly found in other studies. 3,5,8 Fatality rate was high (38%) in this study. In developed country it was 9-14%.…”

Section: Resultsmentioning

confidence: 52%

Section: Resultsmentioning

confidence: 67%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Immediate Outcome of Mechanically Ventilated Neonates: Experience from a Tertiary Care Hospital

et al. 2016

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“…The survival rate of neonates on mechanical ven la on in developing countries ranges from 25% to 64% 10,11,12,13,14,15 . In our study, one-third of admi ed neonates required mechanical ven la on and among them one-third survived (33.3%).…”

Section: Discussionmentioning

confidence: 99%

Clinical Profile and Outcome of Mechanically Ventilated Neonates in a Tertiary Level Hospital

Shrestha

Basnet

Shrestha

2016

J. Nepal Paedtr. Soc.

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Introduction: Many sick neonates admitted to neonatal intensive care unit (NICU) require mechanical ventilation but it is associated with various complications and the outcome of neonates is unpredictable. This study aims to identify the indications for mechanical ventilation, complications, co-morbid conditions and outcome of those neonates in terms of survival. Materials and Methods:Retrospective observational study of all neonates who underwent mechanical ventilation from 1 January 2014 to 31 December 2014 in NICU, Tribhuvan University Teaching Hospital. Medical records of the patients were retrieved from hospital record section to collect the relevant data. Results: One-third of admitted neonates in NICU required mechanical ventilation (MV). Commonest indication was severe respiratory distress (70%) followed by perinatal asphyxia (12%) and recurrent apnea (8%). Disease pattern were sepsis (37.2%), RDS of prematurity (17.6%), perinatal asphyxia (11.7%), meconium aspiration syndrome (9.8%), apnea of prematurity (7.8%) and congenital pneumonia (4%). Hospital acquired sepsis was a major complication occurring in 47% patients on mechanical ventilation. Survival rate among neonates on MV was 33%. Survival was better with increasing birth weight and gestational age. Survival was 100% in congenital pneumonia, 50% in perinatal asphyxia, 50% in recurrent apnea, 26% in sepsis, 20% in MAS and 0% in RDS of prematurity. Conclusion: Survival rate of neonates on mechanical ventilation in NICU was 33%. Sepsis was a major problem in NICU, which must be addressed to improve outcome.

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Neonatal Mechanical Ventilation-Early Experiences in central India

Dutt

Ambey

2014

Int J Med Res Rev

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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. . 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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The neonatal intensive care unit at the University Hospital of the West Indies: the first few years' experience

Cited by 14 publications

References 0 publications

Immediate Outcome of Mechanically Ventilated Neonates: Experience from a Tertiary Care Hospital

Immediate Outcome of Mechanically Ventilated Neonates: Experience from a Tertiary Care Hospital

Clinical Profile and Outcome of Mechanically Ventilated Neonates in a Tertiary Level Hospital

Neonatal Mechanical Ventilation-Early Experiences in central India

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