Rayeesa, K K (2020) Outcome of Neonates on Invasive Mechanical Ventilation Graduating from NICU, Tirunelveli Medical College, Tirunelveli. Masters thesis, Tirunelveli Medical College, Tirunelveli.
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Abstract
INTRODUCTION: Introduction of mechanical ventilation has revolutionized the outcome and survival of sick newborns. Goal of mechanical ventilation is to maintain adequate pulmonary gas exchange with minimum lung injury, oxygen toxicity and to minimize the patients work of breathing . Since the outcome of such neonates on mechanical ventilation is dependent on numerous factors (primary disease, gestational week, birth weight, associated comorbid clinical conditions), so we decided to study the outcome of mechanical ventilation in neonates in tertiary level neonatal intensive care unit. AIM OF THE STUDY: To study the influence of gestational age and birth weight on immediate outcome in ventilatory therapy, mean duration mechanical ventilation needed associated complications. METHODS: This is a prospective study conducted on 100 consecutive neonates who fulfils the inclusion criteria, admitted in neonatal intensive care units ,Tirunelveli Medical College Hospital who was put on invasive ventilation. Detailed history regarding of antenatal, natal and postnatal, the birth weight, gestational age, type of delivery, APGAR score, onset of respiratory distress, and other details are recorded in a previously defined proforma, at the time of admission. Diagnosis is made with the standard clinical, laboratory and radiological criteria. Outcome was assessed as survived or death. CONCLUSION: Survival rate was improved with increasing birth weight and gestational age. The overall range noted was 20 to 136 hours and a mean of 68.4+29.5 hours. Maximum duration of ventilation was needed in sepsis followed by PNH. The commonest complication encountered was shock followed by sepsis.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 201717356 |
| Uncontrolled Keywords: | Outcome, invasive mechanical ventilator, neonates. |
| Subjects: | MEDICAL > Paediatrics |
| Depositing User: | Subramani R |
| Date Deposited: | 31 Jan 2021 16:30 |
| Last Modified: | 28 Feb 2021 03:06 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13581 |
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