Characterization of Neonatal Ventilation in the Service of Neonatology at Guanabacoa Gynecobstetric Hospital (2013 - 2015)
Keywords:
neonatal ventilation, bronchopneumonia connatal, IPPV, Intermittent positive pressure ventilation, nasal continuous positive airway pressure, Nasal CPAPAbstract
Introduction: In recent years, the survival of the high risk and sick newborn has increased. These infants require special intensive care to resolve increasingly.
Objectives: Characterize the different ventilatory modalities used in Guanabacoa Gynecobstetric Teaching Hospital.
Methods: An observational, descriptive, prospective and longitudinal study was conducted in 946 newborns who entered the neonatal service from 2013 to 2015. The sample consisted of 67 infants who needed ventilatory assistance.
Results: Only 7 % of infants admitted required ventilation; 55 % were preterm infants and 54 % were low birth weight. Connatal bronchopneumonia (54 %) was found to have the highest incidence as a condition requiring ventilation, followed by depression at birth (24 %) and systemic congenital sepsis (13 %). The most used ventilatory modality was ventilation with intermittent positive pressure, with which the lowest survival was reported; while nasal continuous positive pressure was used. No neonatal death occurred.
Conclusions: Ventilation index was 1.04 %. Bronchopneumonia was the main condition that led to ventilatory assistance and the highest survival was achieved when nasal continuous positive pressure was used.
