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Conventional ventilation in neonates: experience from Saudi Arabia
G Karthikeyan1, Mohammad Mosharoff Hossain
1Division of Neonatology, Department of Pediatrics, Khamis Civil Hospital, Khamis Mushayt, Saudi Arabia. karthik_67@hotmail.com
Indian Journal of Pediatrics
|March 6, 2002
Summary
Neonatal survival rates improved with higher birth weight and gestational age in Saudi Arabia. Early intervention and facility upgrades are crucial for better outcomes in infants requiring intermittent positive pressure ventilation (IPPV).
Area of Science:
- Neonatal Intensive Care
- Pediatric Mechanical Ventilation
- Perinatal Medicine
Background:
- Intermittent positive pressure ventilation (IPPV) is a critical respiratory support for neonates.
- Understanding the factors influencing IPPV outcomes is essential for improving neonatal care.
Purpose of the Study:
- To analyze the clinical profile and immediate outcomes of inborn neonates undergoing IPPV.
- To identify predictors of survival and complications in ventilated neonates.
Main Methods:
- Retrospective review of 78 neonates receiving IPPV over 20 months.
- Analysis of indications, outcomes, and complications stratified by birth weight and gestational age.
Main Results:
- Hyaline membrane disease and perinatal asphyxia were primary indications for IPPV.
- Overall survival rate was 67.9%; survival significantly increased with higher birth weight (>1.25 kg) and gestational age (≥29 weeks).
- Complications included sepsis, pulmonary hemorrhage, and air leak syndromes.
Conclusions:
- Birth weight <1.25 kg and gestational age <28 weeks are critical factors associated with lower survival.
- Recommendations include in utero transfer criteria and facility upgrades to enhance survival rates for high-risk neonates.