49. THE RESULT OF INVASIVE MECHANICAL VENTILATION TREATMENT IN NEONATAL AND RELEVANT FACTORS WITH DISEASES MATERNAL IN BACH MAI HOSPITAL
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Abstract
Objectives: To evaluate the results of mechanical ventilation in newborns treated at the Department of Pediatrics, Bach Mai Hospital, and to identify some related factors from maternal pathology.
Research methods: Using a cross-sectional descriptive method, studying 51 newborns treated with invasive mechanical ventilation at the Department of Pediatrics, Bach Mai Hospital from June 2019 to April 2020.Results: Newborns requiring invasive mechanical ventilation accounted for 15.1% of the total number of newborns with respiratory failure, in which the male/female ratio was 2/1. Infants in the group with mothers having pathologies (68.6%) were significantly higher than those in the group with mothers having no pathologies (31.4%) with p < 0.05. The rates of extremely premature, very premature, premature and full-term infants requiring mechanical ventilation were 15.7%; 47.1%; 29.4% and 7.8%, respectively. The average weight of infants in the group with mothers having pathologies (1510 ± 710g) was lower than that of infants in the group with mothers having no pathologies (1880 ± 1040g). The average duration of invasive mechanical ventilation of infants in the group with mothers having pathologies (8.5 ± 7.6 days) was higher than that of infants in the group with mothers having no pathologies (4.06 ± 3.3 days). Children born to mothers without the disease had a higher rate of successful treatment (93.8%) than children born to mothers with the disease (88.6%). The treatment failure rate (death) was 9.8%.Conclusions: Children born to mothers with disease had a higher mean duration of invasive mechanical ventilation and a lower success rate than children born to mothers without disease.
Article Details
Keywords
Newborn, neonatal respiratory failure, invasive mechanical ventilation
References
[2] Nguyễn Thành Nam, Nghiên cứu nguyên nhân, yếu tố nguy cơ và kết quả điều trị suy hô hấp cấp ở trẻ sơ sinh tại Khoa Nhi, Bệnh viện Bạch Mai, Tạp chí Y học Quân sự, 2017, số 325, tr. 55-62.
[3] Nguyễn Thành Nam, Nghiên cứu thực trạng và mô hình bệnh tật đơn nguyên sơ sinh, Khoa Nhi, Bệnh viện Bạch Mai, Đề tài nghiên cứu khoa học cấp cơ sở Bệnh viện Bạch Mai, 2018.
[4] Gomella T.C et al, Fetal and Neonatal Medicine, Nelson Essential of Pediatric, 2016, pp. 179-249.
[5] Nguyễn Thị Hoàng Yến, Nhận xét kết quả thở máy ở trẻ sơ sinh trong điều trị suy hô hấp tại Bệnh viện Nhi Trung ương có chỉ định thở máy ở trẻ sơ sinh, Luận văn tốt nghiệp thạc sĩ, Trường Đại học Y Hà Nội, 2010.
[6] Vũ Thị Thu Nga, Nguyên nhân thở máy ở trẻ sơ sinh và một số yếu tố liên quan đến kết quả thở máy tại Bệnh viện Nhi Trung ương, Kỷ yếu Hội thảo khoa học sơ sinh lần thứ VI, 2018, tr. 281-305.
[7] Qazi Iqbal et al, Neonatal mechhanical ventilation: Indications and outccome, Indian Journal of Critical Care Medicine, 2015, pp. 523-527.
[8] Nidhi Setal, Neonatal Mechanical Ventilation: Indication and Outcome, Medical Sciense5 (6), 2016, pp. 236-238.
[9] Nayana Prabha, Profile and outcome of neonates requiring ventilation: The Kerala experience, Curr Pediatric Respiratory, 2014, pp. 57-62.
[10] Lateef A, Petri M, Management of pregnancy in systemic lupus erythematosus, Nat. Rev. Rheumatol, 2012, 8: 710-718.
[11] Pateinakis P, Pyrpasopoulou A, Pregnancy in systemic Lupus Erythematosus patients with nephritis, EMJ Neph, 2014, 1: 100-104.