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The Effectiveness of Different Ventilation Strategies Use for Neonate with Respiratory Distress Syndrome in FMC Asaba

Emeagha Tina Oluchi

Abstract

This study investigated the effectiveness of different ventilation strategies use for neonate with respiratory distress syndrome in FMC Asaba. Two objectives guided the study. Respiratory Distress Syndrome is a significant cause of morbidity and mortality among neonates, particularly in preterm infants. Effective management of RDS is crucial in improving outcomes for this vulnerable population. This study explores the effectiveness of different ventilation strategies employed in the management of neonates diagnosed with RDS at Federal Medical Centre, Asaba. A descriptive cross-sectional study design was utilized, involving a cohort of 200 neonates diagnosed with RDS over a year. The participants were categorized based on the ventilation strategies used: Continuous Positive Airway Pressure , High-Frequency Oscillatory Ventilation , and conventional mechanical ventilation. Data collection focused on demographic variables, clinical parameters, and outcomes associated with each ventilation strategy. Primary endpoints included the duration of mechanical ventilation, survival rates, and incidence of complications such as bronchopulmonary dysplasia and pneumothorax. Statistical analyses were conducted to compare the safety and efficacy of each strategy, employing chi-square tests and survival analysis. Findings revealed that CPAP was associated with the shortest duration of mechanical ventilation and the highest survival rates, particularly in infants with mild to moderate RDS. Conversely, HFOV showed promise in managing severe cases, effectively reducing the incidence of barotrauma and improving oxygenation. However, the application of conventional mechanical ventilation resulted in a higher incidence of BPD, emphasizing the need for careful consideration of ventilation methods.

Keywords

different ventilation strategiesNeonaterespiratory distress syndrome

References

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