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2015, Number 1

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Rev Cubana Pediatr 2015; 87 (1)

Nasal continuous positive pressure in neonates from Villa Clara

Clemades MAM, Mederos CY, Molina HOR, Pérez SY, Romero IH, Arbelo HI

Language: Spanish
References: 19
Page: 61-68
PDF size: 84.59 Kb.


ABSTRACT

Introduction: continuous positive airways pressure in patients who normally breathes (known as CPAP) is a simpler modality of noninvasive mechanical ventilation.
Objective: to characterize the use of the nasal continuous positive airways pressure in newborns with respiratory distress.
Methods: cross-sectional, descriptive and observational study of 149 newborns that were treated with this ventilation technique at “Mariana Grajales” provincial university gynecobstetric hospital in Santa Clara in 2012 and 2013. An instrument including perinatal and neonatal variables was particularly designed for this purpose. These variables covered gestational age, weight, delivery, diagnosis, postnatal age at the beginning of treatment and length of time, clinical progress, gasometric and/or radiological progress. The study used data from the statistical department in addition to pediatric and obstetric medical histories, delivery register books, and continuous morbidity and mortality records of the service. For statistical analysis of the sample, absolute and relative frequencies were used depending on the type of information.
Results: the highest percentage of newborns was preterm (83.2 %) weighing less than 2 500 g. Seventy eight neonates were ventilated during their first hour of life and the treatment mostly lasted less than 24 hours. The main medical indication for treatment was pulmonary edema.
Conclusions: most of neonates had satisfactory clinical, gasometric and/or radiological progression.


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