Background: Preterm neonates are at high risk of developing respiratory distress in the immediate post-natal period. Traditionally, these infants are managed by intubation and mechanical ventilation. The use of continuous positive airway pressure (CPAP) has gained immense popularity as a primary mode of respiratory support in these infants. Objective: To analyze indications of respiratory support, complications associated with each modality of respiratory support and short-term outcome. Patients and methods: This study included 100 neonates admitted to NICU, Pediatrics Department, Faculty of Medicine, Sohag University Hospital during one-year period. Their age ranged from 0-28 days with symptoms of respiratory distress, which were evident shortly after birth and requiring respiratory support. Results: The most common causes of admission were respiratory distress syndrome (RDS) 50%, sepsis 38%, asphyxia 8% and pneumonia 4%. Seventy two percent of the studied patients underwent CPAP, 14% oxygen support by nasal cannula and 14% mechanical ventilation. 82% of patients put on CPAP had improved and the failure rate of CPAP therapy was 18%. Adverse effects had occurred in 6 patients (42%) as: pneumothorax, ventilation acquired pneumonia and pulmonary hemorrhage. Mortality rate in ventilated babies in this work was 42.9%. Overall mortality rate in our study was 7%. Conclusion: CPAP was the most widely used and safe modality of respiratory support.
Nemr, C. N., Bakheet, M. A. E. M., & Hassan, M. A. (2021). Outcome of Neonatal Respiratory support Modalities in Sohag University Hospital. The Egyptian Journal of Hospital Medicine, 82(4), 778-784. doi: 10.21608/ejhm.2021.154630
MLA
Christine Nagy Nemr; Mohamed Abd ELaal M. Bakheet; Mohammad Ahmad Hassan. "Outcome of Neonatal Respiratory support Modalities in Sohag University Hospital", The Egyptian Journal of Hospital Medicine, 82, 4, 2021, 778-784. doi: 10.21608/ejhm.2021.154630
HARVARD
Nemr, C. N., Bakheet, M. A. E. M., Hassan, M. A. (2021). 'Outcome of Neonatal Respiratory support Modalities in Sohag University Hospital', The Egyptian Journal of Hospital Medicine, 82(4), pp. 778-784. doi: 10.21608/ejhm.2021.154630
VANCOUVER
Nemr, C. N., Bakheet, M. A. E. M., Hassan, M. A. Outcome of Neonatal Respiratory support Modalities in Sohag University Hospital. The Egyptian Journal of Hospital Medicine, 2021; 82(4): 778-784. doi: 10.21608/ejhm.2021.154630
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