[Home ] [Archive]    
Main Menu
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Contact us::
Site Facilities::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 12, Issue 2 (june_ july 2007) ::
pajoohande 2007, 12(2): 141-145 Back to browse issues page
Evaluation of Mortalitiy Rate and Complications of Neonatal Respiratory Distress Syndrome Treated with Mechanical Ventilation and Surfactant Therapy
Afjeh SA , Khoshnood Shariati M *
Abstract:   (28751 Views)
Since the first successful report of endotracheal surfactant administration in 10 neonates with RDS in 1980 by Fujiwara, several studies have shown that surfactant administration would decrease neonatal mortality and morbidity such as Pulmonary Air leak (PAL) or Brochopulmonary dysplasia (BPD). This study was conducted in NICU of Mahdieh hospital between March 2002 and March 2005 to evaluate the mortalitiy rate and complications of neonates with RDS who have recieved mechanical ventilation and surfactant. Materials and Methods: Between March 2002 and March 2005, 124 neonates (36% females & 64% Males) with RDS, admitted in NICU were enrolled in this study. 25% of the patients were fullterm and 75% were preterm. All of them underwent mechanical ventilation due to either O2 requirement of more than 60% (through Hood) or arterial PH of less than 7.25. Surfactant was administered as 4 cc/kg per dose (Maximum 2 doses) if mean Air way pressure (MAP) was equal or more than 7 cmH2o or fiO2 equal or more than 40%. Results: Neonatal Mortality Rate (NMR) in these 124 patients was 27%. PAL was noted in 23.3% and BPD in 12.9% of cases. Conclusion: This study showed that with administration of surfactant the incidence of NMR was the same as several previous studies, albeit BPD incidence was lower and the incidence of PAL was higher than that of recent studies. Higher incidence of PAL may be due to late low dose surfactant administration or the quality of medical and nursing care, which must be impressed. The lower incidence of BPD in our study may be resulted from preliminary administration of prenatal dexamethasone
Keywords: Surfactant, Mechanical ventilation, Neonate, Respiratory distress syndrome
Full-Text [PDF 113 kb]   (2063 Downloads)    
Type of Study: Original | Subject: Medicine
Received: 2017 | Accepted: 2017 | Published: 2017
Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Afjeh SA, Khoshnood Shariati M. Evaluation of Mortalitiy Rate and Complications of Neonatal Respiratory Distress Syndrome Treated with Mechanical Ventilation and Surfactant Therapy. pajoohande 2007; 12 (2) :141-145
URL: http://pajoohande.sbmu.ac.ir/article-1-620-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 12, Issue 2 (june_ july 2007) Back to browse issues page
Persian site map - English site map - Created in 0.05 seconds with 36 queries by YEKTAWEB 4645