Open AccessAnalysis of the respiratory therapy in newborns with extremely low body weight at birth
Author(s) -
А Ж Баялиева,
Il’dar M. Ziganshin,
А. А. Бабинцева
Publication year - 2019
Publication title -
rossijskij vestnik perinatologii i pediatrii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 4
eISSN - 2500-2228
pISSN - 1027-4065
DOI - 10.21508/1027-4065-2019-64-5-171-175
Subject(s) - bronchopulmonary dysplasia , medicine , neonatal intensive care unit , gestational age , birth weight , low birth weight , mechanical ventilation , pediatrics , intensive care , respiratory care , regimen , intensive care medicine , anesthesia , surgery , pregnancy , genetics , biology
Respiratory therapy is the main component of intensive care for premature newborns, it has a great influence on nursing outcomes. Characteristics of children and research methods. The authors carried put a retrospective analysis of the intensive care effectiveness in 44 infants with extremely low body mass at birth. Results. They found the cases of bronchopulmonary dysplasia and evaluated the treatment effectiveness depending on the weight and gestational age. The children with birth weight of 500–699 grams demonstrated low efficiency of intensive care and adverse course of bronchopulmonary dysplasia. This group of premature infants was characterized by a prolonged stay in the intensive care unit, mechanical ventilation, low body mass dynamics, and, as a result, had a high mortality rate in the late neonatal period compared to the group of children born with a birth weight of more than 700 g (p <0.05). Conclusion. Effective nursing of preterm infants with a birth weight less than 700g requires a combination of an individual approach to the auxiliary ventilation methods and a non-invasive ventilation regimen along with pharmacotherapy that stimulates the respiratory center of the newborn and promotes the maturation of surfactant to prevent complications of respiratory therapy.