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- Title
RESPIRATORY THERAPY IN A LOT OF NEWBORN WITH EXTREMELY LOW BIRTH WEIGHT.
- Authors
Manea, Aniko; Boia, Marioara; Ilie, C.; Iacob, Daniela; Dima, Mirabela; Iacob, R. E.
- Abstract
Introduction: Newborns with extreme prematurity are considered those who have a birth weight under 1000 grams. Morpho-functional plurivisceral immaturity leads to particular diseases, through frequency and gravity. The most common lung problem in a premature baby is respiratory distress syndrome. Another common respiratory problem of premature is apnea of prematurity. Objectives: The authors aim to study the pathology and the treatment of respiratory pathology at a lot of premature newborns with extremely low birth weight. Material and method: The study was carried out in the Premature and Neonatology Department during two years, on a group of 34 premature newborns with birth weight under 1000 grams (800 grams- 1000 grams). Results: In the studied lot respiratory distress syndrome was present in 22 cases (64,7%), and 29 (85,2%) presented apnea episodes. In 17 cases these two were associated. From newborns with mild respiratory distress syndrome and apnea, 7 required only supplemental oxygen. In 11 cases with severe respiratory distress syndrome and repeated apnea crisis was necessary treatment with continuous positive airway pressure through nasal prongs for different periods of time. In 16 cases with severe respiratory distress syndrome and due to persistence of apnea and modification of blood gas parameters, was needed oro-tracheal intubations and mechanical ventilation. Conclusions: Extreme prematurity is an important risk factor in increasing neonatal morbidity and mortality, premature with extremely low birth weight being the most exposed to all major complications of prematurity. Nasal continuous positive airway pressure is a useful method of respiratory support that reduces the incidence apnea, and in the treatment of respiratory distress syndrome and in reducing the necessity of the initiation of mechanical ventilation.
- Subjects
RESPIRATORY therapy; LOW birth weight; RESPIRATORY distress syndrome; LUNG diseases; NEONATOLOGY; BLOOD gases; THERAPEUTICS
- Publication
Jurnalul Pediatrului, 2012, Vol 15, Issue 59/60, p69
- ISSN
2360-4557
- Publication type
Article