The Indian Journal of Pediatrics

, Volume 70, Issue 7, pp 537–540 | Cite as

Neonatal mechanical ventilation

  • P. K. Riyas
  • K. M. Vijayakumar
  • M. L. Kulkarni
Original Article


Objective : This study was undertaken to analyze indications, complications, outcome and the factors influencing neonatal mechanical ventilation.Methods : Prospective observational study conducted on 102 consecutive newborns, who required mechanical ventilation in a medical college tertiary neonatal care setting.Results : The commonest indication was birth asphyxia (37.3%), followed by hyaline membrane disease (HMD) (31.4%), meconium aspiration syndrome (MAS) (21.2%), septicemia (14.7%) and apnea of prematurity (5.9%). The overall survival rate in our study was 51 %. Babies weighing less than 1.5 kg and less than 32 weeks of gestation had survival rates of 30% and 25% respectively. The best outcome among various indications was observed in babies with MAS (63.6%) followed by pneumonia (62.5%) and HMD (53.1%). Babies with birth asphyxia and septicemia had a low survival rate of only 42% and 40% respectively. The overall complication rate in the study was 58.8%. Common complications encountered were septicemia (42%), tube block (36%) and air leak (15%).Conclusion : About half (51%) of newborns requiring mechanical ventilations for various indications survived and more than half (58.8%) developed complications. The study also reconfirms that survival rate increases with birth weight and gestational age irrespective of indication.

Key words

Neonatal ventilation Indications Survival Complications 


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  1. 1.
    Krishnan L, Paul PF, Nirupa AD, Nalini B. Assisted ventilation in neonates-A Manipal experience.Indian J Pediatr 1994; 61: 379–386.PubMedGoogle Scholar
  2. 2.
    Nangia S, Arwind S, Datta AK, Vani G, Meeta S, Anju Set al. Neonatal mechanical ventilation-experience at a level-II care center.Indian J Pediatr 1998; 65: 291–296.PubMedGoogle Scholar
  3. 3.
    Singh M, Deorari AK, Paul VK, Mittel M, Shankar S, Munshi Uet al. Three years experience with neonatal ventilation from a teritiary care hospital in Delhi.Indian Pediatr 1993; 30: 783–789.PubMedGoogle Scholar
  4. 4.
    Mathur NC, Sailesh K, Prasanna AL, Sahu UK, Kapoor R, Roy Set al. Intermittent postive pressure ventilation in a neonatal intensive care unit: Hyderabad experience.Indian Pediatr 1998; 35: 349–352.PubMedGoogle Scholar
  5. 5.
    Maiyya PP, Vishwanath D, Hegde S, Srinivas TP, Prasad S, Shantala Cet al. Mechanical ventilation of newborn experience from a level-II NICU.Indian Pediatr 1995; 32: 1267–1278.Google Scholar
  6. 6.
    Singh M, Deorari AK, Rajiv A, Paul VK. Assisted ventilation for HMD.Indian Pediatr 1995; 32: 1267–1274.PubMedGoogle Scholar
  7. 7.
    William JR, Sunshine P, Smith PC. Mechanical Ventilation of newborn infants five years experience.Anaesthesiology 1971; 34: 132–136.CrossRefGoogle Scholar
  8. 8.
    Lindroth M, Sunningser NW, Ahisterom H. Evaluation of mechanical ventilation in newborn infants.Acta Paediatr Scand 1980; 69: 143–149.PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2003

Authors and Affiliations

  • P. K. Riyas
    • 1
  • K. M. Vijayakumar
    • 1
  • M. L. Kulkarni
    • 1
  1. 1.Department of PediatricsJ.J.M. Medical CollegeDavangereIndia

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