NGUYÊN NHÂN THỞ MÁY XÂM NHẬP Ở TRẺ SƠ SINH TẠI BỆNH VIỆN SẢN NHI BẮC NINH

Abstract

Objective: This study was conducted to identify the causes of respiratory failure in newborns requiring invasive mechanical ventilation at Bac Ninh Obstetrics and Pediatrics Hospital. Methods: A prospective descriptive study was conducted on 213 newborns receiving invasive mechanical ventilation in the Neonatal Department of Bac Ninh Obstetrics and Pediatrics Hospital from April 2023 to March 2024. The results: Indicated that 77.5% of the infants required mechanical ventilation within the first hour of admission. The three main causes necessitating invasive ventilation were respiratory conditions (89.2%), neurological disorders (4.2%), and cardiovascular issues (2.8%). The most common respiratory causes included hyaline membrane disease, pneumonia, and transient tachypnea of the newborn. The average duration of mechanical ventilation was 11.3 ± 11.2 days, and the average hospital stay was 19.5 ± 16.9 days, with respiratory conditions requiring the longest treatment duration. The success rate of mechanical ventilation was 76.5%, while the mortality/discharge rate was 8.9%, and the transfer rate to higher-level care was 14.6%. The study also found that survival rates increased with higher gestational age and birth weight. Conclusion: Respiratory diseases are the leading cause of respiratory failure requiring invasive mechanical ventilation, with a high success rate, while neurological and cardiovascular conditions often require transfer to specialized facilities for further management.