Outcome of neonates ventilated in the main intensive care unit at The University Hospital of the West Indies: a 15-year experience

2007 ◽  
Vol 37 (4) ◽  
pp. 249-250 ◽  
Author(s):  
H Trotman ◽  
M Barton ◽  
V Mitchell
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Distress Syndrome ◽  
West Indies ◽  
Neonatal Intensive Care ◽  
Distress Syndrome ◽  
University Hospital ◽  
The West ◽  
The University ◽  
Reason For Admission

A 15-year retrospective review of neonates ventilated in the main intensive care unit at the University Hospital of the West Indies was conducted. During the study period, 153 neonates were ventilated, of whom 80 (52%) survived. The most common reason for admission was respiratory distress syndrome, which accounted for 67% (102/153) of admissions, 53 (52%) of these infants survived. Improving outcome will require strategies directed at improving neonatal intensive care.

scholarly journals Surgical and intensive care needs of head-injured patients transferred to the University Hospital of the West Indies

2007 ◽  
Vol 56 (3) ◽  
Author(s):  
HE Harding-Goldson ◽  
IW Crandon ◽  
AH McDonald ◽  
R Augier ◽  
D Fearon-Boothe ◽  
...  
Keyword(s):  
Intensive Care ◽  
West Indies ◽  
University Hospital ◽  
Care Needs ◽  
The West ◽  
Head Injured ◽  
The University ◽  
Injured Patients

scholarly journals The Time to Initiate Trophic Feeding and Its Predictors Among Preterm Neonate Admitted to Neonatal Intensive Care Unit, Multicenter Study, Northwest Ethiopia, 2020.

2021 ◽  
Author(s):  
Daniel Adimasu ◽  
Yilikal Tafere ◽  
Teodros Eshetie ◽  
Bekalu Endalew ◽  
Ermias Abebaw ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Neonatal Intensive Care ◽  
Distress Syndrome ◽  
Perinatal Asphyxia ◽  
Hemodynamic Instability ◽  
Preterm Neonates ◽  
Trophic Feeding

Abstract Background: Trophic feeding is a small volume, hypo-caloric feeding, gut priming or minimal enteral feeding acclimate the immature gut of enteral fasting preterm neonates. Delayed starting of trophic feeding had resulted in short and long-term physical and neurological sequels. The current study aimed to assess time to initiate trophic feeding and its predictors among preterm neonates admitted in the neonatal intensive care unit of Debre Markos, Felege Hiwot, and Tibebe Ghion comprehensive specialized hospitals.Methods: An institutional-based prospective follow-up study was conducted among 210 neonates. The data were collected with interview and chart review, entered into Epi data 3.1 and exported to Stata 14.1 for analysis. Multivariable Cox regression models were fitted to identify predictors of time to initiate trophic feeding. Result: A total of 210 neonates were followed for 10136 person-hours of risk time and 191 (90.95%) of neonates were started trophic feeding. The overall incidence of starting trophic feeding was 2 per 100 (95% CI: 2, 2.2) person-hours observations. The median survival time was 42 hours (95% CI: 36, 48). APGAR- score at first minute <7 (AHR: 0.6, 95% CI: 0.44, 0.82), gestational age of <34 weeks (AHR: 0.69, 95% CI: 0.5, 0.94), presence of respiratory distress syndrome (AHR: 0.5, 95% CI: 0.36, 0.68), presence of hemodynamic instability (AHR: 0.37, 95% CI: 0.24, 0.57), presence of perinatal asphyxia (AHR: 0.63, 95% CI: 0.44, 0.89), cesarean section delivery (AHR: 0.63, 95% CI: 0.44, 89) and being delivered within the study hospitals (AHR: 0.54, 95% CI: 0.39, 0.74) were found to be statistically significant predictors of time to initiate trophic feeding.Conclusion: There was a significant delay to initiate trophic feeding in the studied hospitals. Gestational age of below 34 weeks, APGAR-score of less than seven, out-born delivery, cesarean delivery, presence of respiratory distress syndrome; perinatal asphyxia, and hemodynamic instability were predictors of delay in starting of trophic feeding. Standardized feeding guideline has to be implemented to overcome delays in enteral feeding initiation.

scholarly journals Hospitalizations in neonatal intensive care unit at Mahajanga: impacts on parents

2020 ◽  
Vol 8 (11) ◽  
pp. 3832
Author(s):  
Henintsoa N. Raveloharimino ◽  
Safidisoa N. Razanamanana ◽  
Lovasoa R. Randriamanga ◽  
N. G. Rasamimanana ◽  
Eudino J. Vonindrazana ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Perinatal Asphyxia ◽  
Descriptive Study ◽  
University Hospital ◽  
Difficult Situation ◽  
The Family ◽  
Negative Feelings ◽  
The University

Background: Experiencing a birth with a pathology imposes on parents a lot of frustration. Objectives of this study were to describe the general profiles of newborns and to describe the hospitalization’s psychosomatic impact on parents; in intensive care unit of the neonatalogy ward at the mother-child complex at the university Hospital Androva Mahajanga Madagascar.Methods: It was prospective descriptive study, by a survey of parents, among 3 months, from 01st May to 31th July.Results: Were included 102 newborns. Mains reasons of admission are low birth weigth (51.9%), prematurity (42.1%) and perinatal asphyxia (23.5%). One hundred mothers and 90 fathers had answered our survey. Sleep distturance (all parents), negative feelings (70% of fathers and 75% of mothers), depressed mood (52.2% of fathers and 78% of mothers) and guilt (25.5% of fathers and 58% of mothers) were the most prominent psycological manifestations among parents; then somatic manifestations as digestive, cardiovascular type; weight loss was objectified on 33% of fathers.Conclusions: Newborns’s hospitalization is a difficult situation for parents. Caregivers have an important role in enabling the family to build up.

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