Volume Guarantee Versus Pressure Limited Ventilation in Reduction of BPD (Bronchopulmonary Dysplasia) Incidence and Sequels in Preterm Infants | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 212, Volume 92, Issue 1, July 2023, Pages 6885-6891 PDF (414.46 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.319476 | ||
| Abstract | ||
| Background: Multiple studies have indicated significant advantages of VTV over PLV that are clearly obvious in lowering the concatenated outcomes of bronchopulmonary dysplasia, decreased value of pneumo-thorax, and lower rate of extreme intraventricular hemorrhage. Aim and objectives: This research paper aimed to make a comparison of the actual effect and reliability of VTV over PLV in reducing bronchopulmonary dysplasia in preterm newborns. Subjects and methods: A retrospective analysis applied on data collected from intubated preterm newborns less than thirty-seven weeks gestational age, who were in need of mechanical ventilation in a category III of intensive care unit for neonates (NICU). The number of recruited infants was 100 in total. They were enrolled in the present work and required mechanical ventilation. Congenital malformations were exclusion criteria for selected preterm infants. Results: No significant differences among groups based on sex, birth weight, gestational age or even underlying illness. However, significant difference among studied groups based on hospitalization and duration of MV. Conclusion: The use of VG ventilation is widely regarded as the standard therapeutic approach for preterm neonates with respiratory distress syndrome (RDS) who require mechanical ventilation. While this study did not find any notable disparities in neonatal morbidity and mortality, it did observe that VG ventilation resulted in considerably reduced durations of ventilation and hospitalisation compared to PC ventilation among infants with greater gestational ages. | ||
| Keywords | ||
| Ventilation; Neonatal morbidity; Gestational age; Congenital malformations | ||
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