Clinical risk factors associated with extubation failure in ventilated neonates.

Abstract:

:We conducted this study to find out the incidence of extubation failure (EF) in ventilated neonates and associated clinical risk factors. Eighty two ventilated neonates were followed up to 48 hours post extubation to look for EF. Twenty two babies (26.8%) had EF. The common risk factors for EF were presence of patent ductus arteriosus, post-extubation lung collapse and acquired pneumonia. The duration of ventilation, and maximum and pre-extubation alveolar arterial oxygen gradients (AaDO2) were significantly higher (P<0.05) in EF group. The incidence of sepsis (P=0.034), anemia (P=0.004) and pneumonia (P=0.001) were significantly higher in EF group. Detection of significant PDA and adequate post extubation care may help to reduce rate of extubation failure in neonates.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Hiremath GM,Mukhopadhyay K,Narang A

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

887-90

issue

10

eissn

0019-6061

issn

0974-7559

pii

S097475590800358-2

journal_volume

46

pub_type

杂志文章
  • Salmonella senftenberg outbreak in a neonatal unit.

    abstract::Salmonella senftenberg was isolated from the stools of 35 newborns between June, 1987 and September, 1988. Twenty nine (82.8%) babies were preterms and twenty six (74%) babies were less than 2,000 grams in weight. All of them were symptomatic within 6 days of life, 74.3% (26) within 4 days. All of them had loose stool...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Joseph AT,Rammurty DV,Srivastava L,Gupta R,Mohan M,Anand NK

    更新日期:1990-02-01 00:00:00

  • Calf circumference as a predictor of low birth weight babies.

    abstract::To identify an inexpensive, reliable predictor of low birth weight capable of being utilized by untrained personnel, anthropometric measures were performed on 1600 newborns in Kanpur, India. This analysis indicated that, for a birth weight of 2500 g, the critical limit of calf circumference was 10.8 cm or less. Crit...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gupta V,Hatwal SK,Mathur S,Tripathi VN,Sharma SN,Saxena SC,Khadwal A

    更新日期:1996-02-01 00:00:00

  • Application of the International Classification of Functioning, Disability and Health - Children and Youth in Children With Cerebral Palsy.

    abstract::The International Classification of Functioning, Disability and Health (ICF) is a framework for describing health status; however, there is a gap in literature for supporting its use as a classification tool. The purpose of this paper is to provide a perspective on its use in describing children with cerebral palsy. T...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:10.1007/s13312-016-0935-8

    authors: Jeevanantham D

    更新日期:2016-09-08 00:00:00

  • Diagnostic Accuracy of Indian Scale for Assessment of Autism in Indian Children Aged 2-5 Years.

    abstract:OBJECTIVE:To determine the diagnostic accuracy of Indian Scale for Assessment of Autism (ISAA) in children aged between 2-5 years. Design: Setting:. STUDY DESIGN:Study of diagnostic accuracy. PARTICIPANTS:A consecutive sample of 500 children with suspected Autism (delay or regression of developmental milestones, dela...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mukherjee SB,Aneja S,Sharma S,Sharma M

    更新日期:2019-10-15 00:00:00

  • Insulin resistance and beta cell function in chronically transfused patients of thalassemia major.

    abstract:OBJECTIVE:To assess the glycometabolic function in chronically transfused patients of beta- thalassemia major in terms of glucose tolerance, insulin secretion, insulin resistance index, and beta cell function index and to determine their relationship with clinical and biochemical profile. METHODS:30 homozygous thalass...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Suvarna J,Ingle H,Deshmukh CT

    更新日期:2006-05-01 00:00:00

  • Neuroschistosomiasis: An Unusual Intracranial Space Occupying Lesion.

    abstract:BACKGROUND:Neuroschistosomiasis is an uncommonly reported disease. CASE CHARACTERISTICS:An adolescent Indian boy residing in Kenya presented with headache, visual symptoms and seizures, with MRI showing space-occupying lesions in the occipital lobe and cerebellum. OBSERVATION:Brain biopsy was diagnostic of neuro-schi...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Manamal NA,Singhal T,Kumar A,Sanghvi D,Mani J

    更新日期:2018-11-15 00:00:00

  • Epidemiology of childhood Hodgkins disease: is it different in developing countries?

    abstract::Childhood Hodgkins Disease (HD) is a lymphoma that displays characteristic epidemiological, clinical and pathological features according to various geographic areas, particularly according to the socio-economic level of a given country. India presents a similar sex, age and subtype distribution as other emerging count...

    journal_title:Indian pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Dinand V,Arya LS

    更新日期:2006-02-01 00:00:00

  • Peri- and Post-operative Amplitude-integrated Electroencephalography in Infants with Congenital Heart Disease.

    abstract:OBJECTIVE:To identify the factors influencing brain injury in infants with congenital heart disease (CHD) after cardiac surgery. METHODS:This retrospective study investigated 103 infants with CHD undergoing cardiac surgery between January 2013 and February 2016. Pre- and postoperative amplitude-integrated electroencep...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gui J,He S,Zhuang J,Sun Y,Liu Y,Liang S,Chen C,Ren Y,Wang B,Chen J

    更新日期:2020-02-15 00:00:00

  • Milky Mesentery: Acute Abdomen with Chylous Ascites.

    abstract:BACKGROUND:Clinical presentations of intestinal lymphangiectasia include pitting edema, chylous ascites, pleural effusion, diarrhea, malabsorption and intestinal obstruction. CASE CHARACTERISTICS:An 8-year-old male child presented to the emergency department with clinical features of peritonitis, raising suspicion of ...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Goel A,Gaur MK,Garg PK

    更新日期:2018-10-15 00:00:00

  • Prostaglandin E1 in infants with congenital heart disease: Indian experience.

    abstract:BACKGROUND:E-type prostaglandins (PGE1) can effectively maintain the patency of the ductus arteriosus in neonates. Its use, therefore and be life saving in infants born with ductus dependent congenital heart disease. Although PGE1 is available for over two decade in western world, it has been introduced in India only s...

    journal_title:Indian pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Saxena A,Sharma M,Kothari SS,Juneja R,Reddy SC,Sharma R,Bhan A,Venugopal P

    更新日期:1998-11-01 00:00:00

  • Childhood morbidity and mortality in a large hospital over last four decades.

    abstract::Pediatric statistics in a 50-year-old large hospital were analysed to find out any change in pediatric admission rate, morbidity and mortality and outcome of common disorders during the last four decades. Information was collected from four block years from each of the last four decades and compared. An increase of al...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Choudhury P,Kumar P,Puri RK,Prajapati NC,Gupta S

    更新日期:1991-03-01 00:00:00

  • Choledochal cysts in infants and children.

    abstract:OBJECTIVE:To study the clinical spectrum and management of choledochal cyst in children below 12 years of age. DESIGN:Descriptive study. SETTING:Tertiary care hospital. METHODS:Twenty three children with choledochal cysts were managed between January 1991 to September 1997 and their clinical details, investigations ...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Poddar U,Thapa BR,Chhabra M,Rao KL,Mitra SK,Dilawari JB,Singh K

    更新日期:1998-07-01 00:00:00

  • Phenobarbitone versus phenytoin for treatment of neonatal seizures: an open-label randomized controlled trial.

    abstract:OBJECTIVE:To compare the efficacy of phenobarbitone and phenytoin for treatment of neonatal seizures in term and near-term neonates. DESIGN:Open labeled randomized controlled trial. SETTING:Neonatal intensive care unit of a level II unit from India, from November 2008 to September 2009. PARTICIPANTS:All term and lat...

    journal_title:Indian pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s13312-013-0218-6

    authors: Pathak G,Upadhyay A,Pathak U,Chawla D,Goel SP

    更新日期:2013-08-01 00:00:00

  • Reactogenecity of indigenously produced measles vaccine.

    abstract:OBJECTIVE:To assess the safety and reactogenecity of indigenously produced measles vaccine derived from EZ strain. DESIGN:A longitudinal clinical follow up after vaccination. SETTING:Hospital based and home follow up, as required. SUBJECTS:12,470 children, 9 to 15 months old, immunized with measles vaccine of EZ str...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bhargava I,Chhaparwal BC,Phadke MA,Irani SF,Chakladhar BK,Maheshwari CP

    更新日期:1996-10-01 00:00:00

  • Optimum age of a child for BCG vaccination.

    abstract::The objectives of this study were to evaluate whether a newborn or a neonate is capable of responding immunologically after BCG vaccination and to find out if this immunity persists for one year. Normal infants aged between 0 days-3 months brought to immunization centre were included in the study. In vitro leukocyte m...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Vijayalakshmi V,Kumar S,Kiran AL,Rani HS,Murthy KJ

    更新日期:1994-12-01 00:00:00

  • Treatment of nephrotic syndrome.

    abstract::There are well defined therapeutic protocols for childhood nephrotic syndrome. Appropriate therapy helps in minimizing side effects besides decreasing referrals to tertiary care centres. We have analysed the appropriateness of therapy of primary care physicians in 111 children with nephrotic syndrome referred to our I...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gulati S,Kher V,Elhence R,Kumar P,Sharma RK,Gupta A

    更新日期:1994-02-01 00:00:00

  • Maternal weight, height and risk of poor pregnancy outcome in Ahmedabad, India.

    abstract::This paper explores the relationships between maternal weight, height and poor pregnancy outcome using a data set from a case-control study of low birth weight (LBW) and perinatal mortality in Ahmedabad, India. Maternal height and weights were compared between mothers of 611 perinatal deaths, 644 preterm-LBW, and 1465...

    journal_title:Indian pediatrics

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Mavalankar DV,Trivedi CC,Gray RH

    更新日期:1994-10-01 00:00:00

  • Hearing assessment by brainstem auditory evoked responses (BAER) in neonates at risk.

    abstract::In the present study, brainstorm auditory evoked responses (BAER) were recorded in 68 at risk neonates discharged from the neonatal ICU of Safdarjung Hospital. The high risk group of 35 neonates included 13 neonates with multiple (3-4) risk factors and 22 neonates with single risk factors, viz., prematurity (less than...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Raj H,Gupta AK,Anand NK

    更新日期:1991-10-01 00:00:00

  • Etiology and Short-term Outcome of First Seizure in Hospitalized Infants.

    abstract::We enrolled 75 consecutive infants presenting with history of first seizure at a tertiary care hospital in New Delhi, India. Clinical and biochemical work-up for etiology, and electroencephalography were performed in all infants. Developmental assessment was done 3-month after discharge. 72% had generalized seizures, ...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Nikunj NK,Mishra D,Juneja M,Talukdar B

    更新日期:2016-10-08 00:00:00

  • Uveitis and anti nuclear antibody positivity in children with juvenile idiopathic arthritis.

    abstract::This study was conducted to determine the frequency of antinuclear antibodies (ANA) positivity and uveitis in our newly diagnosed juvenile idiopathic arthritis (JIA) patients classified according to International League Against Rheumatology (ILAR) classification criteria. Ninety-two girls and 106 boys, totally 198 chi...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kasapçopur O,Yologlu N,Ozyazgan Y,Ercan G,Caliskan S,Sever L,Ozdogan H,Arisoy N

    更新日期:2004-10-01 00:00:00

  • Recurrent abdominal pain in childhood: the functional element.

    abstract::Many children report chronic abdominal pain that is severe and disruptive to normal lifestyle and schooling. Assessment and management depends on indentifying those with underlying organic disease, such as chronic infection, celiac disease or inflammatory bowel disease, but avoiding unnecessary invasive investigations...

    journal_title:Indian pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Bremner AR,Sandhu BK

    更新日期:2009-05-01 00:00:00

  • Pneumoparotitis with subcutaneous emphysema.

    abstract::We report an adolescent with recurrent bilateral parotitis with pneumoparotitis and subcutaneous emphysema due to self pneumoinsufflation by a Valsalva like maneuver. Investigations for recurrent parotitis did not yield any clue. His la belle indifference, prolonged school absence and the presence of sibling rivalry h...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Balasubramanian S,Srinivas S,Aparna KR

    更新日期:2008-01-01 00:00:00

  • Association of Rotavirus Gastroenteritis with Histo-blood Group Antigens.

    abstract::Association of rotavirus gastroenteritis with histo-blood group antigens in children younger than 5 years admitted with diarrhea (n=389) was studied. Distribution of blood groups in rotavirus positive (n=96) and rotavirus negative (n=51) diarrhea gastroenteritis cases did not show any susceptibility to any blood group...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mohanty E,Dwibedi B,Kar SK,Pandey RM

    更新日期:2016-07-08 00:00:00

  • Acute myeloid leukemia presenting as obstructive jaundice.

    abstract::Jaundice as a presenting feature of pediatric acute myeloid leukemia is rare. We report two cases of AML who presented with obstructive jaundice, one with a malignant stricture at the common bile duct and other with a granulocytic sarcoma obstructing the bile duct. The prognosis is poor in these patients. ...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rajeswari B,Ninan A,Prasannakumari SN,Parukuttyamma K

    更新日期:2012-05-01 00:00:00

  • Can nutrition rehabilitation centers address severe malnutrition in India?

    abstract::Madhya Pradesh has made remarkable progress in facility based management of severe acute malnutrition, and has developed a model that is being replicated in many states. India has uniquely high prevalence of both stunting and wasting, implying that both severe acute malnutrition and severe chronic malnutrition co-exis...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:10.1007/s13312-014-0341-z

    authors: Dasgupta R,Ahuja S,Yumnam V

    更新日期:2014-02-01 00:00:00

  • Ketogenic diet in Indian children with uncontrolled epilepsy.

    abstract:OBJECTIVE:To evaluate the efficacy of the ketogenic diet in Indian children with uncontrolled epilepsy. STUDY DESIGN:Prospective observational study. SETTING:Hospital based. PATIENTS:105 children (age 4 months to 18 years) with uncontrolled epilepsy enrolled in the ketogenic diet program over a period of 9 years and...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Nathan JK,Purandare AS,Parekh ZB,Manohar HV

    更新日期:2009-08-01 00:00:00

  • Serum zinc levels in newborns with neural tube defects.

    abstract::Neural tube defects (NTD) comprise of a group of congenital malformations that include spina bifida, anencephaly and encephalocele. Reports have implicated zinc deficiency as one of the causative factors of NTDs. We compared the serum zinc level of 23 newborns having neural tube defects with 35 healthy controls by spe...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Golalipour MJ,Mansourian AR,Keshtkar A

    更新日期:2006-09-01 00:00:00

  • Randomized comparison of a dry powder inhaler and metered dose inhaler with spacer in management of children with asthma.

    abstract:OBJECTIVE:Comparison of the clinical efficacy of a transparent, DPI (transparent Rotahaler) with MDI and spacers in childhood asthma. DESIGN:Open, randomized, crossover trial. SETTINGS:Out patient clinic of a referral pediatric center. METHODS:Thirty (mean 6.1 +/-2.7 years) children with moderate persistent asthma w...

    journal_title:Indian pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Singh M,Kumar L

    更新日期:2001-01-01 00:00:00

  • Impact of house-hold food insecurity on nutritional status of HIV-infected children attending an ART centre in Tamil Nadu.

    abstract::We studied the level of food insecurity among households with HIV-infected children and its relationship with childhood nutritional indicators. Among the 147 children assessed, food insecurity was present in 59% of households. Majority of children with stunting belonged to-food insecure families. Stunting and Underwei...

    journal_title:Indian pediatrics

    pub_type: 信件

    doi:

    authors: Suresh E,Srinivasan R,Valan AS,Klinton JS,Padmapriyadarsini C

    更新日期:2015-03-08 00:00:00

  • Multiple foreign bodies in a neonate.

    abstract::We report a rare instance of nine foreign bodies in a neonate that included a coin, safety pin, screw, cotton piece, polythene piece, and four glass pieces. Of these, six foreign bodies were removed by esophagoscopy and endoscopy, two glass pieces were passed in feces and one could not be removed. The child died 5 day...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Medatwal A,Gupta PP,Gulati RK

    更新日期:2008-11-01 00:00:00