Ventilação mecânica neonatal: características e manejo clínico em uma maternidade pública

Abstract

Introduction: The continuous development in the area of neonatal care has been a determining factor for the de-crease in mortality and morbidity in this population. Thus, mechanical pulmonary ventilation appears as an im-portant method of ventilatory support for this public, helping in the treatment of respiratory pathologies. Objective: To describe the characteristics and clinical management of neonatal mechanical pulmonary ventilation. Methods: After approval by the Research Ethics Committee, data were collected from medical records of patients admitted to the NICU of the Assis Chateaubriand Maternity School (MEAC) from July to September 2019. Results: 17 new-borns used CPAP in the delivery room. 96 NBs underwent invasive mechanical ventilation during this period, 52 of which were considered in the analysis, of which 41 used only the TCPL ventilatory strategy and 11 also experienced VG ventilation. The mean intubation time was 7.17 ± 8.23 days. After extubation, the main ventilatory support was NIPPV, resulting in a total of 16.42 ± 15.61 length of stay. Finally, 39 transfers and 13 deaths were observed. Con-clusion: It was noted that the profile of the newborns involved in the study was predominantly of low birth weight preterm infants who underwent MPV, mostly in the TCPL modality. Early use of CPAP was also found. MEAC acts in line with the recommended good perinatal ventilatory assistance practices.