Desfechos ventilatórios em recém-nascidos submetidos à cirurgia abdominal em uma maternidade pública de referência

Abstract

Gastroschisis and omphalocele, as the most prevalent abdominal malformations in neonates, have important ventilatory repercussions. The aim of the study is to analyze the ventilatory outcomes in newborns undergoing surgical procedures for correction of gastroschisis and omphalocele. This is an observational, descriptive, cross-sectional study with data from 05 medical records of NBs admitted to the Neonatal Intensive Care Units (NICUs) of the Maternity School Assis Chateaubriand (MEAC) from 2020 to 2021, collected through a protocol form that included sociodemographic, clinical and ventilatory data. Five medical records were included, 3 NBs with omphalocele and 2 with gastroschisis. Males were predominant, cesarean delivery occurred in all cases, the average weight was 2798 grams, and primary correction was the most used surgical method. Necrotizing enterocolitis, cryptochirdia and abdominal sepsis were among the complications recorded, orotracheal intubation in the delivery room was performed in 3 out of 5 neonates, the TCPL mode (time cycled pressure limited) was the most used ventilatory strategy, the average number of days in invasive mechanical ventilation was 31 days and a mean of 1 day in oxygen therapy. The newborns involved in the study were premature, with abdominal malformations predominantly due to omphalocele, with an average duration of mechanical ventilation greater than 7 days. The Oxi-Hood was the most used device in the post-extubation period.