• Anesthesia and analgesia · May 2018

    Observational Study

    Treatment Patterns and Clinical Outcomes in Neonates Diagnosed With Respiratory Distress Syndrome in a Low-Income Country: A Report From Bangladesh.

    • Richard M Hubbard, Kamal M Choudhury, and Grace Lim.
    • From the Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
    • Anesth. Analg. 2018 May 1; 126 (5): 1684-1686.

    AbstractRespiratory distress syndrome remains a leading cause of neonatal mortality worldwide. This retrospective study describes practice patterns for respiratory distress syndrome in a resource-limited setting and seeks to identify both risk factors for mortality and beneficial treatment modalities. Health, demographic, and treatment data were collected. Potential associations were analyzed using univariable and multivariable logistic regression. Of 104 children included for analysis, 38 died. Although most children were initially treated with noninvasive respiratory support, 59 progressed to invasive ventilation. Requirement for invasive ventilation was associated with death. A clear trend toward improved survival in mechanically ventilated patients was seen with surfactant administration.

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