TREATMENT FEATURES OF SEVERE RESPIRATORY FAILURE IN NEWBORNS OF 37 WEEKS GESTATIONAL AGE

Abstract

The aim is to determine the clinical features of intensive care of severe respiratory failure in newborns of 37 weeks gestational age.Research methods: retrospective, controlled, non-randomized, single-center study. 630 patients met the inclusion and exclusion criteria. 7 (1.1%) children died. Patients depending on the gestational age (GA) were divided into two groups. Main group (n= 279) consisted of newborns with a GA of 37 weeks. Comparison group (n= 361) included newborns with GA of 34-36 weeks. Statistical processing was carried out on the basis of the statistical program «BioStat». Results . Patients of the main group had initially higher pressure in the right ventricle (p<00,5), noninvasive ventilator was used more often (χ2=4.23, p=0.05), cardiotonics and antibiotics were used less often (p<00,5), but there was a higher incidence of pulmonary bleeding (χ2 =9.608: p= 0.02),Conclusion. The peculiarity of intensive care of severe respiratory failure of newborns with a gestational age of 37 weeks is the more frequent use of non-invasive ventilation and the absence of the need for obligate prescribing of antibiotics and cardiotonics.