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Das, L.
- Ventilator Parameters Predicting the Outcome of Respiratory Distress in Neonate
Authors
1 Department of Paediatric, SVPPGIP & SCB Medical College, Cuttack-2, Odisha, IN
2 Sardar Vallabh Bhai Patel Post Graduate Institute of Paediatrics (SVPPGIP) and SCB Medical College, Cuttack, Odisha, IN
Source
The Indian Practitioner, Vol 67, No 9 (2014), Pagination: 548-552Abstract
Respiratory distress (RD) is one of the major causes of morbidity and mortality in neonates. The prospective study was conducted in all neonates with RD, admitted to the neonatal unit over a period of two years. The clinical profile, aetiology and outcome were studied and relevant investigations were conducted in all the cases. Out of 269 neonates admitted with RD, 59.85% had pneumonia. The overall mortality was 23.05%. The outcome was correlated with the aetiology, clinical presentation, oxygen requirements and ventilator support. A higher A-ADO2, a lower pH, early age of onset of respiratory distress, higher initial FiO2 required to keep SpO2 > 90% and a high respiratory index were all significant predictors of mortality.Keywords
Respiratory Distress, Neonate.
- Snake Bite in Children-Perspectives From a Tertiary Care Referral Hospital in Odisha
Authors
1 Sardar Vallav Bhai Patel Post Graduate Institute (SVPPGI) of Pediatrics and S.C.B Medical College, Cuttack-753002, Odisha, IN
2 Department of Pediatrics,Sardar Vallav Bhai Patel Post Graduate Institute (SVPPGI) of Pediatrics and S.C.B. Medical College, Cuttack-753002, Odisha, IN
Source
The Indian Practitioner, Vol 67, No 3 (2014), Pagination: 161-166Abstract
Objectives: The present study is designed to evaluate the different symptomatology of snake bites so as to institute proper timely treatment and reduction of mortality and morbidity due to it.
Methods: A prospective study was done among all the children admitted to the referral hospital with suspected snake bite from January 2010 to April 2012. The different signs and symptoms were evaluated and correlated with treatment modalities and outcome.
Results: The mainstay of the treatment was the polyvalent antivenin which should be administered preferably within one hour of the snake bite. The earlier the administration the more is the effect of ASV. Clot quality test is very simple, low cost, and easy bed side test which can help in the diagnosis of Viper envenomation and also helps in monitoring of the ASV treatment. Thereby reducing the mortality and morbidity particularly renal failures to a great extent.
Conclusion: Early diagnosis of a suspected snake bite and timely institution of the proper antivenins and other supportive measures can reduce the mortality and morbidity to great extent.