Estudio comparativo de la asitencia rspiratoria con ventilación mecánica bajo sedación y sin esta, en los neonatos ingresados en los hospitales del IESS - Loja e IESS - Ibarra, durante el lapso enero-junio de 2015.

The general objective is to "determine the response of infants who require mechanical ventilation under sedation without using this, in newborns admitted to the Hospital of IESS - Loja and IESS - Ibarra, during the period January-June 2015 "specific objectives: To determine the response to the study of the non-application of sedation in mechanically ventilated neonates admitted to the neonatology area in IESS-Ibarra Hospital; Determine response to studying the application of sedation in mechanically ventilated neonates admitted to the neonatology area in the IESS-Loja Hospital; Set comparing the response that presents the newborns against mechanical ventilatory assistance without sedation. With a sample of 40 newborns with an average of 33 weeks gestational age at which 14 are entered in the area of neonatology Hospital IESS-Loja, 50% were females and 50% males and IESS Ibarra 26 neonates 57.69% female and 42.31% male. 50% and 53.85% in both hospitals had hyaline membrane Grave, with 28.57% and 11.54% hyaline membrane Leve, the time of admission having to stay by an average of nine days or more in the Hospital Loja IESS instead on an average of 1 -2 days in hospital IESS Ibarra Similarly mechanical ventilation and sedation children were fed by an average of 3-4 days, without sedation on average 1-2 days and rapid weaning from mechanical ventilation reducing the economic costs produced by this treatment. Ie the survival of infants receiving mechanical ventilation was found to increase the risk of pneumonia and other infections as complications of bronchopulmonary dysplasia and pulmonary hemorrhage from the 8th., Day, however children who left on a ventilator average of three days have higher survival and fewer complications. Keywords: sedation, neonatology, sam, mechanical ventilation, newborn. The methods used were the descriptive - comparative, prospective qualitative and quantitative type were analyzed using the techniques of descriptive statistics, ie distribution boards frequencies, percentages will be implemented, allowing a presentation simple and orderly manner, in the same way bar charts were used, which allow a broader view of the results obtained. At the end concluded that newborns without sedation receiving mechanical ventilation in an average of 1-2 days and those who receive sedation by an average of 9 or more days. Which it is recommended to comply with the protocols on the application or not sedation in neonates requiring mechanical ventilation and thus have a better prognosis for the newborn.

• 1. Verfasser: González Vilela, Omar Bolívar (author)
• Format: masterThesis
• Sprache: spa
• Veröffentlicht: 2015
• Schlagworte: PREMATUREZ; MEMBRANA HILIANA
• Online Zugang: http://dspace.unl.edu.ec/jspui/handle/123456789/18912