Treatment of tetanus neonatorum with muscle relaxants and intermittent positive-pressure ventilation.
نویسندگان
چکیده
Intermittent positive-pressure ventilation and muscle relaxants were first used in Cape Town in 1958 in an attempt to reduce the mortality from tetanus neonatorum, which was then over 90%. Problems of effective ventilation, of tracheostomy, and of infection in the neonate were gradually overcome so that between 1967 and 1972 the mortality in 186 cases was 21%. In a consecutive series of 97 cases the mortality was 10%.
منابع مشابه
Assisted respiration in the treatment of neonatal tetanus.
Conservative management of severe tetanus neonatorum is attended by a very high mortality (Tompkins, 1958; Wright, 1960a; Adams, Holloway, and Thambiran, 1964). Tracheostomy in addition to sedation has not been successful in preventing respiratory failure, which necessitated mechanical ventilation (IPPV) in about 90% of the patients described by Holloway (1967). Although IPPV has been shown to ...
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Background: Nasal intermittent positive pressure ventilation (NIPPV) is a non-invasive ventilatory mode, which delivers mechanical ventilation via nasal tubes or prongs. The present study was conducted to compare the efficacy of NIPPV and nasal continuous positive airway pressure ventilation (NCPAP) in reducing the need for intubation in preterm infants with respiratory distress syndrome (RDS)....
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ورودعنوان ژورنال:
- British medical journal
دوره 1 5901 شماره
صفحات -
تاریخ انتشار 1974