El objetivo de este trabajo fue evaluar la calidad de atención técnica e interpersonal en el manejo de la taquipnea transitoria del recién nacido (TTRN) de. RESULTADOS: Taquipnea transitoria, insuficiencia respiratoria no especificada y síndrome Epub Nov . Evaluación de la calidad de la atención de la taquipnea transitoria en recién nacidos afiliados al Seguro Médico Siglo XXI. Bog Den legende organisation Ann Charlotte Thorsted epub .. libro TAQUIPNEA TRANSITORIA DEL RECIEN NACIDO (CIENCIAS SANITARIAS) RAFAEL.
|Language:||English, German, Hindi|
|Genre:||Health & Fitness|
|ePub File Size:||28.38 MB|
|PDF File Size:||14.85 MB|
|Distribution:||Free* [*Registration Required]|
El adecuado manejo respiratorio del recién nacido prematuro a Epub Jul 5. Taquipnea Transitoria del Recién nacido e Hipertensión pulmonar. De los 35 recién nacidos que ingresaron a unidad de cuidados La incidencia de taquipnea transitoria) fue de 0,04 en el grupo control y. Taquipnea Transitoria del Recién Nacido · Taquipnea transitoria del recién nacido . Oil and the Future of a Continent, Revised and Updated Edition [ E.P.U.B].
Caesarean delivery after a previous caesarean section is considered the main cause for the increase in the number of these deliveries 4 ; the study by Nir et al. Pregnant women request this procedure for these additional reasons. The results of most studies show that neonatal morbidity starts to decrease sometime between 39 and 41 weeks of gestation.
Only the studies done by Yee et al.
Some obstetricians justify performing caesarean deliveries at term but before 39 weeks of gestation as a means to prevent a greater number of stillbirths. After two years, all the variables under study were measured again, showing a significant decrease both in the rate of elective deliveries in that period and in the rate of admission to neonatal intensive care units, with no significant difference in the stillbirth rate.
We should note that the greater decrease in the number of induced deliveries in ETNBs was observed in the centres that adopted the most stringent control measures.
However, further randomised clinical trials with a sufficiently large population-based sample must be conducted to have strong evidence for these conclusions. Likewise, no decrease in maternal morbidity has been observed when mothers are delivered prior to 39 weeks. And while maternal morbidity is one of the reasons for performing caesarean deliveries, in most instances there is no significant reduction in morbidity as a result of delivering before 39 weeks.
An increase in the length of hospital stay has been observed, but it is considered to be influenced by the increase in the hospital stay of the newborn. The main type of morbidity associated to early-term delivery is respiratory morbidity.
TAQUIPNEA TRANSITORIA DEL RECIEN NACIDO PDF
This is explained in part by the relative immaturity involved in elective delivery, and partly by caesarean section deliveries in which fewer catecholamines and cortisol — compounds that contribute to lower production and increased clearance of lung fluid — are released during labour. Collection of information An ad hoc tool was generated for the collection of the information, which was given by trained personnel in the selected hospital departments.
The tool was evaluated in a pilot study to identify the feasibility of obtaining the information and ability to manage the tool. Statistical analysis The information was analyzed using descriptive analysis. The analysis was performed using the statistical package Stata 8.
Table 1 shows the characteristics of the mother and the prenatal history. It is observed that young mothers who were housewives with an average age of 25 years predominated.
Also, half of the mothers had some complication during pregnancy. Table 2 describes the characteristics of the newborn. The majority were males. The average gestational age was 37 weeks and a high percentage of newborns In most cases the transfer was done between the day of birth and 6 days later.
The majority were transferred via ambulance For the TTN quality of care indicators, the following results were obtained. The request for basic diagnostic studies chest x-ray, blood count and pulse oximetry was done in a high percentage of the cases with the exception of arterial blood gases Discussion The results observed for the indicators for prevention, diagnosis and treatment allow us to consider that a large part of the cases of patients with TTN received appropriate treatment, although some required transfer to another hospital, possibly due to complications.
The mothers presented some of the risk factors mentioned in the literature such as being primigravida, having some chronic disease asthma13,14 or diabetes15 , having had complications during pregnancy and giving birth via cesarean section. The increase in the number of cesarean births has multiple consequences, among these TTN because fetal lungs are filled with fluid that needs to be absorbed rapidly to allow gaseous exchange.
Cesarean birth, on the other hand, reduces the risk of neonatal asphyxia, trauma and meconium aspiration and, on the other hand, increases the risk of respiratory distress secondary to TTN, surfactant deficiency and pulmonary hypertension. Management of these cases should be geared towards appropriate respiratory support to facilitate respiratory transition and reduce the possibility of complications. It is advisable to delve into focused studies to determine the long-term impact of the shortness of breath that occurs in premature newborns.
The case initially believed to be TTN may have progressed towards another respiratory complication because the transfer was carried out between 0 and 6 days and TTN is a self-limiting condition within a period of 72 h.
This indicates the need to perform a differential diagnosis with other respiratory problems of the newborn such as sepsis, pneumonia and respiratory distress syndrome. The indicators for prevention form part of the routine information recorded in the clinical file, which reflects that there is knowledge of these factors. However, the risk factor of rushed labor was not satisfactorily recorded. In the large part of cases, the diagnostic indicators such as a search for tachypnea, nasal flaring and respiratory grunting allow for clinically establishing the degree of severity of the respiratory failure and establish the differential diagnosis with other diseases such as respiratory distress syndrome or meconium aspiration syndrome.
In the cases with TTN, it is important to observe that it is spontaneously resolved. The indicators of laboratory studies, in this case complete blood count, could provide guidance for ruling out stress or infection leukocytosis or bands , bacterial infection neutropenia , anemia low hemoglobin and sepsis thrombocytopenia. The request for a chest x-ray allows for ruling out abnormalities in the lungs and pulse oximetry helps in deciding if oxygen is required.
Treatment indicators that were selected for evaluating the quality of care were basically monitoring and support of respiratory function. Treatment of TTN is support because this disease is usually self-limiting. From the clinical point of view, TTN begins early and the patient improves with time as opposed to other respiratory disorders of the newborn such as sepsis or pneumonia, which begin late, whereas respiratory distress syndrome begins early in the premature newborn but its evolution is not towards spontaneous improvement.
It is possible that newborns requiring parenteral solutions and feeding with an orogastric tube had more serious conditions.
The study was based on a sample of medical records which, in a way, limits the validity of the results because the records may lack the necessary information for the purpose of interest of evaluation or of investigation. In the present study the information available in the clinical record did not allow for a differential diagnosis of TTN with other respiratory diseases of the newborn.
The information also was limited with reference to the clinical history and the types of complications that the mother experienced during pregnancy were not appropriately documented. It is recommended to continue with studies focused on developing reliable and valid measures of quality to provide information that help in decision making and the improvement of the performance of neonatology services.
Prevention, diagnosis and treatment indicators allowed identification that most cases with TTN received appropriate treatment. However, it is recommended to develop effective strategies to prevent TTN and to increase efforts to reduce the increasing rate of births by caesarean section. It is also reasonable to develop strategies to improve recording of data in the clinical file and continue efforts to regularly assess the quality of care through indicators.
Ethical disclosures Protection of human and animal subjects.Management of these cases should be geared towards appropriate respiratory support to facilitate respiratory transition and reduce the possibility of complications. It has also been mentioned that there is genetic predisposition of beta adrenergic hyposensitivity.
Only the studies done by Yee et al. Medicina veterinaria Enfermedades de los animales. Table 1 shows the characteristics of the mother and the prenatal history.
- AT GRAVES END EPUB
- THIRTEEN REASONS WHY EPUB
- CANDY KEVIN BROOKS EPUB
- SARA SEFCHOVICH DEMASIADO AMOR EPUB DOWNLOAD
- DAMAGED GOODS LAUREN GALLAGHER EPUB
- BROWN - RESPONSIVE WORDPRESS THEME FOR EBOOK
- BHARADWAJA SAMHITA PDF
- COMPUTER REPAIRING COURSE IN HINDI PDF
- BOOK OF LIFE SOUNDTRACK I LOVE YOU TOO MUCH
- THE RETURN SHADOW SOULS PDF
- VAMPIRE DIARIES UNMASKED PDF
- ABDOMINAL X RAY MADE EASY EBOOK