BACKGROUND AND OBJECTIVE Newborns are at the highest risk of dying around the time of birth, due to intrapartum-related complications. Our study's objective was to improve adherence to the Helping Babies Breathe (HBB) neonatal resuscitation protocol and reduce perinatal mortality by using a quality improvement cycle (QIC) in a tertiary hospital in Nepal. METHODS The HBB QIC was implemented th...

background endotracheal suctioning is a necessary procedure practiced by nurses in intensive care units to remove lung secretions. this procedure leads to higher oxygenation levels and reduced breathing difficulties. it also prevents atelectasis, pulmonary infections, and the accumulation of secretions. objectives the present study aims to compare the effectiveness of open and closed endotrache...

493 ropharyngeal teratomas are rare congenital tumors with an estimated incidence of one in 35,000 to one in 200,000 live births [1]. We present a case of an oropharyngeal teratoma identified by an elevated level of maternal serum α -fetoprotein at 16 weeks with sonographic diagnosis at that time. The tumor was bilobed; it originated in the oropharynx and protruded through a distended jaw into ...

BACKGROUND Clearing the endotracheal tube through suctioning should be done to promote oxygenation. Depth of suctioning is one of the variables in this regard. In shallow suctioning method, the catheter passes to the tip of the endotracheal tube, and in deep suctioning method, it passes beyond the tip into the trachea or brunches. This study aimed to evaluate the effect of shallow and deep suct...

BACKGROUND The aim of this study was to compare changes in pain, oxygenation, and ventilation following endotracheal suctioning with open and closed suctioning systems in post coronary artery bypass grafting (CABG) patients. MATERIALS AND METHODS 130 post CABG mechanically ventilated patients were randomly allocated to undergo either open (n = 75) or closed (n = 55) endotracheal suctioning fo...

The presence of meconium is associated with a higher incidence of abnormal labor, fetal distress, low apgar scores and delivery by cesarean section.1 It has been estimated that as many as 8 to 16% of pregnancies may be complicated by the presence of meconium in amniotic fluid.2 Meconium aspiration may occur antepartum or intrapartum. Meconium aspiration syndrome develops when there is mechanica...

BACKGROUND Closed endotracheal suctioning during mechanical ventilation is increasingly used, but its impact on ventilator function has not been fully studied. METHODS We evaluated the impact of closed suctioning with 11 critical-care ventilators, during assisted ventilation in pressure-support mode, pressure-assist/control mode, volume-assist/control mode, and during continuous positive airw...

Aim. This study was aimed at comparing the effects of the open and closed suctioning techniques on the arterial blood gas values in patients undergoing open-heart surgery. Methods. In a clinical trial, we recruited 42 patients after open-heart surgery in an educational hospital. Each patient randomly underwent both open and closed suctioning. ABGs, PaO2, SaO2, PaCO2, were analyzed before and on...