National Women's Annual Clinical Report 2010
National Women's Annual Clinical Report 2010
National Women's Annual Clinical Report 2010
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9.4.8 Trends in the use of assisted ventilation among all infants born in NW. (>24<br />
weeks gestation)<br />
240<br />
200<br />
160<br />
120<br />
80<br />
40<br />
0<br />
24-25 26-27 28-29 30-31 32-36 >36<br />
1995<br />
1996<br />
1997<br />
1998<br />
1999<br />
2000<br />
2001<br />
2002<br />
2003<br />
2004<br />
2005<br />
2006<br />
2007<br />
2008<br />
2009<br />
<strong>2010</strong><br />
Figure 97: Number on IPPV<br />
440<br />
400<br />
360<br />
320<br />
280<br />
240<br />
200<br />
160<br />
120<br />
80<br />
40<br />
0<br />
24-25 26-27 28-29 30-31 32-36 >36<br />
1995<br />
1996<br />
1997<br />
1998<br />
1999<br />
2000<br />
2001<br />
2002<br />
2003<br />
2004<br />
2005<br />
2006<br />
2007<br />
2008<br />
2009<br />
<strong>2010</strong><br />
Figure 98: Number on CPAP<br />
480<br />
440<br />
400<br />
360<br />
320<br />
280<br />
240<br />
200<br />
160<br />
120<br />
80<br />
40<br />
0<br />
24-25 26-27 28-29 30-31 32-36 >36<br />
1995<br />
1996<br />
1997<br />
1998<br />
1999<br />
2000<br />
2001<br />
2002<br />
2003<br />
2004<br />
2005<br />
2006<br />
2007<br />
2008<br />
2009<br />
<strong>2010</strong><br />
Figure 99: Number on CPAP + IPPV<br />
137<br />
These figures show the number of babies<br />
requiring respiratory support at ACH over<br />
the last 14 years. For <strong>2010</strong> there was an<br />
increase in ventilation, which has been a<br />
trend since 2006 and reflects work load<br />
acuity.<br />
The effect of introducing double shortpronged<br />
Hudson® CPAP in 1997 is clear<br />
with a reduction in number receiving<br />
intubation and assisted ventilation.<br />
Head-box oxygen administration was also<br />
phased out and all babies requiring<br />
oxygen were placed on CPAP. There was<br />
a concomitant increase in the use of<br />
CPAP, particularly in babies from 32-36<br />
weeks gestation.<br />
From 2011 we will also report data on the<br />
use of High Flow Humidified Air / Oxygen,<br />
which has been introduced as a method of<br />
weaning infants from CPAP. Some units<br />
use this as mode of primary respiratory<br />
support but at present the ACH NICU only<br />
utilise it for weaning. Note also that at<br />
present ACH does not use any method of<br />
non invasive ventilation such as Nasal<br />
IPPV.
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