Identification of the severity and use of interventions in neonates with perinatal asphyxia

Abstract

Objective: to identify the severity and the use of interventions in neonates with perinatal asphyxia. Methods: this is a documentary study carried out with 48 records of newborns with perinatal asphyxia in the Neonatal Intensive Care Unit, based on the neonatal therapeutic intervention score system. Data were analyzed using descriptive and inferential statistics. Results: preterm newborns presented complications such as presumed neonatal infection (63.2%), respiratory failure (59.1%), sepsis (38.7%) and seizure (39.7%). During hospitalization, 35.4% of them died. The most used interventions were transport and vital signs (100.0%), thermoregulated environment (97.9%), invasive mechanical ventilation (91.6%), antibiotics (77.0%), intubation (75.0%), phlebotomy (72.9%) and central venous catheter (68.7%). Conclusion: the mean score of the Neonatal Therapeutic Intervention Scoring System was 19.9, with statistically different means verified between the categories of variables Duration of hospitalization, Clinical outcome and Mother’s education.

Keywords

• neonatal nursing; intensive care units
• neonatal; asphyxia neonatorum; neonatology.