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Biomedical subjects

S R Daga

Publications and source records attributed to S R Daga.

At least 37 records · Page 2Linked to original sources
PubMed1998

A warm touch improves oxygenation in newborn babies.

Oxygen saturation was studied in eight newborn babies, seven preterm and one term, with and without caressing by the mother while receiving gavage feeds. The babies were stable with regard to cardiorespiratory and neurological status. Four babies were still receiving head-box oxygen. The oxygen saturation levels were similar before feeds. However, the levels were significantly higher with caressing at 10, 20 and 30 min after the feed in babies not receiving oxygen and at 20 and 30 min after feeds in babies receiving oxygen.

Enteral Nutrition↗
PubMed1998

Special care for newborns at a community hospital: a 5-year experience.

A workable model for the special care of newborns has been developed at a community hospital in a predominantly tribal block. Adequate warmth, prompt resuscitation, proper feeding and oxygen administration, when necessary, formed the key interventions. This facility was developed with existing staff and infrastructure and with minimal material inputs. Neonatal survivals were 61.5% in the 1000-1500 g category and 92.5% in the 1520-2000 g category during a five year period. We believe that this model is both replicable and affordable. It has the potential for developing horizontal links with perinatal care and child survival programmes.

Female↗
PubMed1997

Basic care reduces neonatal hyperbilirubinaemia.

We studied the frequency of jaundice, bilirubin estimations, phototherapy administration and exchange transfusions performed at 5 year intervals (1981, 1986 and 1991) among babies admitted to special care unit and those managed in postnatal ward, showing a decline which was significant except for the number of exchange transfusions performed. The number of term babies with serum bilirubin > 15 mg/dl and preterm babies with serum bilirubin > 10 mg/dl also declined significantly without prophylactic phototherapy or pharmacotherapy.

Exchange Transfusion, Whole Blood↗
PubMed1996

Adequacy of solar energy to keep babies warm.

OBJECTIVE: Solar energy could be used as an alternate energy source for keeping neonates warm especially in tropical countries. The present study investigated the efficacy of solar powered room heating system. SETTING: Referral center for neonatal care. INTERVENTION: A fluid system heated by solar panels and circulated into a room was used to maintain room temperature. A servocontrolled heating device was used to regulate and maintain desired room temperature. MAIN OUTCOME MEASURES: Neonatal rectal temperature and room temperature. RESULT: Infants between 1750-2250 g were observed to require a mean room temperature of 32.5 degrees C to maintain normothermia. In 85 infants less than 1500 g, of the 5050 infant temperature records, only 3% showed a record less than 36 degrees C. CONCLUSIONS: Solar powered room heating is effective in maintaining infant temperature and is cost-effective as compared to the existing warming devices.

Humans↗
PubMed1995

Algorithm for managing a baby with dusky soles.

We have been using dusky colour of the sole in newborns as proxy to cyanosis. An algorithm for management of dusky soles was developed presupposing that a baby can have dusky soles due commonly to hypothermia, hypoxaemia, or hypotension in isolation or in combination. Fifty-one consecutive babies were managed according to a predetermined algorithm based largely on clinical signs. Forty babies were covered by these three broad groups and 37 of them could be managed successfully. Of the remaining babies two were found to have congenital malformations on autopsy and one died of hyperthermia. Algorithmic approach has simplified the management with low failure rate and can be useful when hi-tech neonatal care is unaffordable.

Algorithms↗
PubMed1995

The value of neonatal autopsies.

Autopsy was performed on 221 of the 223 neonatal deaths that occurred over a period of 3 years (1989-1991). Clinically active problems at the time of death were identified in a combined clinicopathological approach. Prematurity associated conditions accounted for 51 per cent of deaths. Autopsy alone gave the diagnosis in 22 per cent of cases, confirmed the clinically suspected diagnosis in 68 per cent of cases and in 9 per cent of cases it was non-contributory; 69 per cent of deaths were considered non-preventable in our centre.

Autopsy↗