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2017, Number 1

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Rev Cub Med Int Emerg 2017; 16 (1)

Behaviour of mechanical ventilation in a paediatric intensive care

Moldes AM, Prado SLA, González RM, Sánchez CN, Díaz OY, Fuentes AMR

Language: Spanish
References: 18
Page: 67-75
PDF size: 319.41 Kb.


ABSTRACT

Introduction: mechanical ventilation is the process which allows the gas movement to and from the lungs through external equipment connected to the patient directly.
Objective: to describe the behaviour of clinic variables in patients who need mechanical ventilation.
Methodology: a retrospective trial in patients admitted at the Paediatric Intensive Care Unit of the Teaching Hospital “Eliseo Noel Caamaño” in Matanzas during the year 2014 was carried out, 232 patients admitted to the service were universe of this trial and 36 children who needed mechanical ventilation were the sample, the sources of information were both the medical records and the register book of the service. Data were organized and tabulated manually and presented graphically by tables, absolute and relative frequencies were used by percentages.
Results: 15.5% of children admitted received mechanical ventilation, 33.4% infants less than one year old and 55.5% males were the most ventilated patients, 83.3% were admitted of the emergency room, only 6 cases (16,7 %) were classified as high dying risk based on the PRISM (Probability Risk Infant Score Mortality). The mostly ventilated cases were the respiratory diseases with 25 %, the principal complication was atelectasis with a 37 %, 61.2% of the patients received mechanical ventilation treatment for more than 48 hours and 27.8% of the ventilated patients died.
Conclusions: treatment with mechanical ventilation was for more than 48 hours, discharged alive the highest percentage of ventilated patients.


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