A Prospective study on outcome following mechanical ventilation among children in a tertiary care hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
Background: Mechanical ventilation (MV) in paediatric intensive care unit is a major therapeutic modality especially among children with respiratory distress and apnoea. Adequate sedation, frequent vitals monitoring, urine output are essential in titrating the ventilator settings to act in harmonious for the babies. Methods: In total, thirty one children of age less than twelve years and greater than a year of age requiring MV comprised the study group. Pressure controlled ventilation was done initially among all the patients. Then the children were weaned to synchronized intermittent mechanical ventilation, continuous positive airway pressure and extubation done following trial of T-piece. Results: The mean duration of mechanical ventilation was 3.65±1.64 with range from seven to one day/s.Two patients were expired on the first day of mechanical ventilation due refractory disseminated intravascular coagulation following drowning (n=3). Discussion: Ventilator associated pneumonia, multiple organ failure, septic shock, cardiovascular insufficiency and gastrointestinal bleeding occurs frequently following MV. The frequency of these complications is lower among children under low volume and pressure settings. Conclusion: The point prevalence of ventilator associated pneumonia was 19.35 seen in bronchiolitis (n=4) and refractory seizure (n=2). Relatively poor outcome is seen among children under MV when done for apnoea and hypoxemia.
Authors and Affiliations
Dr D. Sankari
Keywords
Related Articles
- EP ID EP489990
- DOI -
- Views 69
- Downloads 0
Clinical Outcome of Tibial Fractures treated by using Locking Plates as Fixator
Tibial fractures with compromised soft tissue envelop May lead to significant complications and optimal management of these injuries is still controversial. The use of a locking plate as an external fixator appears to be...
The Relationship of Pregnant Women Knowledge on Iron Deficiency and The Role of Family in Boosting Compliance toward Consuming Ferrum Tablets
Background: Increased energy and nutrients are needed for the growth and development of the fetus. If the levels of iron in the body of pregnant women are less, then there will be a condition called anemia.The purpose of...
An Evaluation of the Needs among Differently Abled Population
Objectives: The study evaluated the needs of the differently-abled population from the society, the government on their problems on jobs placement and the perception of their physical challenges, Kanchipuram District, So...
Role of αB Crystallin on Serum Amyloid A Fibrils with Systemic Amyloidotic Mice Liver
AlphaB-Crystallin is one of the heat shock proteins and its Chaperonic activity is well established. alphaBCrystallin forms complexes with denaturing proteins thereby preventing their uncontrolled aggregation. Chaperonin...
Screening for Depression among Adolescents using Child Adolescent Psychiatric Screening (CAPS) Tool
Depression is one of the most important mental health problems among adolescents. A cross sectional study was conducted in a government school of Pathanamthitta district. The study population was adolescent students stud...