三级儿科重症监护病房重症儿童机械通气不良事件的发生率。

IF 0.8 Q4 RESPIRATORY SYSTEM
Capan Konca, Mehmet Tekin, Ahmet Kucuk
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引用次数: 0

摘要

目的:尽管临床使用机械通气的益处已得到充分证实,但它也可能与并发症和不良生理影响有关,从而影响死亡率。有关儿童机械通气相关并发症及并发症相关因素的详细研究很少。本研究旨在调查儿童患者机械通气相关的不良事件,并比较机械通气相关并发症的流行病学:对2013年1月1日至2017年7月31日期间在一家三级医院儿科重症监护室接受机械通气的患者的病历进行评估:研究共纳入187名患者,其中男孩105名(56.1%),女孩82名(43.9%),45名(24.1%)患者出现并发症。机械通气总天数为 1100 天。最常见的并发症是气胸(12.3%)、拔管后喘鸣(8.5%)、呼吸机相关肺炎(5.4%)和气胸(5.4%):结论:机械通气的并发症在儿科患者中仍时有发生。结论:机械通气并发症在儿科人群中仍时有发生,本研究中,肺不张的发生率较高,而呼吸机相关肺炎和气胸的发生率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit.

Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit.

Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit.

Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit.

Objective: Despite the clinical use of mechanical ventilation having well-documented benefits, it can be associated with complica- tions and adverse physiological effects that can impact mortality rates. There are few studies that examine complications associated with mechanical ventilation in children and the factors associated with complications in detail. This study aimed to investigate adverse events associated with mechanical ventilation in pediatric patients and to compare the epidemiology of complications associated with mechanical ventilation.

Material and methods: The medical records of patients in a tertiary care pediatric intensive care unit who were mechanically ventilated between January 1, 2013, and July 31, 2017, were evaluated.

Results: A total of 187 patients were included in the study, 105 boys (56.1%) and 82 girls (43.9%), and 45 (24.1%) patients experienced complications. The total number of mechanical ventilation days was 1100. Atelectasis (12.3%), post-extubation stridor (8.5%), ventilator- associated pneumonia (5.4%), and pneumothorax (5.4%) were most commonly observed complications.

Conclusion: Complications of mechanical ventilation in the pediatric population still occur frequently. In this study, the incidence of atelectasis was high, and also, incidences of ventilator-associated pneumonia and pneumothorax were low.

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来源期刊
Turkish Thoracic Journal
Turkish Thoracic Journal Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.40
自引率
11.10%
发文量
2
期刊介绍: Turkish Thoracic Journal (Turk Thorac J) is the double-blind, peer-reviewed, open access, international publication organ of Turkish Thoracic Society. The journal is a quarterly publication, published on January, April, July, and October and its publication language is English. Turkish Thoracic Journal started its publication life following the merger of two journals which were published under the titles “Turkish Respiratory Journal” and “Toraks Journal” until 2007. Archives of both journals were passed on to the Turkish Thoracic Journal. The aim of the journal is to convey scientific developments and to create a dynamic discussion platform about pulmonary diseases. With this intent, the journal accepts articles from all related scientific areas that address adult and pediatric pulmonary diseases, as well as thoracic imaging, environmental and occupational disorders, intensive care, sleep disorders and thoracic surgery. Clinical and research articles, reviews, statements of agreement or disagreement on controversial issues, national and international consensus reports, abstracts and comments of important international articles, interesting case reports, writings related to clinical and practical applications, letters to the editor, and editorials are accepted.
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