UPDATE EVALUATION OF MECHANICAL VENTILATION IN PICU OF ZAGAZIG UNIVERSITY CHILDREN HOSPITAL

Abstract

Background;Mechanical ventilation can be lifesaving, but > 50% of complications in conditions that
require intensive care are related to ventilatory support, particularly if it is prolonged. The aim of the
present study to assess the pattern of MV in PICU, indication, course, length of stay on MV, mode of
weaning, complication and the use of non-invasive after MV. Patients and methods: This study is an
Observational (Cohort prospective) study, was conducted on 74 patients in PICU in Pediatric Hospital
,Faculty of Medicine, Zagazig University, all patients are intubated and connected on mechanical
ventilators, all patients underwent a thorough medical history examination,(Patients' data) were
collected including demographic data as age and sex, diagnosis, reason for initiation of MV, length of
stay on MV from the time of initiation to the time of liberation, mode of MV used upon its initiation,
complications, and methods of weaning. Result:There was duration of ventilation significantly higher
among bad outcome children but there was no significant relation between outcome and inotropes, also
a significant number of preventable adverse events, especially atelectasis and ventilator associated
pneumonia. Conclusion:The results of the present study show a significant number of preventable
adverse events, especially atelectasis and ventilator associated pneumonia. The higher frequency of
these events is associated with longer hospitalization