GULHANE MEDICAL JOURNAL 2004 , Vol 46 , Issue 4
Retrospective Evaluation of Mechanical Ventilated Patients in Pediatric Intensive Care Unit
Dr. Tanıl KENDİRLİ, Dr. Emel DERELLİ, Dr. Halil ÖZDEMİR, Dr. Erdal İNCE
Ankara Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları ABD., Yoğun Bakım Ünitesi, ANKARA A retrospective study was undertaken of 30 mechanical ventilated patients admitted to the pediatric intensive care unit of Ankara University School of Medicine between January 2002-March 2003. Mechanical ventilated patients were 18.1% of all patients. Their ages were between 45 days and 16.5 years, mechanical ventilation time was between 6 hours and 217 days. Patients' indications of mechanical ventilation were respiratory failure (80%), circulation failure (10%), central nervous system disease and respiratory depression (10%). Complications were seen in 46% of mechanical ventilated patients. The percentages of each complication were: atelectasia 30%, ventilator associated pneumonia 23%, pneumothorax 13%. Mortality was seen in 13% of all patients, and 43% of mechanical ventilated patients. In conclusion, experienced personnel are needed to supervise the use of mechanical ventilation in pediatric intensive care units, and a team of well-trained nurses in the pediatric intensive care unit are essential to minimize complications. Keywords : Pediatric Intensive Care, Mechanical Ventilation, Complication