Clinical Profile and Outcome of Mechanically Ventilated Children in a Pediatric Intensive Care Unit Surabaya
Downloads
Introduction: Ventilator is used as one of the most frequent life-supportive technology in Pediatric Intensive Care Unit (PICU). There are only few studies from Asian Countries, especially Indonesia regarding the use of ventilator in PICU. The aim of this study was to describe the demographic, indications, length of use, complication, and outcome of patients with ventilator in PICU Dr.Soetomo Hospital, Surabaya.
Methods: This is a descriptive study. Collecting data was done retrospectively using medical records of patients using ventilator in PICU Dr. Soetomo General Hospital from January-December 2017 . Statistical analysed was performed using Microsoft Excel 2016.
Results: 59 patients met the inclusion criteria. Of the 59 patients, 34 (57.63%) were female and 27 (45.76%) were infant (1-12 months). Common indication of ventilator were status epilepticus and shock that happened in 17 (28.81%) patients. 44 (74.58%) patient was using ventilator >48 hours. There are only 4 (6.78%) of 59 patients that happened to had Ventilator Associated Pneumonia (VAP) as a complication of using ventilator. Mortality occurred in 40 (67.80%) patients and mostly happened in female (60%) and infant (50%). Mortality occurred in 10 (90%) of 11 patients with cardiac failure as the indication of ventilator and in 11 (73.33%) patients who used ventilator ≤48 hours.
Conclusion: Status epilepticus and shock was the most common reason for ventilation. Incidence of VAP as the complication of ventilator is relatively low. Relatively high mortality found in age group infants, patients with cardiac failure as indication of ventilator and in patient with short duration use of ventilator.
Mesiano G and Davis GM. Ventilatory Strategies in the Neonatal and Paediatric Intensive Care Units. Paediatric Respiratory Reviews. 2008; 9: 281-9.
Popat B and Jones AT. Invasive and Non-Invasive Mechanical Ventilation. Medicine. 2012; 40: 298-304.
Farias JA, Frutos F, Esteban A, et al. What is the Daily Practice of Mechanical Ventilation in Pediatric Intensive Care Units? A Multicenter Study. Intensive Care Medicine. 2004; 30: 918-25.
Wolfler A, Calderoni E, Ottonello G, et al. Daily Practice of Mechanical Ventilation in Italian Pediatric Intensive Care Units: A Prospective Survey*. Pediatric Critical Care Medicine. 2011; 12: 141-6.
Randolph AG, Meert KL, O'Neil ME, et al. The Feasibility of Conducting Clinical Trials in Infants and Children with Acute Respiratory Failure. American Journal of Respiratory and Critical Care Medicine. 2003; 167: 1334-40.
(RIFASKES) RFK. Laporan Akhir Riset Fasilitas Kesehatan Rumah Sakit 2011. Jakarta: Kementerian Kesehatan Republik Indonesia, 2012.
Silva DC, Shibata AR, Farias JA and Troster EJ. How is Mechanical Ventilation Employed in a Pediatric Intensive Care Unit in Brazil? Clinics (Sao Paulo, Brazil). 2009; 64: 1161-6.
Organization WH. Indonesia: WHO Statistical Profile. Geneva: World Health Organization, 2015.
Malisie RF. Kegawatan Respirasi pada Anak. In: Pudjiadi AH, Latief A and Budiwardhana N, (eds.). Buku Ajar Pediatri Gawat Darurat. Jakarta: Ikatan Dokter Anak Indonesia, 2011, p. 73-4.
Mukhtar B, Siddiqui NR and Haque A. Clinical Characteristics and Immediate-Outcome of Children Mechanically Ventilated in PICU of Pakistan. Pakistan journal of medical sciences. 2014; 30: 927-30.
Begum A, Shashikala and Kumar S. A Prospective Study on Clinical Profile and Outcome of Ventilated Children in a Pediatric Intensive Care Unit of a Tertiary Care Teaching Hospital, Telangana. The International Organization of Scientific Research Journal of Dental and Medical Sciences (IOSR-JDMS). 2016; 15: 13-7.
Bhori NS, Ghate SV and Chhajed PS. A Study of Mechanical Ventilation in Children. 2017. 2017; 4: 5.
Simon AK, Hollander GA and McMichael A. Evolution of the Immune System in Humans from Infancy to Old Age. Proceedings of the Royal Society B: Biological Sciences. 2015; 282: 20143085.
Meligy BS, Kamal S and El Sherbini SA. Mechanical Ventilation Practice in Egyptian Pediatric Intensive Care Units. Electronic Physician. 2017; 9: 4370-7.
Edwards JD, Kun SS, Keens TG, Khemani RG and Moromisato DY. Children with Corrected or Palliated Congenital Heart Disease on Home Mechanical Ventilation. Pediatric Pulmonology. 2010; 45: 645-9.
Anitha GFS, Lakshmi S, Shanthi S, Darlington CD and Vinoth S. Clinical Profile of Children Mechanically Ventilated in a Pediatric Intensive Care Unit of a Limited Resource Setting. 2016. 2016; 3: 4.
Srinivasan R, Asselin J, Gildengorin G, Wiener-Kronish J and Flori HR. A Prospective Study of Ventilator-Associated Pneumonia in Children. Pediatrics. 2009; 123: 1108-15.
Casado RJ, de Mello MJ, de Aragí£o RC, de Albuquerque Mde F and Correia JB. Incidence and Risk Factors for Health Care-Associated Pneumonia in a Pediatric Intensive Care Unit. Critical Care Medicine. 2011; 39: 1968-73.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
