Clinical Characteristics and Immediate-Outcome of Children Mechanically Ventilated in PICU of Pakistan

• DOI: 10.12669/pjms.305.5159
• Publication Date: 2014-07-09T01:02:02Z
• Authors: Anwar Haque; Beenish Mukhtar; Naveed U Siddiqui
• Keywords: Atelectasis

Back ground and Objective: Mechanical Ventilation (MV) is frequently used as one of the most frequent life-supportive technology in Pediatric Intensive Care Units (PICUs). Very little data available from Asian countries like Pakistan regarding use MV PICUs. Our objective was to assess frequency, indications immediate-outcomes mechanically ventilated pediatric patients tertiary-care center developing country.Retrospective cohort study critically ill admitted PICU Aga Khan University Hospital, who required for more than 24-hour over two-year period.A total 605 were PICU, 307 (50.7%) support >24hr. The median age 3 years (IQR 6 month yr 2 months), male 59.6% (183/307). Common neurological illness 35.8%, followed by respiratory diseases 20.8% cardiac 13%; 30.3 % other reasons. length 2.1 days. 9.4% developed complications atelectasis (4.6%) common. mortality rate children 30.3% compared overall 16.3%. long duration (> 10 days) cardiogenic shock identified independent risk factor associated with increased mortality.About half admission mechanical ventilation 24 hours. common reason ventilation. low incidence complication relatively high cases noted our cohort.