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العنوان
A five year registry study of mechanically ventilated patients admitted to critical care department,Faculty of Medicine, Cairo University /
الناشر
Mina Magdy Hanna Amin ,
المؤلف
Mina Magdy Hanna Amin
تاريخ النشر
2017
عدد الصفحات
162 P. :
الفهرس
يوجد فقط 14 صفحة متاحة للعرض العام

from 179

from 179

المستخلص

Objective: to evaluate mechanically ventilated patients focusing on epidemiological characteristics, ventilator modes, common settings used, length of ICU stay, duration of ventilation, weaning, complications and in hospital mortality. Methods: a retrospective cohort study involved 1081 patients admitted to critical care department, Cairo University and connected to mechanical ventilation in the period between January 2010 and December 2014. Results: median age was 55 years and 53% were females. Causes of ventilation were cardiac 41%, respiratory 31.9%, CNS 16.9% and sepsis and septic shock 9.4%. The most common mode of MV was VCV (61.8%) followed by NICPAP (15.4%), PCV (14.7%), PS-CPAP (8%) and BIPAP (0.1%). Highest PEEP was recorded in ARDS patients (8.22 ± 4.19cmH2o). Also the highest PEEP (Mean 5.15 ± 1.82 cmH20) in patients ventilated for respiratory problems and lowest (3.53±1.24) in sepsis and septic shock patients. Tidal volume was highest in patients ventilated for cardiac diseases (447.2±72.9 ml) and lowest in CNS causes (416.9 ± 88.4 ml). 20% of our patients were put on non-invasive mechanical ventilation .Weaning trials were done in 401 patients (37.1%), of which 68.8% were successfully weaned and 31.2% patients failed to be weaned. Duration of ventilation was 6.70 ± 10.98 days with median 3 days while Length of stay was 13.28 ± 15.25 days with median 8 days. There was a significant increase in duration of ventilation in patients ventilated with invasive mode (7.7 ± 11.5 days) compared to (4.6 ±7.9 days) for non-invasive mode. Complications of ventilation were VAP 14.8%, barotrauma 6.1%, cardiopulmonary arrest 2.8% and tracheo-oesophageal fistula 0.1%. tracheostomy was done in 7% of patients.. Mortality rate was 64.4% and was higher in patients with cardiac diseases 41.8% patients on VCV mode 77.5%, those with higher tidal volumes, higher FIO2 and lower PEEP levels. Also mortality rate was higher in invasive ventilation 72.2%