Mechanical ventilation in children

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. We retrospectively evaluated the medical records of patients who had mechanical ventilation in the Pediatric I...

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Main Authors: Tanil Kendirli, Asli Kavaz, Zahide Yalaki, Burcu Oztürk Hişmi, Emel Derelli, Erdal Ince
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2006-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2653
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author Tanil Kendirli
Asli Kavaz
Zahide Yalaki
Burcu Oztürk Hişmi
Emel Derelli
Erdal Ince
author_facet Tanil Kendirli
Asli Kavaz
Zahide Yalaki
Burcu Oztürk Hişmi
Emel Derelli
Erdal Ince
author_sort Tanil Kendirli
collection DOAJ
description 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. We retrospectively evaluated the medical records of patients who had mechanical ventilation in the Pediatric Intensive Care Unit (PICU) during a follow-up period between January 2002-May 2005. Medical records of 407 patients were reviewed. Ninety-one patients (22.3%) were treated with mechanical ventilation. Ages of all patients were between 1-180 (median: 8) months. The mechanical ventilation time was 18.8 +/- 14.1 days. Indication of mechanical ventilation could be divided into four groups as respiratory failure (64.8%), cardiovascular failure (19.7%), central nervous system disease (9.8%) and safety airway (5.4%). Tracheostomy was performed in four patients. The complication ratio of mechanically ventilated children was 42.8%, and diversity of complications was as follows: 26.3% atelectasia, 17.5% ventilator-associated pneumonia, 13.1% pneumothorax, 5.4% bleeding, 4.3% tracheal edema, and 2.1% chronic lung disease. The mortality rate of mechanically ventilated patients was 58.3%, but the overall mortality rate in the PICU was 12.2%. In conclusion, there are few published epidemiological data on the follow-up results and mortality in infants and children who are mechanically ventilated.
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spelling doaj-art-167708eecdb249ada82bbe7fe17cce842025-08-20T03:01:15ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212006-10-01484Mechanical ventilation in childrenTanil Kendirli0Asli KavazZahide YalakiBurcu Oztürk HişmiEmel DerelliErdal IncePediatric Intensive Care Unit, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey. 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. We retrospectively evaluated the medical records of patients who had mechanical ventilation in the Pediatric Intensive Care Unit (PICU) during a follow-up period between January 2002-May 2005. Medical records of 407 patients were reviewed. Ninety-one patients (22.3%) were treated with mechanical ventilation. Ages of all patients were between 1-180 (median: 8) months. The mechanical ventilation time was 18.8 +/- 14.1 days. Indication of mechanical ventilation could be divided into four groups as respiratory failure (64.8%), cardiovascular failure (19.7%), central nervous system disease (9.8%) and safety airway (5.4%). Tracheostomy was performed in four patients. The complication ratio of mechanically ventilated children was 42.8%, and diversity of complications was as follows: 26.3% atelectasia, 17.5% ventilator-associated pneumonia, 13.1% pneumothorax, 5.4% bleeding, 4.3% tracheal edema, and 2.1% chronic lung disease. The mortality rate of mechanically ventilated patients was 58.3%, but the overall mortality rate in the PICU was 12.2%. In conclusion, there are few published epidemiological data on the follow-up results and mortality in infants and children who are mechanically ventilated. https://turkjpediatr.org/article/view/2653
spellingShingle Tanil Kendirli
Asli Kavaz
Zahide Yalaki
Burcu Oztürk Hişmi
Emel Derelli
Erdal Ince
Mechanical ventilation in children
The Turkish Journal of Pediatrics
title Mechanical ventilation in children
title_full Mechanical ventilation in children
title_fullStr Mechanical ventilation in children
title_full_unstemmed Mechanical ventilation in children
title_short Mechanical ventilation in children
title_sort mechanical ventilation in children
url https://turkjpediatr.org/article/view/2653
work_keys_str_mv AT tanilkendirli mechanicalventilationinchildren
AT aslikavaz mechanicalventilationinchildren
AT zahideyalaki mechanicalventilationinchildren
AT burcuozturkhismi mechanicalventilationinchildren
AT emelderelli mechanicalventilationinchildren
AT erdalince mechanicalventilationinchildren