Characteristics and follow up of mechanically ventilated subjects in a pediatric intensive care unit in Buenos Aires

A descriptive study

Authors

    Facundo Andrada 1 , Elizabeth Wasinger 2 , Gonzalo Ponce 3 , Melina Vargas 4 , Francisco Romano 5 , Clara Bello 6 , Hernán Cesario 7 , Santiago Telayna 8 , Anibal Titolo 9 , Agustina Darritchon 10 , Florencia Driussi 11 , Magalí Vargas 12

    1 Hospital Universitario Austral, Buenos Aires, Argentina
    2 Hospital Universitario Austral, Buenos Aires, Argentina
    3 Hospital Universitario Austral, Buenos Aires, Argentina
    4 Hospital Universitario Austral, Buenos Aires, Argentina
    5 Hospital Universitario Austral, Buenos Aires, Argentina
    6 Hospital Universitario Austral, Buenos Aires, Argentina
    7 Hospital Universitario Austral, Buenos Aires, Argentina
    8 Hospital Universitario Austral, Buenos Aires, Argentina
    9 Hospital Universitario Austral, Buenos Aires, Argentina
    10 Hospital Universitario Austral, Buenos Aires, Argentina
    11 Hospital Universitario Austral, Buenos Aires, Argentina
    12 Hospital Universitario Austral, Buenos Aires, Argentina

Abstract

Objective: To describe the characteristics and clinical course of subjects requiring invasive mechanical ventilation (IMV) in a pediatric intensive care unit (PICU).

Materials and method: An observational, descriptive, and retrospective study was conducted. Data were collected from digital medical records from April 2016 to September 2017. Subjects under 16 years old requiring IMV in the PICU were included in the study. Subjects with a tracheostomy tube before hospitalization were excluded.

Results: A total of 167 subjects, with a median age of 12 months (IQR 5-48), were analyzed. Of them, 67 subjects (40.1%) were admitted after a cardiovascular surgery and 25 (15%) due to acute respiratory failure. Seven subjects (4.3%) were reintubated, and 36 (21.6%) required noninvasive ventilation (NIV) after extubation. Of all extubations, 12 (7.2%) were performed during the night shift, 3 (25%) of which required NIV and none required reintubation.

Conclusion: We observed that most subjects were undergoing a cardiovascular postoperative period or had acute respiratory failure, with a low rate of reintubation within 48h and NIV failure. Our study could be a gateway for further prospective research.

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Published

2021-10-23

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Keywords

pediatrics, artificial respiration, weaning, pediatric intensive care unit, tracheal extubation

How to Cite

1.
Andrada F, Wasinger E, Ponce G, Vargas M, Romano F, Bello C, Cesario H, Telayna S, Titolo A, Darritchon A, Driussi F, Vargas M. Characteristics and follow up of mechanically ventilated subjects in a pediatric intensive care unit in Buenos Aires: A descriptive study. AJRPT. 2021;3(3). doi: 10.58172/ajrpt.v3i3.175