International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 8, Issue 5 (2022)

A prospective analysis of outcome of mechanical ventilation in children admitted pediatric intensive care unit


Abhijeet Trivedi

Background and aims: Mechanical ventilation (MV) is one of the most commonly performed procedures in PICU for various clinical indications. However, it imposes various complications and causes significant morbidity and mortality. So the present study was carried out to evaluate the outcome and complications in pediatric population with MV in PICU. Materials and methods: This prospective observational study was conducted on 60 children admitted to PICU. Patients were assessed clinically and patient’s data and vital clinical parameters were recorded in a proforma designed for the study. Results: A total of 402 patients were admitted to the PICU and out of these 60 patients (14.9%) required mechanical ventilation. Respiratory disease was the most common cause for MV in 56.7% of children. The commonest associated co-morbid condition in patients requiring mechanical ventilation was PEM (71.1%) followed by Anemia (68.3%). The most common complication associated with mechanical ventilation in this study was obstruction by secretion of endotracheal tube (55%) which was followed by kinking of tube (36.6%) and VAP (30%). The mean total PRISM score in patients who survived was 6.42 and that in patients who died was 16.59. Using Pearson Chi square test the total PRISM score is significant risk factor in outcome of patient requiring mechanical ventilation. Conclusion: Mechanical ventilation in PICU prolong the duration of hospital stay and life-threatening complications. So, suitable alternatives must be followed before the initiation of mechanical ventilation in PICU admitted children.
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How to cite this article:
Abhijeet Trivedi. A prospective analysis of outcome of mechanical ventilation in children admitted pediatric intensive care unit. International Journal of Medical and Health Research, Volume 8, Issue 5, 2022, Pages 12-15
International Journal of Medical and Health Research