COMPLICATIONS OF MECHANICAL VENTILATION IN CHILDREN UPTO 12 YEARS OF AGE
Keywords:
Mechanical ventilation, Pediatric intensive care, Ventilator associated pneumoniaAbstract
Objective: Mechanical ventilation has been proven to be lifesaving and has significantly reduced mortality in the pediatric population. Despite its life-saving advantages, mechanical ventilation is associated with complications. The study aimed to assess the complications of mechanical ventilation in children up to 12 years of age, admitted to the intensive care unit.
Methods: The present descriptive, observational, cross-sectional study was conducted on 165 children aged between 0 to 12 years, who were mechanically ventilated for >48 hours. Patients were observed daily until the desired result was achieved and were checked to look for complications or negative effects of mechanical ventilation.
Results: The majority of subjects belonged to <1 month of age (77.58%) whereas, the maximum number of patients were male (64.24%). In 77.58% of patients, the indication for mechanical ventilation was respiratory failure. The duration of ventilation in 62.43% of patients was >7 days. A total of n=62 (37.58%) patients had ventilator-associated complications. The most common complication was ventilator-associated pneumonia (n=30, 48.38%). The mean hospital stay was found to be 22.88±7.96 days. Whereas, the mean hospital stay in patients without complications was significantly less compared to patients with complications (18.57±10.09 days vs 27.19±5.83 days, P=0.00015). The mortality rate was found to be 47.27%.
Conclusion: Respiratory cause was the most common indication for mechanical ventilation. The most common complication was ventilator-associated pneumonia. The subjects with complications had prolonged hospital stays.
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