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Complications of mechanical ventilation in pediatric patients in Serbia

Snezana Rsovac1, Katarina Milosevic, Branimir Nestorovic

  • 1Pediatric Intensive Care Unit, University Children's Hospital, Belgrade, Serbia.

Advances in Clinical and Experimental Medicine : Official Organ Wroclaw Medical University
|March 6, 2014
PubMed

Insights

Mechanical ventilation in critically ill children often leads to complications like cardiovascular insufficiency. Lower ventilation volumes and pressures may reduce these adverse events in pediatric patients.

Area of Science:

  • Pediatric Critical Care Medicine
  • Respiratory Physiology
  • Mechanical Ventilation

Background:

  • Mechanical ventilation is a critical, life-saving therapy for critically ill children.
  • While beneficial, it carries risks of complications and adverse physiological effects.

Purpose of the Study:

  • To investigate the complications and clinical outcomes of mechanical ventilation in Serbian pediatric patients.
  • To analyze the impact of clinical and mechanical parameters on mechanical ventilation-associated complications.

Main Methods:

  • A retrospective study of 42 pediatric patients requiring mechanical ventilation over 12 months.
  • Analysis of clinical data and mechanical ventilation parameters to identify complication predictors.

Main Results:

  • 61 complications occurred in 42 patients (97 per 1000 ventilation days).
  • Cardiovascular insufficiency (52.4%) and multiple organ failure (35.7%) were most common.
  • High peak inspiratory pressure (PIP), positive end-expiratory pressure (PEEP), and tidal volume (Tv) correlated with complications.

Conclusions:

  • Complications are frequent in pediatric mechanical ventilation.
  • Lower ventilation volumes and pressures are associated with reduced complication rates.
  • Further research is needed to identify risk factors and mitigation strategies.
Abstract

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