在儿科重症监护室住院的儿童中,机械通风相关的并发症和并发症:一个横截面的回顾性研究
Amany Mohammed El-Rebigi1, Amany Nagah Fekry2, Maha A Elfaramawy1
1Department of Pediatric and Neonatology, Faculty of Medicine, Benha University, Benha, Egypt.
Turkish journal of emergency medicine
|August 1, 2025
概括
不良事件 (AE) 影响了近四分之一的入侵性机械通风 (IMV) 的儿童,呼吸器相关的肺炎是最常见的. 非呼吸道入院,更长的通风和并发症预测AE.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统疗法 呼吸系统疗法
- 临床结果研究研究
背景情况:
- 机械通风 (MV) 对重症儿童至关重要.
- 在儿科重症监护室 (PICU) 使用MV会带来不良事件 (AE) 的风险.
- 了解AE预测因子对于提高患者安全至关重要.
研究的目的:
- 在接受侵入性机械通风 (IMV) 的儿童中调查AE的发生率和类型.
- 在儿科患者中确定与MV相关的副作用相关的并发症和临床因素.
主要方法:
- 在PICU的儿科患者的回顾性横截面研究 (2021年1月至2023年12月).
- 收集的数据包括人口统计,临床发现,并发症,呼吸器设置,并发症和结果.
- 多变量逻辑回归分析了与MV相关的AEs的预测因素.
主要成果:
- 24.1%的儿科患者在IMV期间经历了至少一个AE.
- 呼吸器相关的肺炎 (VAP) 是最常见的AE (13%),其次是术后风 (7.9%) 和空气泄漏综合征 (6%).
- 非呼吸道入院原因,延长MV持续时间和并发症是AE的重要预测因素.
结论:
- 在IMV治疗的儿科患者中,副作用的发生率很高,特别是VAP.
- 对通风的非呼吸指示,延长的MV持续时间和先前存在的并发症是AE的关键风险因素.
- 针对这些因素可能会减少机械通风儿童的不良结果.
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