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Master's Dissertation
DOI
10.11606/D.5.2010.tde-10032010-102801
Document
Author
Full name
Dafne Cardoso Bourguignon da Silva
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2010
Supervisor
Committee
Troster, Eduardo Juan (President)
Ceccon, Maria Esther Jurfest Rivero
Pistelli, Ivan Pollastrini
Title in Portuguese
Avaliação da ventilação mecânica utilizada em unidade de terapia intensiva pediátrica e seus fatores de risco: em busca de uma melhor prática ventilatória
Keywords in Portuguese
Fatores de risco
Insuficiência respiratória
Pediatria
Unidades de terapia intensiva
Ventilação mecânica
Abstract in Portuguese
Apesar da necessidade de ventilação pulmonar mecânica (VPM) ser uma das principais indicações de internação em unidade de terapia intensiva pediátrica (UTIP), há poucos estudos epidemiológicos sobre VPM em crianças, nenhum no Brasil. Fazse necessário descrever quais os modos ventilatórios utilizados em nosso meio, para estabelecer qual nosso padrão de cuidado. Dos 241 pacientes admitidos na UTIP do Instituto da Criança entre 01/10/2005 e 31/03/2006, 35,7% foram submetidos à VPM por mais de 24 horas (n=86). Trinta e sete foram excluídos da análise. Analisaram-se dados de 49 pacientes. A principal indicação de VPM foi insuficiência respiratória aguda. O modo ventilatório de escolha foi à pressão (n=48). A estratégia de ventilação protetora foi subutilizada. São analisados ainda fatores de risco para mortalidade e tempo de VPM.
Title in English
Evaluation of mechanical ventilation used in a Pediatric Intensive Care Unit and its risk factors: searching for a better ventilatory practice
Keywords in English
Intensive care units
Pediatrics
Respiratory insufficiency
Risk factors
Ventilation artificial
Abstract in English
Mechanical ventilation (MV) is a major admission criteria to pediatric intensive care unit (PICU). Despite of that, there is just a few epidemiologic studies about it in children, and none in Brazil. It´s necessary to describe which ventilatory modes are employed in our daily practice, in order to establish our standard of care. 86 out of 241 patients, admitted to Instituto da Criança PICU from 10/01/2005 to 03/31/2006, were submitted to MV for 24 hours or more. Thirty seven met exclusion criteria. Data from 49 patients were analyzed. Major indication to MV was acute respiratory failure. Pressure ventilatory modes were used. Protective lung ventilation was underused. Analyses of risk factors for mortality and days of MV were also performed.
 
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Publishing Date
2010-03-11
 
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