Solunum Yoğun Bakım Ünitesinde Mekanik Ventilasyon Uygulanan Hastaların Sonuçları
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Tarih
2007
Dergi Başlığı
Dergi ISSN
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Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Son yıllarda göğüs hastalıkları anabilim dallarında yoğun bakım üniteleri (YBÜ) kurulmuş ve uzmanlık eğitiminin önemli bir parçası olmuştur. Göğüs hastalıklarında noninvaziv mekanik ventilasyon yaygın kullanılmasına rağmen çoğu hastada invaziv mekanik ventilasyon (IMV) gerekebilmektedir. Yöntem: Bu çalışmada bir yıl süre ile takip edilen mekanik ventilatöre bağlı, 24 saatten fazla IMV uygulanan 61 hastanın (36 E, 25 K) sonuçları retrospektif olarak değerlendirildi (yaş ort: 63.814.2). Bulgular: Tüm hastalarda ortalama APACHE II skoru 22.55.5, kaba mortalite oranı % 45.018.8, PO2 57.216.9 mmHg, PCO2 61.227 mmHg ve pH 7.330.13 idi. IMV uygulanan hastaların % 68’i KOAH idi. IMV uygulanan 61 hastada mortalite oranı % 70 idi. Ölen 43 hastanın % 72’si KOAH’lı idi. Sepsis hastaların % 40’ında vardı. Planlı weaning (n:23) ölen hastaların 6’sında, taburcu olanlarında 17’sinde uygulandı. Ortalama weaning süresi ölen hastalarda 6.82.1, taburcu olanlarda ise 4.94.1 gün idi (p0.05). Ek hastalık ölen hastaların % 83’ünde, taburcu olanların % 55’de vardı. Sonuç: Yüksek APACHE II skoru, ek hastalık, uzun weaning süresi ve sepsis mortaliteyi olumsuz etkileyen faktörlerdi.
Objective: Recently, pulmonary critical care units have been built in pulmonary diseases departments and it is a part of fellowship. Although noninvasive mechanical ventilation is used in pulmonary diseases, invasive mechanical ventilation (IMV) can be needed in these patients. Methods: We examined retrospectively the files of 61 patients (36 M, 25 F) receiving MV for 24 hour (mean age: 63.8±14.2 years). Results: The mean APACHE score and crude mortality rate were 22.5±5.5 and 45.0±18.8 % respectively. Mean arterial blood gas measurements was 57.2±16.9mmHg (PO2), 61.2±27 mmHg (PCO2) and 7.33±0.13 (pH). Mortality rate of all patients was 70 %. Percent of 78 patients receiving IMV was COPD. There was sepsis in 40 % patients. Planed weaning was applied in 6 died patients and 17 discharged patients. Mean weaning time was 6.8±2.1 days in died patients and 4.9±4.1days in discharged patients. There was co-morbidity in 83% of died patients and 55% of discharged patients. Conclusion: High APACHE II score, co-morbid diseases, long weaning duration and sepsis was associated with mortality.
Objective: Recently, pulmonary critical care units have been built in pulmonary diseases departments and it is a part of fellowship. Although noninvasive mechanical ventilation is used in pulmonary diseases, invasive mechanical ventilation (IMV) can be needed in these patients. Methods: We examined retrospectively the files of 61 patients (36 M, 25 F) receiving MV for 24 hour (mean age: 63.8±14.2 years). Results: The mean APACHE score and crude mortality rate were 22.5±5.5 and 45.0±18.8 % respectively. Mean arterial blood gas measurements was 57.2±16.9mmHg (PO2), 61.2±27 mmHg (PCO2) and 7.33±0.13 (pH). Mortality rate of all patients was 70 %. Percent of 78 patients receiving IMV was COPD. There was sepsis in 40 % patients. Planed weaning was applied in 6 died patients and 17 discharged patients. Mean weaning time was 6.8±2.1 days in died patients and 4.9±4.1days in discharged patients. There was co-morbidity in 83% of died patients and 55% of discharged patients. Conclusion: High APACHE II score, co-morbid diseases, long weaning duration and sepsis was associated with mortality.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Göğüs yoğun bakım, mekanik ventilasyon, mortalite, Pulmonary critical care, mechanic ventilation, mortality
Kaynak
Genel Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
17
Sayı
4
Künye
Uzun, K., Teke, T., Atalay, H., Kurt, E., (2007). Solunum Yoğun Bakım Ünitesinde Mekanik Ventilasyon Uygulanan Hastaların Sonuçları. Genel Tıp Dergisi, 17(4), 187-190.
