دور التهوية الآلية في تدبير الحالة الربوية و المضاعفات التالية لها في وحدة العناية المشددة عند الأطفال

الملخص EN

Background and Objective: Recognition of status asthmaticus in its first stage is very important and essential to plan for appropriate management and to decrease the complications including mortality especially those due to mechanical ventilation which is the last procedure used in the therapy.

This study was performed especially to evaluate the role of mechanical ventilation in the management of asthmatic status and their following complications especially infections, pneumothorax .....and the possibility of avoiding them in the future and to recognize the prognosis of asthmatic status in general.

Materials and Methods: This descriptive prospective study involved 63 admissions of status asthmatics to pediatric intensive care unit at Damascus University Children Hospital over the 5 year period from 1/1/2009/ till 31/12/2013.

The required data for all patients included in the study were collected through a preset chart.

Results: 63 asthmatic status were included in the study, 81% of the patients were males, age 5 ± 4 year.

39 patients (62%) required mechanical ventilation, sepsis developed in 6 patients (9.5%), cardiovascular disturbances occurred in7 admissions (11%), pneumothorax and pneumomediastinium developed in 3 patients (4.7%), 4 cases (6%) developed multiple organ failure which led to death in all of them.

mortality rate was (6%), all of them were ventilated, the most common cause of death was multiple organ failure.

In comparison between survivors and non survivors, there were no differences in PO and* PCO2 .but PH was lower in the non survivors.

In addition, there were no differences in the pressures used, whereas the respiratory rate was lower and expiration time was longer in survivors.

Conclusion: Similar studies were discussed in the literature.

The frequency of mechanical ventilation was higher than in the literature.

Sepsis was more frequent than other studies due to the poor procedures regarding hygiene .The other complications were almost similar to those in other studies.

Mortality rate was in the range of other studies.