Alvarado JG, Barragán LJR, Aguilera CMC, Garza AAG, Maltos VW

Language: Spanish
References: 14
Page: 7-12
PDF size: 120.23 Kb.

ABSTRACT

Background: Extubation failure is defined as the need to reintubate before the first 48 hours after the extubation. The incidence in pediatric patients is reported between 2.7 to 22% and it is associated to greater mortality and a longer hospital stay. The objective of this study is to describe the incidence of extubation failure in patients admitted to the Pediatric Intensive Care Unit (PICU).
Objective: Describe the incidence of extubation failure in patients admitted to the PICU at the Dr. José Eleuterio González University Hospital of the Autonomous University of Nuevo León.
Materials and Method: Descriptive statistical analysis from April 2005 to March 2006 in patients with mechanical ventilation who underwent a programmed extubation to determine the incidence of extubation failure.
Results: The incidence of extubation failure was 12%, without significant differences between the groups in relation to age, gender, nutritional status, Pediatric Risk of Mortality Index (PRISM III) score, or presence of organ dysfunction. There were significant differences between the groups of successful extubation and extubation failure in days of mechanical ventilation (p = 0.002), days of sedation (p = 0.001) and in outcome –discharge from the PICU or death– (p = 0.0001).
Conclusion: Similar to literature, in our study we found association between extubation failure and in the number of days of mechanical ventilation and sedation, as well as in mortality. Nevertheless, prospective controlled studies with a greater number of patients must be done to identify risk factors in PICU patients.

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