Fuentes MDA, Risco CRE, Mote AL, Pérez PGC

Language: Spanish
References: 20
Page: 160-165
PDF size: 52.50 Kb.

ABSTRACT

Introduction: The use of the mechanical ventilation in critically ill patients who enter the Pediatric Intensive Care Unit gets to be indispensable until in a 90% of the cases. Nevertheless, the use of this technique is not innocuous, reason why its retirement of early way is high-priority to avoid complications. To date there are few studies that demonstrate to the best method and moment to make a successful early extubation in children. The objective is to evaluate a weaning protocol offered by the pediatric acute lung injury and sepsis investigators network. Material and methods: Longitudinal, prospective, comparative and randomized study. Of each patient one registered time of ventilation and sedation. In the studied group a previous test of respiratory sufficiency was applied to the extubation, and in the group control the extubation on the basis of criteria and experiences of the physicians at the PICU was carried out, establishing like time of pursuit 48 hours postextubación. The statistical proofs applied were: chi-square, U of Mann-Whitney, Z proof and, Fishers test. Results: 85 patients entered the study, of who 44 (19 women and 25 men) belonged to the Group Protocol, with an age average of 5.0 ± 3.73 years, and 41 (20 women and 21 men) belonged to the Conventional Group, with a rank of age of 5 ± 3.73 years, being the diagnosis most frequent the one of cardiothoracic surgery in both groups. The time of Mechanical Ventilation for the group protocol (Zt = 1.51 p ‹ 0.18) was of 35.72 ± 43.19 hours vs 47.09 ± 59.9 hours of the conventional group. Discussion: The time of mechanical ventilation was smaller in the group Protocol, in addition a less use of sedatives. Nevertheless there are no difference in the way of weaning. There are no difference in extubation failure in both groups.

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