P0288 / #1207: CHALLENGE IN CARE OF THE NEUROSURGICAL PATIENT ADMITTED IN A UNIT OF PEDIATRIC INTENSIVE CARE.

Abstract

Aims & Objectives: In recent years, different systems have been perfected to control the neurosurgical patient and monitor variables such as intracranial pressure, brain electrical activity, brain flow, tissue oxygen pressure and microdialysis. However, the deprivation of these resources in our country, especially in public institutions, has represented a real challenge in the care of these patients, thus optimizing the continuous monitoring of the physiological variables, as well as the clinical evaluation making it the main element of Attention. Objective: to describe the general characteristics of the neurosurgical patients treated who were admitted to a pediatric intensive care unit (PICU). Methods: A descriptive and retrospective study was carried out, using the database of a PICU. All neurosurgical patients admitted between January 1, 2014 and December 31, 2019 were included, the diagnosis of admission, stay in PICU, days of invasive mechanical ventilation and survival Results: We analyzed data from 726 patients in ages from 1 month to 18 years (65% men), which represents 9% of patients income during the study period. The time spent in the PICU was 1-3 days 60%, in relation to the days in mechanical ventilation 1-3 days 74%. Regarding mortality in PICU 7.5%. Among the most common diagnoses we found the tumor exeresis with 75.5%, of which 40% were tumors located in the posterior fossa, with a surgical resolution time that fluctuated from a minimum of 13 days to a maximum of 2 years. Conclusions: Despite the limitations in the care of neurosurgical patients, our mortality rate is very low.