Profile of fluid balance in the first 48 hours and duration of mechanical ventilation in pediatric intensive care unit

Abstract

Listen

Translate article

Mechanical ventilation is the highest respiratory support in critical condition. The study showed that 64% children need mechanical ventilation at least 24 hours. Prolonged mechanical ventilation can increase mortality and morbidity rate. The most common complication that happened from prolonged mechanical ventilation is ventilator-associated lung injury and ventilator-associated pneumonia. To lessened the risk of complications, one of the solutions was decreased the duration of mechanical ventilation. Factors that have been proposed to correlate with the duration of mechanical ventilation was a fluid balance. Study shows that positive fluid balance correlates with decreased oxygenation, prolonged mechanical ventilation, longer hospital length of stay and mortality of children. This is a prospective observational study in children 1 month to 18 years old who admitted to PICU Haji Adam Malik General Hospital Medan, Sumatera Utara, Indonesia. We conducted this study to show the profile of fluid balance and duration of mechanical ventilation in the pediatric intensive care unit. Fluid balance is a routine procedure in PICU, so it is expected that information on fluid balance and duration of mechanical ventilation can be used for further adjustment to improve the outcome in the intensive care unit.