Suporte ventilatório em UTI Pediátrica: estudo observacional

Abstract

OBJECTIVE: To characterize the management of mechanical ventilation, ventilatory weaning and tracheal extubation in the Pediatric Intensive Care Centers (PICC) of the Hospital Geral do Grajaú. METHODS: Prospective observational study conducted at the Pediatric Intensive Care Center (PICC) of the Hospital Geral do Grajaú (HGG) for 9 months. RESULTS: Ninety patients who were under mechanical ventilation were included in the study. Of these, 40 were girls and 50 were boys. With a mean age of 5.52 months. Respiratory diseases were diagnosed with hospitalization in 84 patients (93.3%). In 100% of the cases, the Ventilatory Mode Controlled Pressure after tracheal intubation was used. Patients were submitted to MV on average for 6.6 days. In 89 patients (98.8%), the ERT with PSV was performed. Seventy-three patients (81.1%) used NIV after extubation with an average of 2 days of use. In 81 patients (90%) extubation was successful. CONCLUSION: The pediatric population hospitalized in pediatric intensive care units requiring the use of invasive mechanical ventilation is mostly male, less than 6 months old, with indication for hospitalization for respiratory disorders. The use of invasive ventilatory support was on average 6.6 days. Success of tracheal extubation in 90% of patients. We suggest greater accuracy regarding the descriptions of health professionals in electronic medical records.