Evaluation of acute respiratory distress syndrome cases in a pediatric intensive care unit

dc.contributor.authorTurhan, Inci
dc.contributor.authorYildizdas, Dincer
dc.contributor.authorYontem, Ahmet
dc.date.accessioned2022-08-16T10:46:07Z
dc.date.available2022-08-16T10:46:07Z
dc.date.issued2021
dc.description.abstractPurpose: The aim of this study was to evaluate the lung-protective mechanical ventilation strategy, early enteral nutrition, negative fluid balance, and adequacy of hospital resources in our pediatric intensive care unit. Materials and Methods: This study included 32 patients who developed acute respiratory distress syndrome (ARDS) during their monitoring in the pediatric intensive care unit. Results: According to their oxygenation status, 14 patients (43.8%) had mild ARDS, nine patients (28.1%) had moderate ARDS, and nine patients (28.1%) had severe ARDS. High-frequency oscillatory ventilation was applied to three patients (9.3%), and four patients (12.5%) received extracorporeal membrane oxygenation (ECMO) support. The most common complications were nosocomial infection (31.3%) and pneumothorax (12.5%). The mortality rate was 6.3%. The survival rate was 75.0% in patients with ECMO support. The patients with a higher Pediatric Index of Mortality (PIM-2) score confronted more severe ARDS, and non-pulmonary ARDS also progressed in advanced stages. Conclusion: In patients with high PIM-2 and PELOD scores, attention must be given to the development of severe ARDS. The lung-protective mechanical ventilation support, early enteral nutrition, negative fluid balance practices, and the adequacy of hospital resources led to a successful survival rate in our study. However, multicenter randomized controlled trials are needed on this subject.en_US
dc.identifier.endpage522en_US
dc.identifier.issn2602-3032en_US
dc.identifier.issue2en_US
dc.identifier.startpage516en_US
dc.identifier.urihttps://dergipark.org.tr/en/download/article-file/1479275
dc.identifier.urihttp://hdl.handle.net/11727/7361
dc.identifier.volume46en_US
dc.identifier.wos000694865200014en_US
dc.language.isoengen_US
dc.relation.isversionof10.17826/cumj.850659en_US
dc.relation.journalCUKUROVA MEDICAL JOURNALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute respiratory distress syndromeen_US
dc.subjectchildrenen_US
dc.subjectstageen_US
dc.subjectsurvivalen_US
dc.titleEvaluation of acute respiratory distress syndrome cases in a pediatric intensive care uniten_US
dc.typearticleen_US

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