Evaluation of acute respiratory distress syndrome cases in a pediatric intensive care unit
dc.contributor.author | Turhan, Inci | |
dc.contributor.author | Yildizdas, Dincer | |
dc.contributor.author | Yontem, Ahmet | |
dc.date.accessioned | 2022-08-16T10:46:07Z | |
dc.date.available | 2022-08-16T10:46:07Z | |
dc.date.issued | 2021 | |
dc.description.abstract | Purpose: 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.endpage | 522 | en_US |
dc.identifier.issn | 2602-3032 | en_US |
dc.identifier.issue | 2 | en_US |
dc.identifier.startpage | 516 | en_US |
dc.identifier.uri | https://dergipark.org.tr/en/download/article-file/1479275 | |
dc.identifier.uri | http://hdl.handle.net/11727/7361 | |
dc.identifier.volume | 46 | en_US |
dc.identifier.wos | 000694865200014 | en_US |
dc.language.iso | eng | en_US |
dc.relation.isversionof | 10.17826/cumj.850659 | en_US |
dc.relation.journal | CUKUROVA MEDICAL JOURNAL | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Acute respiratory distress syndrome | en_US |
dc.subject | children | en_US |
dc.subject | stage | en_US |
dc.subject | survival | en_US |
dc.title | Evaluation of acute respiratory distress syndrome cases in a pediatric intensive care unit | en_US |
dc.type | article | en_US |