ĐẶC ĐIỂM THỞ MÁY VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ THỞ MÁY CHO BỆNH NHÂN NGOÀI LỨA TUỔI SƠ SINH TẠI TRUNG TÂM NHI KHOA - BỆNH VIỆN BẠCH MAI

Abstract

Objective: To describe characteristics of mechanical ventilation and factors associated with treatment outcomes of children who required mechanical ventilation at Pediatric Center - Bach Mai Hospital from 2018 to 2022. Subjects and methods: This was a retrospective descriptive study of 265 children aged beyond the neonatal age who received mechanical ventilation at the Pediatric Center - Bach Mai Hospital from January 2018 to December 2022. Results: There were 265 children with an average age was 8,1 ± 5,2 years. Among them, 37,4% had underlying conditions; 31,3% required non-invasive mechanical ventilation, 17,0% needed invasive mechanical ventilation after failing non-invasive ventilation, and 51,7% required immidiate invasive mechanical ventilation. The most common cause of respiratory failure necessitating mechanical ventilation was respiratory disease (70,6%). The most common ventilation modes were SIMV (82,6%) and A/C (7,6%). Ventilation-related complications accounted for 15,1% of cases, with tracheal tube displacement being the most prevalent complication (13,6%). The average duration of mechanical ventilation was 167,5 ± 311,1 hours, and the weaning success rate was 87,3%. Several risk factors associated with an increased risk of unsuccessful weaning included having underlying conditions and multi-organ failure. Children with underlying conditions had a 3,41 times higher risk of unsuccessful weaning compared to those without underlying conditions, and children with multi-organ failure had a 4,38 times higher risk of unsuccessful weaning compared to those without multi-organ failure. Conclusion: Respiratory disease was the most common cause of respiratory failure necessitating mechanical ventilation, and the most common ventilation mode was SIMV. Most of the patients were successfully weaned from mechanical ventilation. It is very important to pay attention to children with underlying medical conditions and multi-organ failure during the care and treatment of ventilated patients.