000 03420cam a2200349 a 4500
003 EG-GiCUC
005 20250223031854.0
008 171210s2017 ua d f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.09.M.Sc.2017.Mi.F
100 0 _aMina Magdy Hanna Amin
245 1 2 _aA five year registry study of mechanically ventilated patients admitted to critical care department,Faculty of Medicine, Cairo University /
_cMina Magdy Hanna Amin ; Supervised Tarek Samir Elgohary , Yasser Sadek Nassar, Lamiaa Hamed Mohammed
246 1 5 _aدراسة تسجيلية لمدة خمس سنوات عن مرضى التنفس الصناعي بقسم الحالات الحرجة كلية الطب جامعة القاهرة
260 _aCairo :
_bMina Magdy Hanna Amin ,
_c2017
300 _a162 P. :
_bcharts ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520 _aObjective: to evaluate mechanically ventilated patients focusing on epidemiological characteristics, ventilator modes, common settings used, length of ICU stay, duration of ventilation, weaning, complications and in hospital mortality. Methods: a retrospective cohort study involved 1081 patients admitted to critical care department, Cairo University and connected to mechanical ventilation in the period between January 2010 and December 2014. Results: median age was 55 years and 53% were females. Causes of ventilation were cardiac 41%, respiratory 31.9%, CNS 16.9% and sepsis and septic shock 9.4%. The most common mode of MV was VCV (61.8%) followed by NICPAP (15.4%), PCV (14.7%), PS-CPAP (8%) and BIPAP (0.1%). Highest PEEP was recorded in ARDS patients (8.22 ± 4.19cmH2o). Also the highest PEEP (Mean 5.15 ± 1.82 cmH20) in patients ventilated for respiratory problems and lowest (3.53±1.24) in sepsis and septic shock patients. Tidal volume was highest in patients ventilated for cardiac diseases (447.2±72.9 ml) and lowest in CNS causes (416.9 ± 88.4 ml). 20% of our patients were put on non-invasive mechanical ventilation .Weaning trials were done in 401 patients (37.1%), of which 68.8% were successfully weaned and 31.2% patients failed to be weaned. Duration of ventilation was 6.70 ± 10.98 days with median 3 days while Length of stay was 13.28 ± 15.25 days with median 8 days. There was a significant increase in duration of ventilation in patients ventilated with invasive mode (7.7 ± 11.5 days) compared to (4.6 ±7.9 days) for non-invasive mode. Complications of ventilation were VAP 14.8%, barotrauma 6.1%, cardiopulmonary arrest 2.8% and tracheo-oesophageal fistula 0.1%. tracheostomy was done in 7% of patients.. Mortality rate was 64.4% and was higher in patients with cardiac diseases 41.8% patients on VCV mode 77.5%, those with higher tidal volumes, higher FIO2 and lower PEEP levels. Also mortality rate was higher in invasive ventilation 72.2%
530 _aIssued also as CD
653 4 _aMechanical ventilation
653 4 _aMortality
653 4 _aPEEP
700 0 _aLamiaa Hamed Mohammed ,
_eSupervisor
700 0 _aTarek Samir Elgohary ,
_eSupervisor
700 0 _aYasser Sadek Nassar ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c63942
_d63942