Author Of 1 Presentation
MANAGEMENT OF ACUTE LUNG INJURY IN TURKISH PEDIATRIC INTENSIVE CARE UNITS
Abstract
Background
Treatment of pediatric acute respiratory distress syndrome (pARDS) in children is largely based on evidences that adopting a lung protective ventilation strategy reduces mortality in adult patients and Mangement of pARDS varies between different PICUs.
Objectives
This survey explores pediatric intensivists' knowledge and stated practice in the management of children with ARDS in Turkey, and compares these with international practice.
Methods
In May 2018, a questionnaire covering ventilation treatment strategies for children aged 1 month to 18 years of age with ARDS was sent to 100 pediatric intensive care units that treat children with ARDS. Preterms and children with congenital conditions were excluded.
Results
Fiftytwo of the 100 (52%) pediatric intensive care units responded to the questionnaire. Written guidelines (Berlin Criteria or The American-European Consensus Conference on ARDS) existed in 65,4% of the units. Ninety two per cent of the units frequently used cuffed endotracheal tubes. Ventilation was achieved by pressure control for 73,1% vs. volume control for 13,7% of units. Bronchodilators were used by all units, whereas steroids usage was 48,1% and surfactant 43,2%. Inhaled nitric oxide was available in 17,3% of the units and high frequency oscillation was used in 61,5% of the units . Neurally adjusted ventilator assist was used by only 2 % of the units. Extracorporeal membrane oxygenation could be started in 34,6 % of the units.
Conclusion
Management of pARDS in Turkish pediatric intensive care units are relatively uniform and largely in accordance with international practice. The use of surfactant is more frequent than in other studies.
Presenter of 1 Presentation
MANAGEMENT OF ACUTE LUNG INJURY IN TURKISH PEDIATRIC INTENSIVE CARE UNITS
Abstract
Background
Treatment of pediatric acute respiratory distress syndrome (pARDS) in children is largely based on evidences that adopting a lung protective ventilation strategy reduces mortality in adult patients and Mangement of pARDS varies between different PICUs.
Objectives
This survey explores pediatric intensivists' knowledge and stated practice in the management of children with ARDS in Turkey, and compares these with international practice.
Methods
In May 2018, a questionnaire covering ventilation treatment strategies for children aged 1 month to 18 years of age with ARDS was sent to 100 pediatric intensive care units that treat children with ARDS. Preterms and children with congenital conditions were excluded.
Results
Fiftytwo of the 100 (52%) pediatric intensive care units responded to the questionnaire. Written guidelines (Berlin Criteria or The American-European Consensus Conference on ARDS) existed in 65,4% of the units. Ninety two per cent of the units frequently used cuffed endotracheal tubes. Ventilation was achieved by pressure control for 73,1% vs. volume control for 13,7% of units. Bronchodilators were used by all units, whereas steroids usage was 48,1% and surfactant 43,2%. Inhaled nitric oxide was available in 17,3% of the units and high frequency oscillation was used in 61,5% of the units . Neurally adjusted ventilator assist was used by only 2 % of the units. Extracorporeal membrane oxygenation could be started in 34,6 % of the units.
Conclusion
Management of pARDS in Turkish pediatric intensive care units are relatively uniform and largely in accordance with international practice. The use of surfactant is more frequent than in other studies.