A follow-up of the survivors of mechanical ventilation in a paediatric intensive care unit

1982 ◽  
Vol 8 (4) ◽  
pp. 163-168 ◽  
Author(s):  
R. J. Bray ◽  
P. Morrell
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Paediatric Intensive Care Unit ◽  
Paediatric Intensive Care

scholarly journals Quality of Care in a Paediatric Intensive Care Unit of a Tertiary Care Teaching Hospital in New Delhi

2018 ◽  
Vol 37 (2) ◽  
pp. 168-173
Author(s):  
Vijaydeep Siddharth ◽  
Shakti Kumar Gupta ◽  
Rakesh Lodha ◽  
Sidhartha Satpathy
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Teaching Hospital ◽  
Paediatric Intensive Care Unit ◽  
Tertiary Care ◽  
Pulmonary Haemorrhage ◽  
Paediatric Intensive Care ◽  
New Delhi ◽  
Number Of Patients

Introduction: This research aimed to study the outcome of patient care being rendered in Paediatric Intensive Care Unit (PICU) of an apex public sector teaching hospital of North India.Material and methods: A descriptive and observational study was carried out in PICU. Medical records of all admitted patients from January to June 2011 were analysed. Demographic, morbidity and mortality parameters were studied. PIM II score was calculated to assess the severity of illness.Results: In PICU, from January to June 2011, 110 patients were admitted. Almost equal number of patients got admitted in PICU through emergency ward/casualty and other inpatient areas. Of the total patients, 66% (62) were male. Mean age of the patients admitted to PICU was 4.56 years. Three fourth patients admitted in PICU required mechanical ventilation and 652 days of mechanical ventilation was given. Patient’s required mechanical ventilation on an average of 7.01 days. Almost one third, [36.61% (21)] patients were reintubated. Majority (78.7%) of the patients required oxygen support, while 72.3% (68) required vasopressor support. Prevalence of bed sore rate was 2.1%. Only 2.1% patients required readmission within 72 hours. Mean hospital and PICU length of stay was 16.82 and 8.7 days respectively. Mean PIM 2 score of patients was 14.13% (range 0.2% to 86.9%).Conclusion: 43.6% of patients died in PICU, while hospital mortality in PICU admitted patients was 47.2%. Sepsis with septic shock was the major cause of mortality followed by pulmonary haemorrhage, disseminated intravascular coagulation. Standardised mortality was calculated to be 3.09.

scholarly journals Joint Paediatric and Psychiatric Follow-Up for Families following Paediatric Intensive Care Unit Admission: An Exploratory Study

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Julia Gledhill ◽  
Amina Tareen ◽  
Mehrengise Cooper ◽  
Simon Nadel ◽  
M. Elena Garralda
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Psychological Health ◽  
Paediatric Intensive Care Unit ◽  
Paediatric Intensive Care ◽  
University Teaching ◽  
Adolescent Psychiatrist ◽  
Physical And Psychological Health ◽  
Set Up

Psychopathology in parents and children is increased after Paediatric Intensive Care Unit (PICU) admission; few studies have evaluated interventions to reduce this. Objective. Evaluation of the feasibility of setting up a joint paediatric and psychiatric follow-up clinic for families after PICU discharge. Design. Feasibility study offering joint follow-up with a consultant paediatric intensivist and child and adolescent psychiatrist. Setting. Paediatric outpatient clinic in a university teaching hospital with a PICU. Patients. Children and their families discharged from PICU. Interventions. Outpatient appointment focussing on physical and psychological health; psychoeducation about emotional and behavioural difficulties occurring after PICU discharge, advice for parents about supporting their child’s psychological recovery, screening for more severe psychiatric disorders, and provision of a leaflet outlining possible difficulties and management strategies. Measurements. Attendance, content of discussion, psychiatric questionnaires, and family feedback. Main Results. It proved feasible to set up follow-up appointments to address physical and psychological health concerns; 4/12(33%) eligible families attended. Children and mothers who attended all reported child difficulties including sleep disturbance, increased anxiety, and PTSD symptoms in children and parents. Conclusions. Follow-up clinics after PICU discharge are feasible to set up; take-up is poor but families attending report psychopathology which may be addressed through the intervention.

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