Indications and outcome of mechanical ventilation in intensive care unit.

Dr. Nirmalkumar Rawandale; Dr. Meenakshi Narkhede; Dr. Priya Masane

Volume : VI, Issue : II, February - 2016

Indications and outcome of mechanical ventilation in intensive care unit.

Dr. Nirmalkumar Rawandale, Dr. Meenakshi Narkhede, Dr. Priya Masane

Abstract :

Introduction– This study was conducted in an intensive care unit of a tertiary care Shri Bhausaheb Hire government medical college hospital, Dhule. In this retrospective study indications, outcome and discharge disposition in patients on mechanical ventilatory support in the intensive care unit were studied. MethodologyDesign: Retrospective Observational study. All the records from registers were reviewed. All ventilator–dependent patients admitted over 7 years period from January 2009 to December 2015. Results: A total of 926 patients were admitted over a period of 7 years from January 2009 to December 2015 in the intensive care unit. Maximum 307(33.15%) number of patients of organophosphorous poisoning required ventilator support followed by neurology patients of cereovascular accidents, epilepsy, hypoxic ain damage and cervical cord injuries 180(19.44%), acute myocardial infarctions with various complications 140(15.12%), neuroparalytic snake bite 94(10.15%). The highest mortality was associated with Organophosphorous poisoning 192/466 (41.20%), neurological disorders 92/466(19.74%), Fever with unconsciousness, undiagnosed comatose patients 41/466(8.80%). Conclusions: Commonest indication for ventilator support was organophosphorous poisoning followed by neurological diseases. Mortality rate was 50.32%. Multiple factors are responsible for the outcome of patients in the intensive care unit and most important factor might be monitoring. Authors recommend comparative study to confirm the finding.