Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center
In the pediatric intensive care units (PICU) from our region, early mobilization (EM) in patients requiring ventilatory support is an underreported activity. For this reason, we emphasize the need for epidemiological research that allows us to know the characteristics of this relevant activity in th...
| Autores principales: | , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/37197 |
| Aporte de: |
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I10-R327-article-37197 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
pediatrics artifitial respiration physical therapy specialty critical care rehabilitation pediatría respiración artificial fisioterapia cuidados críticos rehabilitación pediatria Respiração Artificial fisioterapia cuidados criticos reabilitação |
| spellingShingle |
pediatrics artifitial respiration physical therapy specialty critical care rehabilitation pediatría respiración artificial fisioterapia cuidados críticos rehabilitación pediatria Respiração Artificial fisioterapia cuidados criticos reabilitação Simonassi, Julia Inés Canzobre, María Tatiana Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| topic_facet |
pediatrics artifitial respiration physical therapy specialty critical care rehabilitation pediatría respiración artificial fisioterapia cuidados críticos rehabilitación pediatria Respiração Artificial fisioterapia cuidados criticos reabilitação |
| author |
Simonassi, Julia Inés Canzobre, María Tatiana |
| author_facet |
Simonassi, Julia Inés Canzobre, María Tatiana |
| author_sort |
Simonassi, Julia Inés |
| title |
Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| title_short |
Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| title_full |
Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| title_fullStr |
Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| title_full_unstemmed |
Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| title_sort |
early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center |
| description |
In the pediatric intensive care units (PICU) from our region, early mobilization (EM) in patients requiring ventilatory support is an underreported activity. For this reason, we emphasize the need for epidemiological research that allows us to know the characteristics of this relevant activity in the evolution of critically ill patients.
Objective: describe the population, time of onset and frequency which MT is performed in patients who received ventilatory support in a PICU of a public pediatric hospital of Latin America.
Materials and methods: descriptive, retrospective, observational study, conducted in a 17-bed medical-surgical PICU of a pediatric hospital in Argentina, between July 1 and December 31, 2019. All patients under 18 years of age requiring invasive mechanical ventilation (IMV) and/or noninvasive mechanical ventilation (NIV) for at least 24hs were included.
Results: 196 patients were admitted to the study, of which 124 (63.3%) received IMV and 72 (37.7%) NIV only. During their stay in PICU 143 (73%) subjects received MT and of these, 89 (62%) started MT within the first 3 days of hospitalization. In the MT group 93 (65%) required IMV and 50 (35%) NIV. All patients who were tracheostomized in PICU received MT.
Conclusion: Early mobilization in pediatric critically ill patients was feasible and early in more than 80% of the population studied. Neither age, nor weight, nor ventilatory support were barriers or limiting factors for its implementation. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/37197 |
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I10-R327-article-371972023-03-20T16:24:58Z Early mobilization in critically ill pediatric patient with ventilatory support. experience of a high complexity center Movilización temprana en el paciente pediátrico crítico con soporte ventilatorio. experiencia de un centro de alta complejidad Mobilização precoce em paciente pediátrico gravemente enfermo com suporte ventilatório. experiência de um centro de alta complexidade Simonassi, Julia Inés Canzobre, María Tatiana pediatrics artifitial respiration physical therapy specialty critical care rehabilitation pediatría respiración artificial fisioterapia cuidados críticos rehabilitación pediatria Respiração Artificial fisioterapia cuidados criticos reabilitação In the pediatric intensive care units (PICU) from our region, early mobilization (EM) in patients requiring ventilatory support is an underreported activity. For this reason, we emphasize the need for epidemiological research that allows us to know the characteristics of this relevant activity in the evolution of critically ill patients. Objective: describe the population, time of onset and frequency which MT is performed in patients who received ventilatory support in a PICU of a public pediatric hospital of Latin America. Materials and methods: descriptive, retrospective, observational study, conducted in a 17-bed medical-surgical PICU of a pediatric hospital in Argentina, between July 1 and December 31, 2019. All patients under 18 years of age requiring invasive mechanical ventilation (IMV) and/or noninvasive mechanical ventilation (NIV) for at least 24hs were included. Results: 196 patients were admitted to the study, of which 124 (63.3%) received IMV and 72 (37.7%) NIV only. During their stay in PICU 143 (73%) subjects received MT and of these, 89 (62%) started MT within the first 3 days of hospitalization. In the MT group 93 (65%) required IMV and 50 (35%) NIV. All patients who were tracheostomized in PICU received MT. Conclusion: Early mobilization in pediatric critically ill patients was feasible and early in more than 80% of the population studied. Neither age, nor weight, nor ventilatory support were barriers or limiting factors for its implementation. En las unidades de terapia intensiva pediátrica (UCIP) de nuestra región, la movilización temprana (MT) en pacientes que requieren soporte ventilatorio es una actividad poco reportada. Por este motivo destacamos la necesidad de investigaciones epidemiológicas que nos permita conocer las características de esta actividad tan relevante en la evolución de los pacientes críticos. Objetivo: describir la población, el tiempo de inicio y la frecuencia con la que se realiza MT en los pacientes que recibieron soporte ventilatorio en una UCIP de un hospital público pediátrico de referencia latinoamericano. Materiales y métodos: Estudio descriptivo, retrospectivo y observacional, llevado a cabo en una UCIP médico-quirúrgica de 17 camas de un hospital pediátrico de Argentina, entre el 1 de julio y el 31 de diciembre de 2019. Se incluyeron todos los pacientes menores de 18 años que requirieron ventilación mecánica invasiva (VMI) y/o no invasiva (VMNI) durante al menos 24hs. Resultados: Ingresaron al estudio 196 pacientes, de los cuales 124 (63,3%) recibieron VMI y 72 (37,7%) VMNI únicamente. Durante su estadía en UCIP 143 (73%) sujetos recibieron MT y de estos, 89 (62%) la iniciaron dentro de los 3 primeros días de internación. En el grupo MT 93 (65%) requirió VMI y 50 (35%) VMNI. Todos los pacientes que se traqueostomizaron en UCIP recibieron MT. Conclusión: La movilización temprana en pacientes críticos pediátricos fue factible y precoz en más del 80% de la población estudiada. Ni la edad, ni el peso, ni el soporte ventilatorio fueron barreras o limitantes para su implementación. Em unidades de terapia intensiva pediátrica (UTIP) em nossa região, a mobilização precoce (EM) em pacientes que necessitam de suporte ventilatório é uma atividade pouco relatada. Por este motivo, destacamos a necessidade de pesquisas epidemiológicas que nos permitam conhecer as características desta atividade relevante na evolução dos pacientes críticos. Objetivo: descrever a população, tempo de início e freqüência com que a MT é realizada em pacientes que receberam suporte ventilatório em uma UTIP de um hospital pediátrico público de referência na América Latina. Materiais e métodos: Estudo descritivo, retrospectivo e observacional, realizado em uma UTIP médico-cirúrgica de 17 leitos de um hospital pediátrico na Argentina, entre 1 de julho e 31 de dezembro de 2019. Todos os pacientes com menos de 18 anos de idade que exigiam ventilação mecânica invasiva (IMV) e/ou ventilação mecânica não invasiva (VNI) por pelo menos 24hs foram incluídos. Resultados: 196 pacientes foram admitidos no estudo, dos quais 124 (63,3%) receberam VMI e 72 (37,7%) VNI somente. Durante sua estadia em PICU 143 (73%) sujeitos receberam MT e destes, 89 (62%) iniciaram MT nos primeiros 3 dias de hospitalização. No grupo MT 93 (65%) exigia IMV e 50 (35%) NIV. Todos os pacientes que foram traqueostomizados em PICU receberam MT. Conclusão: A mobilização precoce em pacientes pediátricos gravemente enfermos era viável e precoce em mais de 80% da população estudada. Nem a idade, nem o peso, nem o suporte ventilatório foram barreiras ou fatores limitantes para sua implementação. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "text" "texto" "texto" application/pdf application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/37197 10.31053/1853.0605.v79.n4.37197 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 4 (2022); 334-340 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 4 (2022); 334-340 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 4 (2022); 334-340 1853-0605 0014-6722 10.31053/1853.0605.v79.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/37197/39781 https://revistas.unc.edu.ar/index.php/med/article/view/37197/39782 https://revistas.unc.edu.ar/index.php/med/article/view/37197/39148 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |