Aysun ÇALTIK, Tanıl KENDİRLİ, Erdal İNCE

Çocuk yoğun bakım hastalarında endotrakeal entübasyon deneyimleri

Amaç: Endotrakeal entübasyon, erişkinlerde olduğu gibi çocuklarda da havayolunun en güvenilir kontrol yöntemidir. Başarılı entübasyon, doğru, güvenilir ve hızlı olmalıdır. Tekrarlanan ve uzamış entübasyon girişimleri morbidite ve mortaliteyi artırabilir. Bu çalışmadaki amacımız endotrakeal entübasyon başarımızı değerlendirmektir. Gereç ve Yöntem: Ocak 2005 - Şubat 2006 tarihleri arasında Ankara Üniversitesi Tıp Fakültesi Çocuk Yoğun Bakım Ünitesinde endotrakeal entübasyon ile ilgili kayıtlar prospektif olarak oluşturuldu. Bulgular: Kaydedilen 40 hastanın ortanca yaş 8 ay (1 ay-17 yaş) bulundu. Gerçekleştirilen 110 entübasyonun 37’si (%34) solunum yetmezliği, 67’si (%61) tüp değişimi ve 6’sı (%5) canlandırma amacıyla yapıldı. Hastalarda başarılı entübasyon ile sonuçlanan deneme sayısı ortalama 1.8 olarak bulundu. Entübasyon başarısının araştırma görevlisi kıdemi ve deneyimiyle arttığı görüldü. Sonuç: Yoğun Bakım Ünitesinde izlenen hastalarda başarısız ya da uzamış entübasyonun istenmeyen komplikasyonlara neden olabileceği göz önünde bulundurulmalı, entübasyon işlemi doğru şekilde ve en kısa sürede gerçekleştirilmelidir. Endotrakeal entübasyon başarısı deneyim ile yakın ilişkilidir.

Endotracheal intubation experiences in pediatric intensive care patients

Endotracheal intubation has vital importance for respiratory support and resuscitation both in adults and children. A successful endotracheal intubation must be correct, safe and rapid. Our purpose that to evaluate about the success of endotracheal intubation. Material and Methods: Between January 2005 and February 2006, medical records of endotracheal intubation were taken in pediatric intensive care unit at Ankara University School of Medicine. Results: Fourty patients were enrolled in the study. Median age was 8 months (1 month -17 years). Endotracheal intubation indications were tube revision in 67 patients (%61), respiratory failure in 37 patients (%34) and resuscitation in 6 patients (%5) respectively. Mean number of trial for a successful intubation was 1.8. A successful intubation was directly related to the seniority and experience of the residents. Conclusion: Unsuccessful or prolonged intubation may lead to undesirable complications in intensive care units, so it must be accomplished correctly and rapidly. Intubation success is closely related to experience.

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