Evde mekanik ventilasyon uygulaması
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Date
2005-05-25
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Uludağ Üniversitesi
Abstract
Evde mekanik ventilasyon uygulaması, tam veya kısmi ventilasyon desteği gereken, kliniği stabil, kronik solunum yetmezliği olan olguların tedavisinde kullanılmaktadır. Evde uzun süreli mekanik ventilasyon uygulanan olguyu sunduk. 86 yaşında erkek olgu, TUR-P operasyonunun ikinci gününde klinikte ani kardiyak arrest gelişmesi üzerine, kardiyopulmoner resüsitasyonu takiben yoğun bakım ünitesine (YBÜ) alındı (APACHE II Skoru:30, GKS:3). Olgu konjestif kalp yetmezliği ve kronik obstrüktif akciğer hastalığı hikayesine sahipti. Ventilatör desteğinden tamamen ayrılamadı. Ventilatöre bağımlı olgu için YBÜ’de sekizinci ayından sonra evde mekanik ventilasyon programı planlandı. Olgu eve gönderilmeden önce, tedavisinde gerekli spesifik ihtiyaçları ve olgunun bakımından sorumlu kişinin eğitimi sağlandı. Kronik obstrüktif akciğer hastalığı akut atağının tedavisi ve fizik muayene için YBÜ uzmanı tarafından düzenli ziyaretleri yapıldı. Olgu yirmi iki ay sonra öldü. Bu dönemde iki kez YBÜ desteği gerekli oldu.
Home mechanical ventilation is used to treat chronic respiratory insufficiency in patients who are clinically stable and require partial or total ventilation support. We present a patient who provided long-term mechanical ventilation support at home. A-86-year-old man who had received cardiopulmonary resuscitation after sudden cardiac arrest at the second day of TUR-P operation in the ward was admitted to the intensive care unit (ICU)(APACHE II Score:3, GKS:3). He had a history of congestive heart failure and chronic obstructive pulmonary disease. He could not completely wean from ventilatory support. Home mechanical ventilation programme was planned for the ventilatordependent patient after eight months in ICU. The education of the specific features about the patients care had been provided to the persons who would be in charge of his care before he was discharged to home. An intensivist visited for acute episode treatment of chronic obstructive pulmonary disease and physical examination regularly. He died after twenty-two months. He required the ICU support twice during this period.
Home mechanical ventilation is used to treat chronic respiratory insufficiency in patients who are clinically stable and require partial or total ventilation support. We present a patient who provided long-term mechanical ventilation support at home. A-86-year-old man who had received cardiopulmonary resuscitation after sudden cardiac arrest at the second day of TUR-P operation in the ward was admitted to the intensive care unit (ICU)(APACHE II Score:3, GKS:3). He had a history of congestive heart failure and chronic obstructive pulmonary disease. He could not completely wean from ventilatory support. Home mechanical ventilation programme was planned for the ventilatordependent patient after eight months in ICU. The education of the specific features about the patients care had been provided to the persons who would be in charge of his care before he was discharged to home. An intensivist visited for acute episode treatment of chronic obstructive pulmonary disease and physical examination regularly. He died after twenty-two months. He required the ICU support twice during this period.
Description
XXXVII. Türk Anesteziyoloji ve Reanimasyon Kongresinde (27 Kasım-1 Aralık 2003, Antalya) poster olarak sunulmuştur.
Keywords
Mekanik ventilasyon, Mekanik ventilatörden ayrılma, Hastane temelli ev bakımları, Uzun süreli bakım, Mechanical ventilation, Kronik obstrüktif akciğer hastalığı, Long–term care, Mechanical ventilator weaning, hospital based, Home cares, Chronic obstructive lung disease.
Citation
Kaya, F. N. vd. (2005). ''Evde mekanik ventilasyon uygulaması''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 31(1), 75-78.