TAILIEUCHUNG - Báo cáo y học: "Gastroesophageal reflux in mechanically ventilated pediatric patients and its relation to ventilator-associated pneumonia"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Gastroesophageal reflux in mechanically ventilated pediatric patients and its relation to ventilator-associated pneumonia. | Available online http content 13 5 R164 Research Gastroesophageal reflux in mechanically ventilated pediatric patients and its relation to ventilator-associated pneumonia Tarek A Abdel-Gawad Mostafa A El-Hodhod Hanan M Ibrahim and Yousef W Michael Open Access Pediatric Department Ain Shams Faculty of Medicine Abbassia Ramsis St. Cairo 11566 Egypt Corresponding author Mostafa A El-Hodhod moshodhod@ Received 29 May 2009 Revisions requested 10 Jul 2009 Revisions received 4 Sep 2009 Accepted 19 Oct 2009 Published 19 Oct 2009 Critical Care 2009 13 R164 doi cc8134 This article is online at http content 13 5 R1 64 2009 Abdel-Gawad et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction The objective was to determine the frequency of gastroesophageal reflux GER in mechanically ventilated pediatric patients and its role as a risk factor for ventilator-associated pneumonia VAP which may be enhanced among those patients. Methods The study is a prospective cohort study of mechanically ventilated pediatric patients in the pediatric intensive care unit PICU of Ain Shams University Children s Hospital. It was conducted in 24 mechanically ventilated patients 16 of them developed VAP and 8 did not with mean age of - and - months respectively . Esophageal 24-hour pH-metry beside clinical and laboratory evaluation of their underlying problem and severity of their condition were carried out. Results All VAP patients had GER 50 alkaline reflux acidic reflux and combined reflux compared to 75 of non-VAP ones 100 alkaline reflux . The mean total reflux time was significantly longer among VAP 50 minutes versus non-VAP 3 minutes patients. There was .

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