Evaluation of the mechanical ventilation practice in the Intensive Care Unit CHU-Gabriel Toure

Abstract

Objective                                                                                                                                                                                               Evaluate the practice of mechanical ventilation (VA) in the intensive care unit of CHU Gabriel Touré in Bamako Mali.                                                     

Patients and methods:

Descriptive and analytical study with prospective collection, from March 1, 2020 to December 31, 2020.All patients admitted to intensive care having benefited from VA for at least 6 hours                   

Results:

During our study on 365 admitted patients 72 (19.72%) were included. The mean age was 36.47 ± 18.77 years. The sex ratio was 0.95. The patients came from the emergency room (37.5%). Severe head trauma 25% was the most common diagnosis. The MV indication was acute respiratory failure 43.1%. Volumetric mode was used in 82%. The mean duration of sedation was 2.27 ± 1.2 days and that of VA was 4.51 ± 3.7 days. 12.5% ​​presented complications and 55.6% incidents. Withdrawal was initiated in 61.1% of patients. The lethality was 58.3%.

Conclusion:                                                                                The practice of VA in our context comes up against technical difficulties and high morbidity and mortality.