[Mechanical ventilation in intensive care units: indications, modalities and complications. Results of a prospective multicenter survey in Tunisia].
The survey was performed during the month of March 1998 and concerned 9 ICUs located in teaching hospitals. To be included each ICU had to MV for more than 12 hours were included in the study and had a 28 day follow-up in the ICU or until hospital discharge. Collected parameters were indications of MV, modalities of MV and of weaning, complication and outcome at hospital discharge. Assist-control ventilation was the most used ventilation modality (69.8%). Weaning of MV was performed in 63% of the study patients and was based on a once-a-day attempt of spontaneous breathing through a T-piece (59.5%) and a combination of intermittent mandatory ventilation with pressure support (IMV-PS: 27%) or pressure support alone (11.2%). Mean length of hospital stay was 19.7 +/- 15.9 days of which 11.6 days were spent in the ICU. Fifty nine patients (54%) were alive at discharge form the ICU of whom 4 ultimately died during their hospital stay. MV practice as well as ICU facilities are not homogenous in Tunisia. Recommendations and guidelines should be built in order to standardize MV practice in Tunisia.
Chelli
Hedi
H
Service de Réanimation, CHU H. Bourguiba Sfax.
Besbes
Lamia
L
Ben Khelil
Jalila
J
Thabet
Hafedh
H
Bouhaja
Bechir
B
Ghedira
Selma
S
Ben Lakhal
Salh
S
Bchir
Afef
A
Gahbiche
Mourad
M
Bouaziz
Mounir
M
el Atrous
Souheil
S
Besbes
Mohamed
M
Amamou
Mouldi
M
Ben Ammar
Mohamed Salah
MS
Daoud
Abdelmajid
A
Bouchoucha
Slah
S
Abroug
Fekri
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D019538:Health Care Surveys; D017052:Hospital Mortality / Q000639:trends*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000706:statistics & numerical data; D011446:Prospective Studies; D012121:Respiration, Artificial; D014416:Tunisia; D015300:Ventilator Weaning