Level of success index of extubation of a pediatric intensive care unit

Abstract

INTRODUCTION: The success of weaning from invasive mechanical ventilation (IMV) is defined by the maintenance of spontaneous ventilation for a period of at least 48 hours after the interruption of artificial ventilation. Weaning is considered a failure or failure if a return to artificial ventilation is necessary during this period. OBJECTIVE: to describe the extubation success rate of a Pediatric Intensive Care Unit (PICU). METHODS: Descriptive, cross-sectional and retrospective study. The study population consisted of patients older than 28 days of age and younger than 14 years of age, of both sexes, in the Hospital Estadual da Criança (HEC), Bahia, Brazil, who underwent IMV through the orotracheal tube (TOT) for more than 24 hours and who went through the process of weaning, based on the extubation protocol, of the hospital unit, carried out from January to August 2017 and April to July 2018. Data analysis was done through descriptive statistics, calculating the mean and values relative. RESULTS: The sample consisted of 74 records, the mean time of using IMV was 8.67 days. When the spontaneous breathing test was applied to perform extubation, 82.3% children had a high success rate and 17.56% a medium rate. Of these, 72.97% were successful in extubation. CONCLUSION: The records that comprised this sample showed a lower rate of extubation failure, corresponding to that observed in other reference services.