HỘI CHỨNG CAI Ở TRẺ THỞ MÁY CÓ SỬ DỤNG AN THẦN, GIẢM ĐAU TẠI BỆNH VIỆN NHI TRUNG ƯƠNG VÀ KẾT QUẢ DỰ PHÒNG BIẾN CỐ THỞ MÁY

Abstract

Objective: To describe of withdrawal syndrome and some results of prevention of ventilator-associated event in children on mechanical ventilation using sedation and pain relief treatment at the Internal Intensive Care Unit, National Pediatrict Hospital in 2022-2023. Research method: Cross-sectional description was conducted on 230 children on mechanical ventilation using sedatives and analgesics with an information collection form built based on the WAT-1 withdrawal syndrome assessment scale (Withdrawal Assessment). Tool- version 1) and consult a specialist in Pediatric Intensive Care. Analyze data on SPSS 26.0 to describe the proportion of children on mechanical ventilation using sedation with withdrawal syndrome and some results of prevention of ventilator-associated event. Results: The rate of children with withdrawal syndrome was 33.0%; 63.0% in the age group 13 - 60 months, the average time to appear withdrawal syndrome is 1.44 ± 0.67 days after reducing the dose of sedatives and pain relievers. Common symptoms of withdrawal syndrome include: irritability, restlessness, difficulty comforting; sweating; creepy. 74.3% of humidifiers reached temperature; 93.9% of children had good oral hygiene, the 3-wire ventilator was placed lower than the child's face (83.5%); The water trap is in the right position, the water level in the humidifier reaches 93.9%; The suction line does not accumulate dirty fluid (94.8%); Fluid-free ventilator circuit reached 87.4%; endotracheal tube without secretions (86.1%). Conclusion: The rate of children receiving mechanical ventilation using sedation and pain relief with withdrawal syndrome is low, prevention ventilator-associated event in children are performed relatively well