An audit of intensive care unit admission in a pediatric cardio-thoracic population in Enugu, Nigeria

摘要: Introduction: The study aimed to perform an audit of intensive care unit admissions in the paediatric cardio-thoracic population Enugu, Nigeria and examine challenges outcome this high risk group. Ways improvement based on are suggested. Methods: hospital records consecutive postoperative pediatric cardiothoracic multidisciplinary units University Teaching Hospital (UNTH) determine their Intensive Care Unit management over a 2 year span -June 2002 June 2004 were retrospectively reviewed. Data collected included patient demographics, diagnosis, duration stay unit, therapeutic interventions outcome. Results: There total thirty period. average age patients was 5.1 years with range weeks 13 years. Twelve had cardiac surgery cardiopulmonary bypass (CPB), three colon transplant, four pericardiotomy/pericardicectomy, five diagnostic/therapeutic bronchoscopy. remaining following surgeries, thoracotomy for repair diaphragmatic hernia/decortications, delayed primary esophageal atresia gastrostomy. Two excision cervical teratoma cystic hygroma. 6.2 days. Ten (33%) received pressor agents organ support. Five (17%) mechanical ventilation, while twenty-five (83%) oxygen therapy via intranasal cannula or endotracheal tube. Seven (23%) blood transfusion ICU. 66% survival rate ten deaths. Conclusion: Paediatric services suffer from problems inadequate funding manpower flight better paying jobs. Government should invest people by introducing insurance schemes patients. Training programmes members countries advanced health systems hands experience be encouraged. Otherwise majority children heart disease, it will slow painful wait inevitable.