Effects on positive liquid balance with intensive care on lungs - extraction

Objective: The aim of this study was to evaluate the demographic information of patients who require mechanical ventilation support for at least 72 hours in the Intensive Care Unit I-II-III, Internal Medicine Intensive Care and Thoracic Surgery Intensive Care Unit of Akdeniz University Medical Faculty Hospital and clinically diagnosed with sepsis and septic shock, ventilation times, fluid balances and mortality. METHODS: Demographic data, medications used, duration of invasive mechanical ventilation, vital findings, blood gas and laboratory values were assessed (positive, negative, equilibrium) from the patient's medical files, nurse observations, hospital and intensive care unit electronic records files. Findings: Twenty-six (52.00) male (E) and 24 (48.00) female (K) of the total 50 patients included in the study. The mean age was 66.58 ± 16.25. Chronic disease was detected in 40 (80%) patients, 13 (13.50%) of them were hypertension, 11 (27.50%) DM, 8 (20.00%) COPD and 8 found. When the fluid balances of 50 patients were examined, 42 (84.00%) were positive, 6 (12.00%) were negative and 2 (4.00%) were balanced. Of these 50 patients, 42 (84.00%) were not fed, 1 (2.04%) were enteral and 6 (12.24%) were paranteral. The duration of stay was 9.80 ± 7.14 days. The APACHE II score was 25.99 ± 4.68, the GKS score was 6.73 ± 2.21, and the SOFA score was 7.85 ± 1.86. It was found that ARDS developed in 11 (22%) of 50 patients included in the study Conclusion: Mechanical ventilation is an indispensable treatment modality in sepsis and septic shock patients in intensive care units and increases the risk of complications and mortality rates. We also found that patients with positive fluid balance stayed in mechanical ventilation longer than patients with negative fluid balance and had higher mortality. In this study, it was observed that 11 of the patients with positive fluid-loaded ARDS developed. Key words: intensive care, mechanical ventilation, sepsis-septic shock, fluid balance