Monitoring of Pulmonary Emboli Patients in Intensive Care Unit

Yıl 2021, , 262 - 269, 31.08.2021

Erdinç Koca

https://doi.org/10.24938/kutfd.793308

Öz

Objective: Pulmonary embolism is a fatal disease that requires close follow-up and urgent intervention. Our aim is to examine the processes of these patients in our intensive care.

Material and Methods: This study examines the follow-up of 37 patients hospitalized with the diagnosis of pulmonary embolism in Anesthesiology and Reanimation Intensive Care between 26.12.2013 and 01.01.2019. In this study, parameters such as intensive care stay, age, diagnosis, blood transfusion requirement, invasive procedures, echocardiographic findings, location of the trombus in the pulmonary arteries were examined.

Results: Of the patients 27% were male and 73% were female. The average age of the patients was determined as 74. Of the 37 patients who were diagnosed with pulmonary embolism and treated in intensive care, 46% were transferred to the service and later discharged. In the computerized thoracic angiography of the patients, it was seen that thrombus location (38%) was mostly in the right main pulmonary artery.

Conclusion: Pulmonary embolism is a disease that may require early diagnosis and rapid treatment. Patients may need respiratory and cardiac support. The high mortality rates of these patients who are followed up in the tertiary intensive care unit despite the treatment they received during the treatment process can be explained by the high mortality of this disease, advanced age and the presence of accompanying diseases.

Anahtar Kelimeler

Intensive care, pulmonary embolism, mortality

PULMONER EMBOLİ HASTALARININ YOĞUN BAKIM TAKİBİ

Öz

Amaç: Pulmoner emboli yakın takip ve acil müdahale gerektiren ölümcül bir hastalıktır. Amacımız bu hastaların yoğun bakımımızdaki süreçlerini incelemektir.

Gereç ve Yöntemler: Bu çalışmada 26.12.2013 ile 01.01.2019 tarihleri arasında Anesteziyoloji ve Reanimasyon Yoğun Bakımda yatarak tedavi gören 37 pulmoner emboli hastası incelenmiştir. Hastaların yoğun bakım yatış süreleri, yaşı, tanıları, kan ihtiyacı, girişimler işlemleri, ekokardiyografik bulguları, pulmoner arterlerdeki trombüsün yerleşim yeri gibi parametreler incelenmiştir.

Bulgular: Hastaların %27’si erkek, %73’ü kadınlardan oluşmaktaydı. Hastaların yaş ortalaması 74 olarak tespit edildi. Yoğun bakımda tedavi gören ve pulmoner emboli tespit edilen 37 hastamızdan %46’sı servise devredilerek daha sonra taburculuğu sağlanmıştır. Hastalara çekilen bilgisayarlı toraks anjiyografisinde trombüs yerleşiminin en sık olarak sağ ana pulmoner arterde (%38) olduğu görüldü.

Sonuç: Pulmoner emboli; erken tanı, hızlı tedavi gerektirebilen bir hastalıktır. Hastalar solunumsal ve kardiyak destek ihtiyacı duyabilir. 3. basamak yoğun bakımda takip edilen bu hastaların tedavi sürecinde aldıkları tedaviye rağmen ölüm oranlarının yüksek olması bu hastalığın mortalitesinin yüksekliği, ileri yaş ve eşlik eden hastalıkların varlığı ile açıklanabilir.

Anahtar Kelimeler

Yoğun bakım, pulmoner emboli, mortalite

Kaynakça

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