FREQUENCY AND FACTORS RESPONSIBLE FOR VENTILATORY SUPPORT IN ORGANOPHOSPHOROUS POISONING

Main Author: Dr. Hamid Raza, Dr. Abdul Ghani Rahimoon, Dr. Naveed Aslam Lashari, Dr. Hamid Nawaz Ali Memon, Dr. Imran Karim and Dr. Muntaha Irshad
Format: Article Journal
Bahasa: eng
Terbitan: , 2018
Subjects:
Online Access: https://zenodo.org/record/1307351
Daftar Isi:
  • OBJECTIVE: To determine the frequency and factors responsible for ventilatory support in individuals with organophosphorous poisoning. PATIENTS AND METHODS: All the patients who were diagnosed as organophosphorous compound admitted in department of Medicine and intensive care unit (ICU) at Liaquat University Hospital Hyderabad / Jamshoro were included in the study and were explored for the needs of ventilatory support while the data was collected and analyzed to calculate the frequencies, percentages and mean ±SD. RESULTS: During six months, the total 72 patients were studied of which 45 (62.5%) were males and 27(37.5%) were females. The ventilatory support was given in 55 (76.3%) because of tachypnoea (respiratory rate > 25 b/minutes, fasciculation, GCS score of ≤8. Patients who were ventilated required a higher dose of atropine during 48 hours of hospitalization as compared to non ventilated population. CONCLUSIONS: Patients who presented with tachypnoea, using of accessory muscles of respiration, higher fasciculation score, reduced GCS score of ≤10, increase duration of poison and hospitalization, reduced and oxygen saturation were more likely to require ventilation. KEYWORDS: Organophosphorous, Poisoning and Insecticides