TY - JOUR T1 - Clinical analysis of patients treated with mechanical ventilation in an emergency respiratory ward JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P2005 AU - Valentina Dimitrova AU - Marinka Peneva AU - Kamen Yankov Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P2005.abstract N2 - Aim: To make analysis of indications, duration, complications and outcome of the mechanical ventilation in patients treated in the Emergency Respiratory Ward.Data and methods: A retrospective analysis of the patients in the Emergency Respiratory Ward treated with mechanical ventilation during the last 5 years (2007-2011) has been made. 191 patients (10,33%) from the total number of patients (1848) needed mechanical ventilation.Results:The percentage of patients, treated with mechanical ventilation, does not differ substantially during the studied years – from 10,81% in 2007 to 11,68% in 2011.The most common reason for heavy respiratory insufficiency, demanding mechanical ventilation, is pulmonary pathology (81,67%) as the greatest percentage belongs to COPD exacerbation and its complications (pneumonia) – 134 patients (85,90%). The most common reasons from the non-pulmonary pathology are alveolar hypoventilation in case of extreme obesity, chest deformations, left - side cardiac insufficiency.The usual duration of mechanical ventilation is 15 days as there are no significant differences in the studied years – from 77,14 % to 87,10 %.7 of the patients (3,66 %) have a verified diagnosis ventilator – associated pneumonia.The total number of patients with lethal outcome is 66 (34,50 %) as there are no significant differences in the studied years.Conclusion: About 10 % of the patients, treated in Emergency Respiratory Ward, need mechanical ventilation as the most common pulmonary pathology is COPD. Problematic microbial flora, most often Gram /-/ strains are isolated in tube secrets, which significantly deteriorates the prognosis and leads to lethality in 34,50 % of the cases. ER -