Document Type : Original Article
Authors
1
PORT SAID UNIVERSIY
2
Resident in Kuwait Hospital – Sharjah.
3
MsRC, RRT, RRT-NPS, RRT-ACCS, RPFT, RRT-SDS Senior Respiratory Therapy Specialist, Master of Health Science in Respiratory Therapy . new najran general hospital KSA
4
ICU resident New Najran General Hospital, KSA
5
Associate professor of cardiothoracic surgery, Faculty of medicine, Cairo University
6
Head of Respiratory Care Services New Najran Care General Najran KSA.
7
ICU resident at Dammam Medical Complex, KSA
8
Emergency specialist, NNGH, KSA
9
MBChB, MRCPI najran general hospital KSA
10
associate professor pulmonology, chest department, Aswan university, faculty of medicine, Egypt
Abstract
Introduction: Intensivists and anesthesiologists need to understand to what extent blast lung injuries result from bomber explosions, and what supportive therapies are available to treat them. Thus, we reviewed the epidemiology, clinical management, and outcomes of blast-exposed victims. During the period from 2019 to 2021, who were admitted to the critical care unit of New Najran General Hospital, KSA.
Materials and Methods: The objective of this study is to conduct a retrospective review of the clinical, and outcome characteristics of blast-exposed casualties admitted to the critical care unit of New Najran General Hospital, KSA, between 2019 and 2021.
Results: A total of 24 patients survived blast exposure and were discharged from intensive care. Five cases (20.8%) of moderate disease was managed with non invasive bilevel positive pressure ventilation PBLI. invasive mechanical ventilation was used for eight patients,. According to the analysis of their outcomes, their median length of stay in the ICU was 4 days (3.25-29.25). A conventional mechanical ventilation regimen of 4.5 days was required for severe cases of primary blast lung injury.
Conclusions: The primary blast lung injury was likely caused by the high-pressure wave created by the blast, which damaged the tissue of the lungs. This type of injury was not as severe as non- traumatic forms of acute lung injury, and the victims typically recovered with a short duration of conventional mechanical ventilation.
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