Practice of Mechanical Ventilation in the Intensive Care Unit of the Reference Hospital in Maradi

  • Maikassoua Mamane Faculty of Health Sciences, Dan Dicko Dankoulodo University of Maradi Referral Hospital of Maradi, Niger
  • Alassane M. Bachir Faculty of Health Sciences, Dan Dicko Dankoulodo University of Maradi
  • Hassane M. Laoul Faculty of Health Sciences, Andre Salifou University of Zinder
  • Hamissou S. Nourya Referral Hospital of Maradi, Niger
  • Magagi Amadou Faculty of Health Sciences, Andre Salifou University of Zinder
  • James D. Lasaye Faculty of Health Sciences, Abdou Moumouni University of Niamey Referral Hospital of Maradi, Niger
  • Chaibou M. Sani Faculty of Health Sciences, Abdou Moumouni University of Niamey
  • Boukari M. Baoua Faculty of Health Sciences, Abdou Moumouni University of Niamey
Keywords: Mechanical ventilation, Resuscitation, Disorders of consciousness, Ventilator-associated pneumonia, HRM, Niger

Abstract

Introduction: Mechanical ventilation is a technique that assists or replaces breathing using a device called a ventilator or artificial respirator. The aim of this study was to evaluate the practice of mechanical ventilation in the intensive care unit of the Maradi referral hospital.

Methodology: This was a descriptive, cross-sectional, retrospective study covering a three-year period from July 1, 2021, to June 30, 2024, conducted in the intensive care unit of Maradi Referral Hospital, focusing on patients who underwent mechanical ventilation.

Results: During the study period, 133 patients out of a total of 489 were recorded with a VM frequency of 27.19%. The average age was 40.79±19.25 years (range 4 to 87 years) with a sex ratio of 3.29 in favor of males. Invasive ventilation was more commonly used (99%) than NIV, with the main indications being disorders of consciousness (47.4%), followed by respiratory distress (29.3%). Volumetric mode was used more than barometric mode (84% vs. 16%). Sedation-analgesia was necessary in 98% of patients and consisted mainly of midazolam and fentanyl. The average duration of ventilation was 6±5.3 days. PAVMs were the main complications associated with mechanical ventilation (89.5%). The mortality rate was 77%.

Conclusion: Mechanical ventilation is increasingly common in our department, with a high mortality rate. It is mainly indicated for severe head injuries.

Downloads

Download data is not yet available.

References

1. Diop TM, Hamidou AA, Coulibaly M, Dabo A, Dembele AS, Diango MD, et al.(2023) Evaluation of mechanical ventilation practices in the intensive care unit at Gabriel Touré University Hospital. Méd Intensive Réa. March 7, 2023. Available from: https://revue-mir.srlf.org/index.php/mir/article/view/1655
2. Thille A, Lellouche F, Brochard L(2005) : Barotrauma during mechanical ventilation. Réanimation 2005;14:133–9. https://doi.org/10.1016/j.reaurg.2004.11.001.
3. Petit JY, Gaussorgues P, Salord F, Sirodot M, Langevin B, Robert D.(1993) : Prospective study of complications of mechanical ventilation observed in 126 patients. Resuscitation Emergencies. Jan 1993;2(5):521‐6.
4. Wade KA. Diatta B, Mouloungui Sougou PE.(2011) : Issues surrounding mechanical ventilation in an intensive care unit in a tropical environment: the example of the Dakar Military Teaching Hospital. RAMUR Volume 16, No. 32011.
5. Diakité OS.(2013, P.114)) The epidemiological and clinical profile of comas in the intensive care unit of the Gabriel Touré University Hospital Center 2013:114. (Medical thesis).
6. Khatib KI, Dixit SB, Joshi MM.(2018, P.9-16): Factors determining outcomes in adult patient undergoing mechanical ventilation: A “real-world” retrospective study in an Indian Intensive Care Unit. Int J Crit Illn Inj Sci 2018;8:9–16.
7. Osei-Ampofo M, Aidoo A, Antwi-Kusi A, Joan Ofungwu O, Kotey SN-K, Siaw-Frimpong M, et al.(2018, P.155-7): Respiratory failure requiring mechanical ventilation in critically ill adults in Ghana: A prospective observational study. African Journal of Emergency Medicine 2018;8:155–7. https://doi.org/10.1016/j.afjem.2018.08.001.
8. Durasnel P, Gallet De Santerre P, Merzouki D, Ridhoine M, Charif M, Dada A, Lahaye F M.(2005) : Should intensive care patients in developing countries be ventilated? Med Trop 2005; 65: 537-542.
9. Hamza MB. Mechanical ventilation in the emergency department, thesis No. 007/21 of the Hassan II University Hospital in Fes (medical thesis).
10. Meleard et al,(2015, P.43) : Retrospective study of invasive mechanical ventilation in the prehospital setting and in the emergency department of Nantes University Hospital, 2015;43. (medical thesis).
11. Suroux et al,(2017) : Evaluation of ventilatory parameters applied during invasive and non-invasive ventilation in the emergency department and pre-hospital setting in Poitiers, 2017.
12. Bougatab et al,(2012) : Tracheal intubation in the emergency department of the Avicenne military hospital in Marrakech, 2012: 67-12.
13. Wilcox SR, Richards JB, Fisher DF, Sankoff J, Seigel TA.(2016, 1146-51) : Initial mechanical ventilator settings and lung protective ventilation in the ED. Am J Emerg Med 2016;34(8):1446-1451.
14. Angotti, L., Richards, J., Fisher, D., Sankoff, J., Seigel, T., Al Ashry, H., & Wilcox, S. (2017). Duration of Mechanical Ventilation in the Emergency Department. Western Journal of Emergency Medicine, 18(5), 972–979
15. Ugurlu AO, Sidhom SS, Khodabandeh A, Ieong M, Mohr C, Lin DY, et al.(2016): Use and Outcomes of Noninvasive Ventilation for Acute Respiratory Failure in Different Age Groups. Respiratory Care 2016;61:36–43. https://doi.org/10.4187/respcare.03966.
16. Demoule A, Girou E, Richard J-C, Taillé S, Brochard L. Increased use of noninvasive ventilation in French intensive care units. Intensive Care Med 006;32:1747–55. https://doi.org/10.1007/s00134-006-0229-z.
17. Funk G-C, Anders S, Breyer M-K, Burghuber OC, Edelmann G, Heindl W, et al.(2010): Incidence and outcome of weaning from mechanical ventilation according to new categories. European Respiratory Journal 2010;35:88–94. https://doi.org/10.1183/09031936.00056909.
18. Viale J-P, Duperret S, Branche P, Robert M-O, Muller M.(2008) : Artificial ventilation I: modes of mechanical ventilation. Physiological and pathophysiological effects. /data/traites/an/36-44750/ 2008.
19. Esteban A, Alia I, Ibañez J, Benito S, Tobin MJ.(1994): Modes of Mechanical Ventilation and Weaning: A National Survey of Spanish Hospitals. Chest 1994;106:1188–93. https://doi.org/10.1378/chest.106.4.1188.
20. Yd A, Ser A.(2024) : Practice of Mechanical Ventilation in Intensive Care Units in Abidjan. 2024;2.
21. Kierzek, G., & Pourriat, J.-L. (2005). Sedation in adult intensive care. EMC - Anesthesia and Intensive Care, 2(3), 1–13.
22. Bollaert P. Weaning from mechanical ventilation: definitions and epidemiology. Resuscitation 2001;10:706–11.
23. Dres M, Sklar M, Brochard L. Weaning from mechanical ventilation: which weaning test should be used in intensive care patients? Intensive Care Medicine 2016. https://doi.org/10.1007/s13546-016-1236-x.
24. Saiphoklang N, Auttajaroon J.(2018) : Incidence and outcome of weaning from mechanical ventilation in medical wards at Thammasat University Hospital. PLOS ONE 2018;13:e0205106. https://doi.org/10.1371/journal.pone.0205106
25. Auriant I, Pibarot M, Tenaillon A, Raphael J.(2005) : Iatrogenic events and mechanical ventilation. Réanimation 2005;14:423–9. https://doi.org/10.1016/j.reaurg.2005.02.014.
26. Bertholet, E., Bloch, L., Camilatto, I., Clabault, K., Delabranche, X., Dray, S., ... Lelias, I. (2010). Prevention of ventilator-associated pneumonia (VAP): results of the 2008 SRLF survey.
27. Y. Danaoui, T. Abou El Hhassan, A. Elkhayari, H. Nejmi, M.A. Samkaoui (2011) : Epidemiological profile of ventilator-associated pneumonia. SRLF and SpringerVerlag France 2011; Réanimation (2011) 20:S97-S100.
28. De Wit, M., Pedram, S., Best, A. M., & Epstein, S. K. (2009). Observational study of patient-ventilator asynchrony and relationship to sedation level. Journal of Critical Care, 24(1), 74–80.
29. M. Du Besset, B. Anette, R. Ducluzeau, D. Robert, L. Argaud (2011) : Predictive factors for mortality in mechanical ventilation: a single-center retrospective study of 3,102 intensive care stays. Mechanical ventilation (2). Intensive care. Jan. 2011;20(S1):204-7. https://doi.org/10.4103/IJCIIS.IJCIIS_41_17.
Published
2026-02-10
How to Cite
Mamane, M., Bachir, A. M., Laoul, H. M., Nourya, H. S., Amadou, M., Lasaye, J. D., Sani, C. M., & Baoua, B. M. (2026). Practice of Mechanical Ventilation in the Intensive Care Unit of the Reference Hospital in Maradi. European Scientific Journal, ESJ, 50, 98. Retrieved from https://eujournal.org/index.php/esj/article/view/20630
Section
ESI Preprints