Valor predictivo entre Mechanical Power y Driving Pressure

Like any pharmacological intervention, mechanical ventilation (MV) must be titrated within a therapeutic window in order to achieve the objective for which it was initiated and at the same time limit the adverse effects of its use. It has been proposed that in “patients without acute respiratory dis...

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Bibliographic Details
Main Authors: Choez Quimis, Ariana Tatiana, Quiroz Moncerrad, Leonardo Xavier, Hidalgo Bermúdez, Carlos Andrés, Leonor González Plúa, Carmen
Format: Article
Language:Spanish
Published: 2021
Subjects:
Valor
Predictivo
Mortalidad
Poder mecánico
Presión de distensión
Value
Predictive
Mortality
Mechanical power
Distension pressure
Online Access:https://dialnet.unirioja.es/servlet/oaiart?codigo=7945981
Source:RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 2, 2021, pags. 119-127
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Valor predictivo entre Mechanical Power y Driving Pressure
Summary: Like any pharmacological intervention, mechanical ventilation (MV) must be titrated within a therapeutic window in order to achieve the objective for which it was initiated and at the same time limit the adverse effects of its use. It has been proposed that in “patients without acute respiratory distress syndrome (ARDS) who are subjected to mechanical ventilation, driving pressure and mechanical power are risk factors for an increase in mortality and the development of ARDS. The objective of this study is to capture the predictive values of mechanical power and driving pressure. Especially as predictors of mor-tality. The research model is a bibliographic documentary type review. The review shows that a MW greater than 17 J / min is associated with increased mortality in the intensive care unit (ICU), mortality at 30 days, fewer days without a ventilator, and longer length of hospital stay. Even with a low CV, a high PM was associated with hospital mortality. Other authors even consider that above 12 J / min is associated with worse prognoses and with respiratory distress syndrome. With regard to distension or driving pressure, studies have shown that a PD greater than 13 cmH2O and a plateau pressure greater than 24 cmH2O were directly associated with higher mortality. In this sense, a higher PD is associated with a higher probability of mortality. Knowledge and monitoring of the different variables of ventilatory mechanics is essential as they represent a vital tool for the health professional in the management of the ventilated patient.

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