Valor predictivo entre Mechanical Power y Driving Pressure

dialnet-ar-18-ART0001462148

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RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 2, 2021, pags. 119-127

Spanish

Valor
Predictivo
Mortalidad
Poder mecánico
Presión de distensión
Value
Predictive
Mortality
Mechanical power
Distension pressure

Valor
Predictivo
Mortalidad
Poder mecánico
Presión de distensión
Value
Predictive
Mortality
Mechanical power
Distension pressure
Choez Quimis, Ariana Tatiana
Quiroz Moncerrad, Leonardo Xavier
Hidalgo Bermúdez, Carlos Andrés
Leonor González Plúa, Carmen
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 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.

Article

Choez Quimis, Ariana Tatiana
Quiroz Moncerrad, Leonardo Xavier
Hidalgo Bermúdez, Carlos Andrés
Leonor González Plúa, Carmen

Choez Quimis, Ariana Tatiana
Quiroz Moncerrad, Leonardo Xavier
Hidalgo Bermúdez, Carlos Andrés
Leonor González Plúa, Carmen

Choez Quimis, Ariana Tatiana

Valor predictivo entre Mechanical Power y Driving Pressure

Valor predictivo entre Mechanical Power y Driving Pressure

Valor predictivo entre Mechanical Power y Driving Pressure

Valor predictivo entre Mechanical Power y Driving Pressure

Valor predictivo entre Mechanical Power y Driving Pressure

valor predictivo entre mechanical power y driving pressure

2021

https://dialnet.unirioja.es/servlet/oaiart?codigo=7945981

1727491712944701440

dialnet-ar-18-ART00014621482022-03-15Valor predictivo entre Mechanical Power y Driving PressureChoez Quimis, Ariana TatianaQuiroz Moncerrad, Leonardo XavierHidalgo Bermúdez, Carlos AndrésLeonor González Plúa, CarmenValorPredictivoMortalidadPoder mecánicoPresión de distensiónValuePredictiveMortalityMechanical powerDistension pressureLike 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.Tal como cualquier intervención farmacológica, la ventilación mecánica (VM) debe ser titulada dentro de una ventana terapéutica con el fin de que alcance el objetivo por el cual se inició y al mismo tiempo se limiten los efectos adversos de su empleo. Se ha propuesto que en “pacientes sin síndrome de distrés respiratorio agudo (SDRA) que son sometidos a ventilación mecánica, el driving pressure y el poder mecánico, son factores de riesgo para un aumento en la mortalidad y el desarrollo de SDRA. El objetivo del presente estudio consiste en plasmar los valores predictivos de la mechanical power y el driving pressure. Especialmente como predictores de mortalidad. El modelo de investigación es una revisión de tipo documental bibliográfico. De la revisión se desprende que un PM superior a 17 J/min, se asocia con aumento en la mortalidad en la unidad de cuidados intensivos (UCI), mortalidad a los 30 días, menor número días sin ventilador y mayor duración de la estancia hospitalaria. Incluso con un bajo VC, un alto PM se asoció con mortalidad hospitalaria. Incluso, otros autores consideran que por encima de 12 J/min se asocia con peores pronósticos y con síndrome de distrés respira-torio. Con respecto a la presión de distensión o conducción (driving pressure), los estudios han demostrado que, una DP mayor a 13 cmH2O y una presión meseta mayor a 24 cmH2O se asociaron directamente con una mortalidad mayor. En tal sentido, una mayor DP se asocia a una mayor probabilidad de mortalidad. Es fundamental el conocimiento y monitoriza-ción de las diferentes variables de la mecánica ventilatoria por cuanto representan una herramienta vital para el profesional de la salud en el manejo del paciente ventilado.2021text (article)application/pdfhttps://dialnet.unirioja.es/servlet/oaiart?codigo=7945981(Revista) ISSN 2588-073XRECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 2, 2021, pags. 119-127spaLICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. 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