keyword
Keywords ventilación mecánica, mechan...

ventilación mecánica, mechanical ventilation

https://read.qxmd.com/read/32805238/prevalence-of-reverse-triggering-in-early-ards-results-from-a-multicenter-observational-study
#1
MULTICENTER STUDY
Pablo O Rodriguez, Norberto Tiribelli, Sebastián Fredes, Emiliano Gogniat, Gustavo Plotnikow, Ignacio Fernandez Ceballos, Romina Pratto, Alejandro Raimondi, María Guaymas, Santiago Ilutovich, Eduardo San Román, Matías Madorno, Patricio Maskin, Laurent Brochard, Mariano Setten
BACKGROUND: The prevalence of reverse triggering (RT) in the early phase of ARDS is unknown. RESEARCH QUESTION: During early ARDS, what is the proportion of patients affected by RT, what are its potential predictors, and what is its association with clinical outcomes? STUDY DESIGN AND METHODS: This was prospective, multicenter, and observational study. Patients who met the Berlin definition of ARDS with less than 72 h of mechanical ventilation and had not been paralyzed with neuromuscular blockers were screened...
January 2021: Chest
https://read.qxmd.com/read/32043986/dexamethasone-treatment-for-the-acute-respiratory-distress-syndrome-a-multicentre-randomised-controlled-trial
#2
RANDOMIZED CONTROLLED TRIAL
Jesús Villar, Carlos Ferrando, Domingo Martínez, Alfonso Ambrós, Tomás Muñoz, Juan A Soler, Gerardo Aguilar, Francisco Alba, Elena González-Higueras, Luís A Conesa, Carmen Martín-Rodríguez, Francisco J Díaz-Domínguez, Pablo Serna-Grande, Rosana Rivas, José Ferreres, Javier Belda, Lucía Capilla, Alec Tallet, José M Añón, Rosa L Fernández, Jesús M González-Martín
BACKGROUND: There is no proven specific pharmacological treatment for patients with the acute respiratory distress syndrome (ARDS). The efficacy of corticosteroids in ARDS remains controversial. We aimed to assess the effects of dexamethasone in ARDS, which might change pulmonary and systemic inflammation and result in a decrease in duration of mechanical ventilation and mortality. METHODS: We did a multicentre, randomised controlled trial in a network of 17 intensive care units (ICUs) in teaching hospitals across Spain in patients with established moderate-to-severe ARDS (defined by a ratio of partial pressure of arterial oxygen to the fraction of inspired oxygen of 200 mm Hg or less assessed with a positive end-expiratory pressure of 10 cm H2 O or more and FiO2 of 0·5 or more at 24 h after ARDS onset)...
March 2020: Lancet Respiratory Medicine
https://read.qxmd.com/read/31853811/automatic-detection-of-reverse-triggering-related-asynchronies-during-mechanical-ventilation-in-ards-patients-using-flow-and-pressure-signals
#3
JOURNAL ARTICLE
Pablo O Rodriguez, Norberto Tiribelli, Emiliano Gogniat, Gustavo A Plotnikow, Sebastian Fredes, Ignacio Fernandez Ceballos, Romina A Pratto, Matias Madorno, Santiago Ilutovich, Eduardo San Roman, Ignacio Bonelli, María Guaymas, Alejandro C Raimondi, Luis P Maskin, Mariano Setten
Asynchrony due to reverse-triggering (RT) may appear in ARDS patients. The objective of this study is to validate an algorithm developed to detect these alterations in patient-ventilator interaction. We developed an algorithm that uses flow and airway pressure signals to classify breaths as normal, RT with or without breath stacking (BS) and patient initiated double-triggering (DT). The diagnostic performance of the algorithm was validated using two datasets of breaths, that are classified as stated above. The first dataset classification was based on visual inspection of esophageal pressure (Pes) signal from 699 breaths recorded from 11 ARDS patients...
December 2020: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/29733073/at-50-years-of-the-description-of-acute-respiratory-distress-syndrome
#4
JOURNAL ARTICLE
Raúl Carrillo-Esper, Gilberto Felipe Vázquez-De Anda, Cynthia Ivonne Mejía-Pérez, María Guadalupe Delaye-Aguilar, Ana Ivonne Pérez-Castañeda, Jesús Carlos Briones-Garduño, Manuel Antonio Díaz de León-Ponce
In 1967, Ashbaugh et al. published in the Lancet the description of a new entity, for which they coined the name "adult respiratory distress syndrome". On that article, they thoroughly described 12 patients who had respiratory distress with bilateral pulmonary infiltrates and oxygen therapy-refractory hypoxemia. For its management, emphasis was made on the importance of intubation and mechanical ventilation with positive end-expiratory pressure. At 50 years of its first publication, great advances on the knowledge of this condition have been achieved, which has influenced on patient management and survival...
2018: Gaceta Médica de México
https://read.qxmd.com/read/28619528/ineffective-cough-and-mechanical-mucociliary-clearance-techniques
#5
REVIEW
A Fernández-Carmona, L Olivencia-Peña, M E Yuste-Ossorio, L Peñas-Maldonado
Cough is a fundamental defense mechanism for keeping the airway free of foreign elements. Life-threatening situations may arise when cough proves ineffective as a result of muscle weakness or altered mucociliary function. When a patient is unable to cough effectively, techniques are required to either reinforce or replace cough capacity. The use of mechanical systems that facilitate or substitute cough function is increasingly common in Intensive Care Units, where it is relatively frequent to find situations of ineffective cough due to different clinical causes...
2018: Medicina intensiva
https://read.qxmd.com/read/25892605/-non-invasive-mechanical-ventilation-in-postoperative-patients-a-clinical-review
#6
JOURNAL ARTICLE
A M Esquinas, J L Jover, A Úbeda, F J Belda
Non-invasive ventilation (NIV) is a method of ventilatory support that is increasing in importance day by day in the management of postoperative respiratory failure. Its role in the prevention and treatment of atelectasis is particularly important in the in the period after thoracic and abdominal surgeries. Similarly, in the transplanted patient, NIV can shorten the time of invasive mechanical ventilation, reducing the risk of infectious complications in these high-risk patients. It has been performed A systematic review of the literature has been performed, including examining the technical, clinical experiences and recommendations concerning the application of NIV in the postoperative period...
November 2015: Revista Española de Anestesiología y Reanimación
https://read.qxmd.com/read/25702198/-non-invasive-mechanical-ventilation-in-the-pre-and-intraoperative-period-and-difficult-airway
#7
REVIEW
A M Esquinas, J L Jover, A Úbeda, F J Belda
Non-invasive mechanical ventilation is a method of ventilatory assistance aimed at increasing alveolar ventilation, thus achieving, in selected subjects, the avoidance of endotracheal intubation and invasive mechanical ventilation, with the consequent improvement in survival. There has been a systematic review and study of the technical, clinical experiences, and recommendations concerning the application of non-invasive mechanical ventilation in the pre- and intraoperative period. The use of prophylactic non-invasive mechanical ventilation before surgery that involves significant alterations in the ventilatory function may decrease the incidence of postoperative respiratory complications...
November 2015: Revista Española de Anestesiología y Reanimación
https://read.qxmd.com/read/19880959/scales-for-evaluating-self-perceived-anxiety-levels-in-patients-admitted-to-intensive-care-units-a-review
#8
REVIEW
Juana Perpiñá-Galvañ, Miguel Richart-Martínez
OBJECTIVE: To review studies of anxiety in critically ill patients admitted to an intensive care unit to describe the level of anxiety and synthesize the psychometric properties of the instruments used to measure anxiety. METHODS: The CUIDEN, IME, ISOC, CINAHL, MEDLINE, and PSYCINFO databases for 1995 to 2005 were searched. The search focused on 3 concepts: anxiety, intensive care, and mechanical ventilation for the English-language databases and ansiedad, cuidados intensivos, and ventilación mecánica for the Spanish-language databases...
November 2009: American Journal of Critical Care
https://read.qxmd.com/read/18949178/-characteristics-and-factors-associated-with-mortality-in-patients-receiving-mechanical-ventilation-first-chilean-multicenter-study
#9
MULTICENTER STUDY
Vinko Tomicic, Mauricio Espinoza, Max Andresen, Jorge Molina, Mario Calvo, Héctor Ugarte, Jorge Godoy, Sergio Gálvez, Juan Carlos Maurelia, Iris Delgado, Andrés Esteban
BACKGROUND: The outcome of mechanically ventilated patients can be influenced by factors such as the indication of mechanical ventilation (MV) and ventilator parameters. AIM: To describe the characteristics of patients receiving MV in Chilean critical care units. MATERIAL AND METHODS: Prospective cohort of consecutive adult patients admitted to 19 intensive care units (ICU) from 9 Chilean cities who received MV for more than 12 hours between September lst, 2003, and September 28th, 2003...
August 2008: Revista Médica de Chile
https://read.qxmd.com/read/17194399/-factors-associated-with-the-prognosis-of-mechanically-ventilated-infants-and-children-an-international-study
#10
MULTICENTER STUDY
J A Farias, F Frutos-Vivar, J Casado Flores, A Siaba, A Retta, A Fernández, A Baltodano, I J Ko, M Johnson, A Esteban
OBJECTIVE: Identify factors associated with the survival of pediatric patients who are submitted to mechanical ventilation (MV) for more than 12 hours. DESIGN: International prospective cohort study. It was performed between April 1 and May 31 1999. All patients were followed-up during 28 days or discharge to pediatric intensive care unit (PICU). SETTING: 36 PICUs from 7 countries. PATIENTS: A total of 659 ventilated patients were enrolled but 15 patients were excluded because their vital status was unknown on discharge...
December 2006: Medicina Intensiva
https://read.qxmd.com/read/12975070/-diagnostic-value-of-quantitative-cultures-of-endotracheal-aspirate-in-ventilator-associated-pneumonia-a-multicenter-study
#11
MULTICENTER STUDY
M Valencia Arango, A Torres Martí, J Insausti Ordeñana, F Alvarez Lerma, N Carrasco Joaquinet, M Herranz Casado, J P Tirapu León
OBJECTIVE: To study the validity of quantitative cultures of tracheal aspirate (TA) in comparison with the plugged telescoping catheter (PTC) for the diagnosis of mechanical ventilator-associated pneumonia. METHOD: Prospective multicenter study enrolling patients undergoing mechanical ventilation for longer than 72 hours. TA samples were collected from patients with suspected ventilator-associated pneumonia, followed by PTC sampling. Quantitative cultures were performed on all samples...
September 2003: Archivos de Bronconeumología
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