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ventilación mecánica, mechanical ventilation

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...
January 2018: Medicina Intensiva
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
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
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: An Official Publication, American Association of Critical-Care Nurses
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
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
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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