Sánchez-Solís A, Muñoz-Ramírez MR

Language: Spanish
References: 15
Page: 66-71
PDF size: 209.44 Kb.

ABSTRACT

Introduction: In critically ill patients with COVID-19, ventilatory management has become the basis of treatment. The term "mechanical power" unifies the variables involved in lung damage associated with mechanical ventilation or VILI. Objective: To know the mode of invasive mechanical ventilation associated with less mechanical power and its impact on the mortality of patients with acute respiratory insufficiency syndrome (ARDS) secondary to SARS-CoV-2. Material and methods: Retrospective observational descriptive study includes adult patients with COVID-19 under mechanical ventilation. Demographic data were collected, as well as the value of mechanical power and Intensive Care Unit (ICU) discharge status. The measure of association used between both variables was relative risk. Results: It was found that 88.3% of the living graduates had a value of mechanical power < 12 J/min, while 66.9% of the deceased had a value >12 J/min. The decrease in the risk of mortality was demonstrated with a mechanical power < 12 J/min with RR of 0.3 (CI 0.24-0.39). Conclusion: The mechanical power, which is easy to measure at the patient's bedside, can guide the evolution and outcomes in patients with invasive mechanical ventilation.

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