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2006, Number 3

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Med Crit 2006; 20 (3)

How do to use the mechanical ventilation in the Intensive Care Unit?

Luviano GJA, Torres CM
Full text How to cite this article

Language: Spanish
References: 9
Page: 120-125
PDF size: 53.53 Kb.


Key words:

Assisted mechanical ventilation, parameters, intensive care units, critically ill patients.

ABSTRACT

Introduction: Assisted mechanical ventilation (AMV) is vital in the treatment of critically ill patients. In our knowledge there are not studies about the AVM parameters used in the ICUs of Mexico.
Objective: To know the AMV parameters used in the ICUs of Mexico.
Design: Transversal multicentric study.
Setting: UCIs of Mexico.
Patients: Sixty eight patients with AMV were included.
Methods: On the 28th of February of 2005 a survey about the AVM parameters used in 25 ICUs of Mexico was made.
Results: The data of 68 AVM patients were obtained. It was found: mean age 54.7 ± 22 years, length of AVM 7.7 ± 11 days, AVEA was the ventilator most frequently used (15%), the mode assisted/control with volume was utilized in 29% of cases, tidal volume was 7.7 ± 2.96 mL/kg, FIO2 .46 ± 0.7, and PaO2/FIO2 ratio 213 ± 124. The method most frequently used for weaning was CPAP + PS + SIMV (28%).
Conclusion: In this study was found that AVM parameters utilized in Mexico are different than in other countries.


REFERENCES

  1. McIntyre RC, Pulido EJ, Bensard DD et al. Thirty years of clinical trials in acute respiratory distress syndrome. Crit Care Med 2000;28:3314-3331.

  2. Thompson BT, Hayden D, Mattahay MA et al. Clinician’s approaches to mechanical ventilation in acute lung injury and ARDS. Chest 2001;120:1622-1627.

  3. International Consensus Conferences in Intensive Care Medicine: Ventilator associated Lung Injury in ARDS this official conference report was cosponsored by the American Thoracic Society of intensive care medicine and the societé de réanimation de langue francasie and was approved by the ATS board of directors July 1999. Am J Respir Crit Care Med 1999;160:2118-2124.

  4. Dreyfuss D, Saumon G. Ventilator-induced lung injury lessons from experimental studies. Am J Respir Crit Care Med 1999;157:294-323.

  5. Esteban A, Alía I, Ibañez J et al. Modes of mechanical ventilation and weaning: a national survey of Spanish hospitals. Chest 1994;106:1188-1193.

  6. Esteban A, Anzueto A, Alía I et al. How is mechanical ventilation employed in the Intensive Care Unit? An International Utilization Review. Am J Respir Crit Care Med 2000;161:1450-1458.

  7. Esteban A, Anzueto A, Frutos F et al. Characteristics and outcomes in adult patients receiving mechanical ventilation. A 28 day International Study. JAMA 2002;287:345-355.

  8. Amato MBP, Barbas CS, Medeiros DM et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998;338:347-354.

  9. The Acute Respiratory Distress Syndrome Network. Ventilation with lower volumes as compared with traditional tidal volumes for acute lung injury and the acute distress syndrome. N Engl J Med 2000;342:1301-1308.




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C?MO CITAR (Vancouver)

Med Crit. 2006;20