Conventional monitoring is not sufficient to assess respiratory effort during assisted ventilation.
La monitorización convencional no es suficiente para valorar el esfuerzo respiratorio durante la ventilación asistida.
Mechanical ventilation
Mecánica respiratoria
Respiratory mechanics
Respiratory work of breathing
Trabajo respiratorio
Ventilación mecánica
Journal
Medicina intensiva
ISSN: 2173-5727
Titre abrégé: Med Intensiva (Engl Ed)
Pays: Spain
ID NLM: 101717568
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
29
08
2017
revised:
25
01
2018
accepted:
14
02
2018
pubmed:
5
4
2018
medline:
22
5
2020
entrez:
5
4
2018
Statut:
ppublish
Résumé
Study the relationship and concordance between calculated respiratory effort using the signals of the ventilator (Pmus) and that measured in esophageal pressure (Pes) on mechanical ventilation with different levels of respiratory assistance. Prospective cohort study. Intensive Care Unit of 2 universitary hospitals. Patients Patients on weaning time. Airway, esophageal and respiratory flow were recorded on CPAP, assist volume control (ACV) and pressure support (PS), with complete (ACV1,PS1) and partial assistance (ACV5,PS5). respiratory variations of Pes and Pmus (Δ: cmH Fourty one records were studied, the assistance was in CPAP of 5cmH2O, PS1 of 15±5 reduced to 9±4cmH Calculated and measured parameters of respiratory effort showed unacceptable differences in clinical practice.
Identifiants
pubmed: 29615274
pii: S0210-5691(18)30069-X
doi: 10.1016/j.medin.2018.02.015
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
197-206Informations de copyright
Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.