Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation
Objective: to describe the modifications in respiratory mechanics, the proposed ventilatory strategies and the correct positioning of critically ill adult patients with HIA and ACS with the requirement of IMV in the ICU. Data sources: the bibliographic search was carried out in Pubmed, Cochrane Libr...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/28148 |
| Aporte de: |
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I10-R10article-28148 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
intra-abdominal hypertension respiration, artificial respiratory mechanics intensive care units hipertensión intra-abdominal respiración artificial mecánica respiratoria unidades de cuidados intensivos hipertensão intra-abdominal respiração artificial mecânica respiratória unidades de terapia intensiva |
| spellingShingle |
intra-abdominal hypertension respiration, artificial respiratory mechanics intensive care units hipertensión intra-abdominal respiración artificial mecánica respiratoria unidades de cuidados intensivos hipertensão intra-abdominal respiração artificial mecânica respiratória unidades de terapia intensiva Vicente, Antonela Virgilio, Sacha Alexis Tocalini, Pablo Novo, María Noel Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| topic_facet |
intra-abdominal hypertension respiration, artificial respiratory mechanics intensive care units hipertensión intra-abdominal respiración artificial mecánica respiratoria unidades de cuidados intensivos hipertensão intra-abdominal respiração artificial mecânica respiratória unidades de terapia intensiva |
| author |
Vicente, Antonela Virgilio, Sacha Alexis Tocalini, Pablo Novo, María Noel |
| author_facet |
Vicente, Antonela Virgilio, Sacha Alexis Tocalini, Pablo Novo, María Noel |
| author_sort |
Vicente, Antonela |
| title |
Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| title_short |
Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| title_full |
Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| title_fullStr |
Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| title_full_unstemmed |
Influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| title_sort |
influence of intra-abdominal hypertension on the respiratory mechanics of critically ill adult patients with invasive mechanical ventilation |
| description |
Objective: to describe the modifications in respiratory mechanics, the proposed ventilatory strategies and the correct positioning of critically ill adult patients with HIA and ACS with the requirement of IMV in the ICU.
Data sources: the bibliographic search was carried out in Pubmed, Cochrane Library and Google Scholar® without restriction of the language with publication date until July 31, 2019.
Study selection: adult patients with a requirement for IMV and diagnosis of HIA and / or ACS who have performed the ventilatory monitoring and patient positioning analysis. Laboratory studies on animals will be excluded.
Data extraction: the initial search identified 681 studies, of which 30 articles were included for data analysis.
Synthesis of data: patients with VMI requirement should be allowed to increase airway pressures and use of high PEEP; Only in specific cases could recruitment and prone maneuvering be applied to maintain adequate alveolar ventilation. Inverted Trendelemburg positioning is useful, as it improves respiratory mechanics and prevents abdominal compression.
Conclusions: alterations in respiratory mechanics produce a decrease in thoracic compliance, lung volumes and oxygenation disorders. The ventilatory strategy should consider Vt between 6-8 ml / kg according to predicted body weight, working pressure less than 14 cm H2O, plateau pressure of 30 cm H2O + PIA / 2 and sufficient levels of PEEP to prevent lung collapse in order to expiration. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/28148 |
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