Evaluación del perfil de asincronías ventilatorias y manifestaciones de ocurrencias en individuos neurocríticos en la Unidad de Cuidados Intensivos de adultos de un hospital de referencia
DOI:
https://doi.org/10.33448/rsd-v13i1.44638Palabras clave:
Fisioterapia; Ventilación mecánica; Unidad de Terapia Intensiva.Resumen
Introducción: Las asincronías ventilatorias son un desequilibrio en la coordinación entre el paciente y el ventilador mecánico durante la ventilación asistida y controlada. Esta falta de sincronía ocurre cuando los esfuerzos respiratorios del paciente no están en armonía con el funcionamiento del ventilador o cuando la configuración de los parámetros es incorrecta. Objetivo: Delinear el perfil de asincronías ventilatorias con mayor ocurrencia en pacientes en cuidados neurocríticos en una unidad de cuidados intensivos de adultos. Método: Estudio piloto y observacional, mediante gestión de cobranza del programa TASY y resultados en tiempo vía software B.I. Se analizaron 47 casos adversos, con mayor ocurrencia de asincronías de flujo insuficiente y dobles desencadenantes. Resultados: Ciclare temprano y flujo excesivo 1%, disparo ineficaz y ciclado tardío aproximadamente 3%, disparo inverso 7%, disparo automático 8%, flujo insuficiente 28% y disparo doble 48%. Conclusión: Se concluye que los cambios mecánicos de mayor ocurrencia son asincronías de flujo insuficiente y dobles disparos, siendo previa la necesidad futura de proponer medidas de control y entrenamiento, como la mejora de la monitorización de la ventilación activa, ya que ambos tienen un estándar de clasificación que los relaciona. la actividad participativa del paciente. De esta manera, la gestión del software de tecnología de inteligencia fue efectiva para perfilar las asincronías aquí evaluadas.
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Derechos de autor 2024 Walter de Aquino Vieira Filho; Marden Junio Sousa Ferreira; Jhonhy Sheldom Nunes; Nayan Leonardo Sousa Lopes; Flávia Lobato Maciel ; Marcos Vinícius da Conceição; Tais Kaybers
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