Factores predictores de fracaso de la ventilación mecánica no invasiva
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnonología Médica
Resumen
Esta investigación se realizó para conocer los factores predictores de fracaso de la ventilación mecánica no invasiva, que ha demostrado ser un método eficaz para el tratamiento de la insuficiencia respiratoria de múltiples etiologías. Desafortunadamente es un hecho que la técnica es desconocida en algunos países y consecuentemente subutilizada , resulta claro que solo promoviendo la información y la educación acerca de la ventilación mecánica no invansiva sus indicaciones, contraindicaciones el éxito y fracaso de la misma motivara su adecuada implementación y evitara los efectos indeseables de la ventilación mecánica no invasiva en muchos enfermos, aunque algunos trabajos establecen que la prolongación de la ventilación mecanica no invasiva podría estar asociada a un aumento en la mortalidad por lo tanto el uso creciente de la técnica y la identificación de factores predictores de éxito o fracaso que eviten la prolongación innecesaria de la misma hace necesaria la realización de este estudio. La muestra de estudio estuvo conformada por pacientes con insuficiencia respiratoria de diversa etiología en el que constan 105 pacientes en el que aplicamos nuestro estudio y fueron atendidos en el hospital Clínica Panamericana, en el área de cuidados intensivos respectivamente. La muestra suele ser definida como un sud grupo de la población. Demostrando así la eficacia de determinar los factores predictores de fracaso de la ventilación mecánica no invasiva para disminuir la morbilidad en estos pacientes. Y además a los futuros licenciados en terapia respiratoria ya que por medio de esta investigación aportaremos una herramienta necesaria, para ayudar al trabajo profesional.
This investigation was carried out to determine the predictors of failure of non-invasive mechanical ventilation, which has proven to be an effective method for the treatment of respiratory failure of multiple etiologies. Unfortunately it is a fact that the technique is unknown in some countries and consequently underused, it is clear that only by promoting information and education about non-invasive mechanical ventilation its indications, contraindications, its success and failure will motivate its proper implementation and avoid the undesirable effects of non-invasive mechanical ventilation in many patients, although some studies establish that the prolongation of non-invasive mechanical ventilation could be associated with an increase in mortality, therefore the increasing use of the technique and the identification of predictive factors of success or failure that avoid unnecessary prolongation of the same makes it necessary to carry out this study. The study sample consisted of patients with respiratory failure of diverse etiology, in which there were 105 patients in which we applied our study and they were treated at the Hospital Clínica Panamericana, in the intensive care area respectively. The sample is usually defined as a southern group of the population. Thus demonstrating the effectiveness of determining the predictors of failure of non-invasive mechanical ventilation to reduce morbidity in these patients. And also to future graduates in respiratory therapy, since through this research we will provide a necessary tool to help professional work.
This investigation was carried out to determine the predictors of failure of non-invasive mechanical ventilation, which has proven to be an effective method for the treatment of respiratory failure of multiple etiologies. Unfortunately it is a fact that the technique is unknown in some countries and consequently underused, it is clear that only by promoting information and education about non-invasive mechanical ventilation its indications, contraindications, its success and failure will motivate its proper implementation and avoid the undesirable effects of non-invasive mechanical ventilation in many patients, although some studies establish that the prolongation of non-invasive mechanical ventilation could be associated with an increase in mortality, therefore the increasing use of the technique and the identification of predictive factors of success or failure that avoid unnecessary prolongation of the same makes it necessary to carry out this study. The study sample consisted of patients with respiratory failure of diverse etiology, in which there were 105 patients in which we applied our study and they were treated at the Hospital Clínica Panamericana, in the intensive care area respectively. The sample is usually defined as a southern group of the population. Thus demonstrating the effectiveness of determining the predictors of failure of non-invasive mechanical ventilation to reduce morbidity in these patients. And also to future graduates in respiratory therapy, since through this research we will provide a necessary tool to help professional work.
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Respiración artificial, Factores predictores, Clínica Panamericana, Cantón Guayaquil, Ecuador, Epidemiología descriptiva, Estudios prospectivos