Poder mecánico como predictor de mortalidad en pacientes críticos con síndrome de distrés respiratorias agudo por Covid-19 en la unidad de cuidados intensivos

Gustavo Adolfo Vásquez-Tirado, María del Carmen Cuadra Campos, Edinson Dante Meregildo-Rodriguez, Niler Manuel Segura-Plasencia, Yessenia Katherin Arbayza-Ávalos, Claudia Vanessa Quispe-Castañeda

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1 Scopus citations

Abstract

Background: Invasive mechanical ventilation as a therapeutic strategy is not without complications. It is imperative to have protective ventilation parameters in those patients who are subjected to it. We aim to demonstrate whether mechanical power as a ventilatory parameter has prognostic validity for mortality in critically ill patients with prolonged invasive mechanical ventilation. Material and Methods: An analytical cross-sectional study was carried out of critically ill patients on prolonged invasive mechanical ventilation due to Acute Respiratory Distress Syndrome due to COVID-19 who were admitted to the Intensive Care Unit of the Hospital Regional de Trujillo during the March 2020 to March 2021 period. Results: Mechanical power, as a ventilatory parameter, is associated with mortality (RPa 1.061; 95% CI 1.037-1.085; p = 0.00) as well as plateau pressure, and driving pressure and static compliance are protective factors for mortality. Mechanical power as a ventilatory parameter has prognostic validity for mortality in critically ill patients with invasive mechanical ventilation due to severe acute respiratory distress syndrome due to COVID-19.

Translated title of the contributionMechanical power as a predictor of mortality in critical ill patients with acute respiratory distress syndrome by Covid-19 in the intensive care unit
Original languageSpanish
Pages (from-to)251-259
Number of pages9
JournalBoletin de Malariologia y Salud Ambiental
Volume62
Issue number2
DOIs
StatePublished - 2022

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