Airway pressure release ventilation. The ventilatory strategy in chest trauma
<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Thoracic trauma is an important cause of morbidity and mortality. The costal volet with pulmonary contusion overshadows the prognosis<br /> <strong>...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
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Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2018-12-01
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| Series: | Revista Cubana de Anestesiología y Reanimación |
| Subjects: | |
| Online Access: | http://revanestesia.sld.cu/index.php/anestRean/article/view/417 |
| _version_ | 1819282548063207424 |
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| author | Néstor Montero Quesada César Hernández Bonilla Alien Paz Vázquez Patricia Isolina Busto Lugo |
| author_facet | Néstor Montero Quesada César Hernández Bonilla Alien Paz Vázquez Patricia Isolina Busto Lugo |
| author_sort | Néstor Montero Quesada |
| collection | DOAJ |
| description | <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Thoracic trauma is an important cause of morbidity and mortality. The costal volet with pulmonary contusion overshadows the prognosis<br /> <strong>Objective:</strong> To present a ventilatory strategy to stabilize the chest wall, correct hypoxemia and protect the lung parenchyma.<br /> <strong>Clinical case:</strong> A patient with costal volet, bilateral pneumothorax and pulmonary contusion that produced a respiratory distress; required mechanical ventilation. Given the need to stabilize the thoracic wall and recruit the lung parenchyma, it was ventilated with release of airway pressures. A thoracotomy was required to definitively resolve the lung lesion and thoracoplasty was performed. The patient withdrew without sequelae after 21 days of hospitalization.<br /> <strong>Conclusions: </strong>The APRV is proposed as a strategy that facilitates the stability of the thoracic wall, the alveolar recruitment, theoretically offers advantages in pulmonary protection and in the systemic inflammatory response. In this particular case the expected objectives were achieved with the use of this modality as a bridge for corrective surgery.</span> |
| first_indexed | 2024-12-24T01:17:20Z |
| format | Article |
| id | doaj.art-555b239763ea4b7f83794d61e70d37d6 |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-24T01:17:20Z |
| publishDate | 2018-12-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-555b239763ea4b7f83794d61e70d37d62022-12-21T17:22:45ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182018-12-01172415Airway pressure release ventilation. The ventilatory strategy in chest traumaNéstor Montero Quesada0César Hernández BonillaAlien Paz VázquezPatricia Isolina Busto LugoEditorial Ciencias Médicas. La Habana<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Thoracic trauma is an important cause of morbidity and mortality. The costal volet with pulmonary contusion overshadows the prognosis<br /> <strong>Objective:</strong> To present a ventilatory strategy to stabilize the chest wall, correct hypoxemia and protect the lung parenchyma.<br /> <strong>Clinical case:</strong> A patient with costal volet, bilateral pneumothorax and pulmonary contusion that produced a respiratory distress; required mechanical ventilation. Given the need to stabilize the thoracic wall and recruit the lung parenchyma, it was ventilated with release of airway pressures. A thoracotomy was required to definitively resolve the lung lesion and thoracoplasty was performed. The patient withdrew without sequelae after 21 days of hospitalization.<br /> <strong>Conclusions: </strong>The APRV is proposed as a strategy that facilitates the stability of the thoracic wall, the alveolar recruitment, theoretically offers advantages in pulmonary protection and in the systemic inflammatory response. In this particular case the expected objectives were achieved with the use of this modality as a bridge for corrective surgery.</span>http://revanestesia.sld.cu/index.php/anestRean/article/view/417trauma de tóraxtórax batientecontusión pulmonarventilación mecánica |
| spellingShingle | Néstor Montero Quesada César Hernández Bonilla Alien Paz Vázquez Patricia Isolina Busto Lugo Airway pressure release ventilation. The ventilatory strategy in chest trauma Revista Cubana de Anestesiología y Reanimación trauma de tórax tórax batiente contusión pulmonar ventilación mecánica |
| title | Airway pressure release ventilation. The ventilatory strategy in chest trauma |
| title_full | Airway pressure release ventilation. The ventilatory strategy in chest trauma |
| title_fullStr | Airway pressure release ventilation. The ventilatory strategy in chest trauma |
| title_full_unstemmed | Airway pressure release ventilation. The ventilatory strategy in chest trauma |
| title_short | Airway pressure release ventilation. The ventilatory strategy in chest trauma |
| title_sort | airway pressure release ventilation the ventilatory strategy in chest trauma |
| topic | trauma de tórax tórax batiente contusión pulmonar ventilación mecánica |
| url | http://revanestesia.sld.cu/index.php/anestRean/article/view/417 |
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