Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients
| Autor: | Tocalini P; Clínica Basilea, Solís 1025, C1078, CABA, Argentina.. pablotocalini@hotmail.com., Vicente A; Hospital General de Agudos Parmenio Piñero, Av. Varela 1301, CP1406, CABA, Argentina.. antovicen@hotmail.com., Carballo JM; Hospital General de Agudos Donación Francisco Santojanni, Pilar 950, CABA, Argentina. jm_carballo@hotmail.com., Garegnani LI; Centro Cochrane Asociado Instituto Universitario Hospital Italiano, Potosí 4265, CABA, Argentina.. luisgaregnani@gmail.com. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) [Rev Fac Cien Med Univ Nac Cordoba] 2021 Jun 28; Vol. 78 (2), pp. 197-206. Date of Electronic Publication: 2021 Jun 28. |
| DOI: | 10.31053/1853.0605.v78.n2.28458 |
| Abstrakt: | Invasive mechanical ventilation (VMI) is a life support therapy that is not free of complications, such as ventilator induced diaphragmatic dysfunction, which is characterized by atrophy and weakness of the muscle. Interest in this pathology seems to be based on the association found with negative clinical results. The prevalence ranges between 29 and 80%, probably due to the variability between the different diagnostic methods and the time of evaluation. The gold standard continues to be the transdiaphragmatic negative pressure generated by the bilateral stimulation of the phrenic nerves, although due to the lack of practicality, diaphragmatic ultrasound began to be used. Although it has several modalities, not all of them have correlation analysis with the gold standard. Another problem arises when analyzing the independent association between pathology and VMI, since confusing factors are not easy to isolate. (Universidad Nacional de Córdoba) |
| Databáze: | MEDLINE |
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