The Use of Pulmonary Hyperinflation With the Mechanical Ventilator in Cardiac Patients

Launched by INSTITUTO DE CARDIOLOGIA DO RIO GRANDE DO SUL · Oct 5, 2020

Keywords

ClinConnect Summary

Mechanical ventilation (MV) is used to reduce work and reverse or prevent fatigue of the respiratory muscles, decrease oxygen consumption and maintain gas exchange. In addition to the benefits given to patients undergoing MV, there is a high risk of accumulating bronchial secretions, related to pathology and / or therapeutic intervention. Pulmonary hyperinflation is widespread in patients in intensive care centers (ICUs) as a bronchial hygiene therapy, being used in 40% of 64 Australian ICUs as demonstrated by Dennis et al., Through contact with physical therapists. Mechanical hyperinflatio...

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Eligibility criteria

• Inclusion Criteria:
• • Interned in the Post-Operative Unit (UPO), Intensive Care Center (ICU) and Emergency.
• • Using invasive mechanical ventilation for more than 48 hours.
• • Hemodynamically stable (MAP 60-120 mmHg).
• Exclusion Criteria:
• • Diagnosis of ventilator-associated pneumonia.
• • Individuals with pneumothorax and undrained hemothorax.
• • Subcutaneous emphysema.
• • Patients with peak pressure\> 40 cmH2O.
• • Patients diagnosed with neurological disease within 72 hours.