Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients
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 c...
| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/28458 |
| Aporte de: |
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I10-R327-article-28458 |
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| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
respiration, artificial intensive care units mortality diaphragm epidemiology mortalidad diafragma epidemiología respiracion artificial unidades de cuidados intensivos respiração artificial unidades de terapia intensiva mortalidade diafragma epidemiologia |
| spellingShingle |
respiration, artificial intensive care units mortality diaphragm epidemiology mortalidad diafragma epidemiología respiracion artificial unidades de cuidados intensivos respiração artificial unidades de terapia intensiva mortalidade diafragma epidemiologia Tocalini, Pablo Vicente, Antonela Carballo, Juan Manuel Garegnani, Luis Ignacio Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| topic_facet |
respiration, artificial intensive care units mortality diaphragm epidemiology mortalidad diafragma epidemiología respiracion artificial unidades de cuidados intensivos respiração artificial unidades de terapia intensiva mortalidade diafragma epidemiologia |
| author |
Tocalini, Pablo Vicente, Antonela Carballo, Juan Manuel Garegnani, Luis Ignacio |
| author_facet |
Tocalini, Pablo Vicente, Antonela Carballo, Juan Manuel Garegnani, Luis Ignacio |
| author_sort |
Tocalini, Pablo |
| title |
Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| title_short |
Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| title_full |
Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| title_fullStr |
Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| title_full_unstemmed |
Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| title_sort |
diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients |
| description |
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. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/28458 |
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I10-R327-article-284582024-08-27T18:28:17Z Diaphragmatic dysfunction associated with invasive mechanical ventilation in critically ill adult patients Disfunción diafragmática asociada a la ventilación mecánica invasiva en pacientes adultos críticamente enfermos Disfunção diafragmática associada à ventilação mecânica invasiva em pacientes adultos críticos Tocalini, Pablo Vicente, Antonela Carballo, Juan Manuel Garegnani, Luis Ignacio respiration, artificial intensive care units mortality diaphragm epidemiology mortalidad diafragma epidemiología respiracion artificial unidades de cuidados intensivos respiração artificial unidades de terapia intensiva mortalidade diafragma epidemiologia 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. La ventilación mecánica invasiva (VMI) es una terapia de soporte vital que no está exenta de complicaciones, como la disfunción diafragmática inducida por la ventilación mecánica, que se caracteriza por atrofia y debilidad de dicho musculo. El interés en esta patología parece estar basado en la asociación encontrada con resultados clínicos negativos. La prevalencia oscila entre 29 y 80%, probablemente debido a la variabilidad entre los diferentes métodos diagnósticos y el momento de la evaluación. El patrón de oro continúa siendo la presión negativa transdiafragmática generada por la estimulación bilateral de los nervios frénicos, aunque por la falta de practicidad, se comenzó a utilizar la ecografía diafragmática. Si bien cuenta con varias modalidades, no todas tienen análisis de correlación con el patrón de oro. Otra problemática surge al momento de analizar la asociación independiente entre la patología y la VMI, ya que los factores confusores no son sencillos de aislar. A ventilação mecânica invasiva (VMI) é uma terapia de suporte de vida que não apresenta complicações, como disfunção diafragmática induzida por ventilação mecânica, caracterizada por atrofia e fraqueza do referido músculo. O interesse por essa patologia parece basear-se na associação encontrada com resultados clínicos negativos. A prevalência varia de 29 a 80%, provavelmente devido à variabilidade entre os diferentes métodos de diagnóstico e o tempo de avaliação. O padrão ouro continua sendo a pressão negativa transdiafragmática gerada pela estimulação bilateral dos nervos frênicos, embora, devido à falta de praticidade, o ultra-som diafragmático tenha começado a ser utilizado. Embora tenha várias modalidades, nem todos têm análises de correlação com o padrão-ouro. Outro problema surge ao analisar a associação independente entre patologia e IMV, uma vez que fatores de confusão não são fáceis de isolar. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-06-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/28458 10.31053/1853.0605.v78.n2.28458 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 2 (2021); 197-206 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 2 (2021); 197-206 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 2 (2021); 197-206 1853-0605 0014-6722 10.31053/1853.0605.v78.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/28458/33626 https://revistas.unc.edu.ar/index.php/med/article/view/28458/33953 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |