Análisis de las complicaciones que presentan los pacientes sometidos a un programa de ventilación mecánica invasiva
- Gómez de Oña, Julia
- De la Hoz García, Celia
- Utrilla Cid, Nuria
- Cárdenas Cruz, Antonio
ISSN: 0365-7965
Año de publicación: 2020
Tomo: 105
Número: 811
Páginas: 153-159
Tipo: Artículo
Otras publicaciones en: Actualidad médica
Resumen
Objective: To analyze, from a qualitative and quantitative point of view, the different complications directly related to critically ill patients under invasive mechanical ventilation (IMV) as well as the main associated risk factors. Material and methods: It is a descriptive longitudinal study, which has as study population all patients under IMV program in the Intensive Medicine Unit (UMI) of Poniente Hospital in Almería throughout 2019, regardless of the cause that conditioned the use of this therapeutic resource. Results: 76% of patients were male. The mean age was 55.12 years. Cardiovascular risk factors were the most frequent (64.63%), followed by toxic habits (31%) and respiratory and infectious diseases (17.07% each) needing mechanical ventilation. The duration of the IMV was highly variable, its average was 8.63 days (51% less than 3 days). The most frequent complications found were adult respiratory distress syndrome (ARDS) and refractory hypoxemia (10.98% each). Conclusion: patients under IMV in the ICU of Poniente Hospital do not have a higher complication rate than those reported by other published series. ARDS and refractory hypoxemia are the main complications associated with IMV. Cardiovascular risk factors (CVRF) were the most frequent antecedents. The differences found with other series can be explained by differences in the methodology used to carry out the different studies and in the epidemiological characteristics of the studied population
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