Ventilatory strategies against child with acute respiratory distress syndrome and severe hypoxemia

dc.contributor.authorDonoso, Alejandro
dc.contributor.authorArriagada, Daniela
dc.contributor.authorDiaz, Franco
dc.contributor.authorCruces, Pablo
dc.date.accessioned2017-05-05T19:10:44Z
dc.date.available2017-05-05T19:10:44Z
dc.date.issued2015
dc.description.abstractIn this review, we assemble the fundamental concepts of the use of mechanical ventilation (MV) in children with acute respiratory failure (ARDS) and refractory hypoxemia. We also discusses topics of protective ventilation and recruitment potential, and specifically examine the options of ventilation and/or maneuvers designed to optimize the non-aerated lung tissue: alveolar recruitment maneuvers, positive end-expiratory pressure (PEEP) titulation, high frequency oscillatory ventilation (HFOV), airway pressure release ventilation (APRV), aimed at correcting the mismatch ventilation/perfusion (V/Q): use of prone position. The only pharmacological intervention analyzed is the use of neuromuscular blockers. In clinical practice, the protective MV concept involves using an individual adjustment of the PEEP and volume tidal (V(T)). Use of recruitment maneuvers and PEEP downward titration can improve lung function in patients with ARDS and severe hypoxemia. We must keep in mind HFOV instauration as early as possible in response to failure of MV. The use of early and prolonged prone can improve gas exchange in hopes of a better control of what caused the use of MV.
dc.format.extent9
dc.identifier.citationGac Med Mex. 2015 Jan-Feb;151(1):75-84
dc.identifier.urihttp://hdl.handle.net/11447/1203
dc.language.isoen_US
dc.publisherUnidad de Congresos del Centro Médico Nacional
dc.subjectHypoxia/therapy
dc.subjectRespiration, Artificial/methods
dc.subjectRespiratory Insufficiency/therapy
dc.titleVentilatory strategies against child with acute respiratory distress syndrome and severe hypoxemia
dc.typeArtículo

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