Ventilación espontánea en ventilación mecánica invasiva: Un pulmón dual

Andrés Gonzalo Bravo Díaz; Marcela Libreros Arciniegas

doi:10.33881/2011-7191.mct.13105

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Bravo Díaz, A. G., & Libreros Arciniegas, M. (2019). Spontaneous ventilation in invasive mechanical ventilation: Un pulmón dual. Movimiento Cientifico, 13(1), 41–52. https://doi.org/10.33881/2011-7191.mct.13105

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Published: Jun 14, 2019

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Andrés Gonzalo Bravo Díaz

Capacitación Integral en Salud CIES Group

Marcela Libreros Arciniegas

Capacitación Integral en Salud CIES Group

Abstract

Introduction: The use of invasive mechanical ventilation (IMV) conventionally with controlled modes and the use of sedatives leads to an increase in complications and unwanted events such as diaphragmatic dysfunction by inhibiting spontaneous ventilation during IMV. This article will review spontaneous ventilation feasibility based on inspiratory muscle activity as a physiological mechanism for pulmonary ventilation; changes to be replaced by a mechanism where ventilation is generated by IMV; the interaction between the two mechanism “dual lung” and its effects at the pulmonary level. The available evidence is found in SDRA with advantages and disadvantages. It is proposed evaluation strategies, monitoring, impulse regulation and inspiratory effort that ease spontaneous ventilation during IMV. Method: a documental review was realize in four phases: 1. Information search, 2. Publications selection, 3. Processing and analysis of the selected information, 4. Writing of the document. Conclusion: Spontaneous ventilation in IMV is viable by reducing the incidence of inspiratory muscle weakness and could reduce UIC stay. In studies in SDRA “dual lung” presents more advantages than disadvantages in light or moderate SDRA. Studies are needed in less complex clinical situations and more common in UIC or healthy lungs where more advantages could be found. It is suggested to evaluate the clinical and pathophysiological moment, monitor the IMV, monitor and regulate the respiratory drive and muscular effort focusing on the principles of pulmonary and diaphragmatic protection.

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Andrés Gonzalo Bravo Díaz, Capacitación Integral en Salud CIES Group

Especialista en Fisioterapia Cardiopulmonar, Universidad del Valle. Fisioterapeuta. Docente Capacitación Integral en Salud CIES Group. Filiación: Capacitación Integral en Salud CIES Group. Ciudad: Cali [CO]

Marcela Libreros Arciniegas, Capacitación Integral en Salud CIES Group

Especialista en Cuidado Critico Adulto, Universidad del Rosario. Fisioterapeuta. Docente Capacitación Integral en Salud CIES Group. Filiación: Capacitación Integral en Salud CIES Group. Ciudad: Cali [CO].

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