How is mechanical ventilation employed in the intensive care unit? An international utilization review

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dc.contributor.authorEsteban, A
dc.contributor.authorAnzueto, A
dc.contributor.authorAlia, I
dc.contributor.authorGordo, F
dc.contributor.authorApezteguia, C
dc.contributor.authorPalizas, F
dc.contributor.authorCide, D
dc.contributor.authorGoldwaser, R
dc.contributor.authorSoto, L
dc.contributor.authorBugedo, G
dc.contributor.authorRodrigo, C
dc.contributor.authorPimentel, J
dc.contributor.authorRaimondi, G
dc.contributor.authorTobin, MJ
dc.contributor.authorMech Ventilation Int Study Grp
dc.date.accessioned2024-01-10T13:49:07Z
dc.date.available2024-01-10T13:49:07Z
dc.date.issued2000
dc.description.abstractA 1-d point-prevalence study was performed with the aim of describing the characteristics of conventional mechanical ventilation in intensive care units ICUs from North America, South America Spain, and Portugal. The study involved 412 medical-surgical ICUs and 1,638 patients receiving mechanical ventilation at the moment of the study. The main outcome measures were characterization of the indications for initiation of mechanical ventilation, the artificial airways used to deliver mechanical ventilation, the ventilator modes and settings, and the methods of weaning. The median age of the study patients was 67 yr, and the median duration of mechanical ventilation at the time of the study was 7 d. Common indications for the initiation of mechanical ventilation included acute respiratory failure (66%), acute exacerbation of chronic obstructive pulmonary disease (13%), coma (10%), and neuromuscular disorders (10%). Mechanical ventilation was delivered via an endotracheal tube in 75% of patients, a tracheostomy in 24%, and a facial mask in 1%. Ventilator modes consisted of assist/control ventilation in 47% of patients and 46% were ventilated with synchronized intermittent mandatory ventilation, pressure support, or the combination of both. The median tidal volume setting was 9 ml/kg in patients receiving assist/control and the median setting of pressure support was 18 cm H2O. Positive end-expiratory pressure was not employed in 31% of patients. Method of weaning varied considerably from country to country, and even within a country several methods were in use. We conclude that the primary indications for mechanical ventilation and the ventilator settings were remarkably similar across countries, but the selection of modes of mechanical ventilation and methods of weaning varied considerably from country to country.
dc.fechaingreso.objetodigital2024-05-20
dc.format.extent9 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1164/ajrccm.161.5.9902018
dc.identifier.eissn1535-4970
dc.identifier.issn1073-449X
dc.identifier.pubmedidMEDLINE:10806138
dc.identifier.urihttps://doi.org/10.1164/ajrccm.161.5.9902018
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79425
dc.identifier.wosidWOS:000086945400012
dc.information.autorucMedicina;Bugedo G;S/I;60490
dc.issue.numero5
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final1458
dc.pagina.inicio1450
dc.publisherAMER THORACIC SOC
dc.revistaAMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
dc.rightsacceso restringido
dc.subjectRESPIRATORY-DISTRESS-SYNDROME
dc.subjectEND-EXPIRATORY PRESSURE
dc.subjectOBSTRUCTIVE PULMONARY-DISEASE
dc.subjectACUTE EXACERBATION
dc.subjectNATIONAL SURVEY
dc.subjectTIDAL VOLUME
dc.subjectLUNG-DISEASE
dc.subjectMORTALITY
dc.subjectFAILURE
dc.subjectDEFINITIONS
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHow is mechanical ventilation employed in the intensive care unit? An international utilization review
dc.typeartículo
dc.volumen161
sipa.codpersvinculados60490
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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