Revista de Patologia Respiratoria最新文献_第7页

Interacción paciente-ventilador 患者-呼吸机互动

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70141-8

S. López , B. Artacho , R. Artacho , F. García , J.A. Guzmán , M. López , F. Caballero , E. Campo

{"title":"Interacción paciente-ventilador","authors":"S. López , B. Artacho , R. Artacho , F. García , J.A. Guzmán , M. López , F. Caballero , E. Campo","doi":"10.1016/S1576-9895(12)70141-8","DOIUrl":"10.1016/S1576-9895(12)70141-8","url":null,"abstract":"<div><p>Mechanical ventilation is a standard therapy in patients admitted to the ICU in a situation of severe acute respiratory failure. Addition to the disruption of gas exchange, the main indication to start is the presence of signs of respiratory muscle fatigue. For mechanical ventilation is essential to succeed and patient ventilator are synchronized, ie the effort that the patient does the inspiration to start being recognized by the fan and it quickly delivers a gas flow, the flow contributed by the fan will need to adapt to patient flow during the delivery of gas and that the fan recognize the termination of inspiratory activity of the patient, complete the delivery of gas and expiratory valve opens to allow the expiration of the patient. This sequence of events that seem so logical, almost never achieved in clinical practice, still common in ventilated patients see some kind of asynchrony. The presence of mismatch or patient-ventilator asynchrony invariably leads to an increased work of breathing, which will defeat the fundamental objective of ventilatory support which is none other than the decrease of the patient work of breathing.</p></div>","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"15 2","pages":"Pages 54-60"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1576-9895(12)70141-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56525469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neumotórax de repetición como presentación de sarcoma sinovial pleuropulmonar 以胸膜肺滑膜肉瘤为表现的反复气胸

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70142-X

M. Estors , P. Rinaldi , C. Gaspar , F. Sánchez , R. Esturi , J.M. Galbis

引用次数: 0

Tratado de tabaquismo, 3.ª edición 吸烟条约，第3版

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70145-5

Javier de Miguel Díez

引用次数: 2

Nuevas guías en la EPOC 2012 EPOC 2012的新指南

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70138-8

José Javier Jareño-Esteban , José Ignacio de Granda-Orive

引用次数: 0

Factores que influyen en la decanulación de pacientes que requieren ventilación mecánica por traqueotomía. Resultados de un protocolo de decanulación basado en ventilación mecánica no invasiva 影响气管切开术机械通气患者脱气的因素。基于无创机械通气的脱气方案的结果

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70140-6

S. Mayoralas Alises , S. Díaz Lobato , M.J. Fernández Aceñero , E. Pérez Rodríguez

{"title":"Factores que influyen en la decanulación de pacientes que requieren ventilación mecánica por traqueotomía. Resultados de un protocolo de decanulación basado en ventilación mecánica no invasiva","authors":"S. Mayoralas Alises , S. Díaz Lobato , M.J. Fernández Aceñero , E. Pérez Rodríguez","doi":"10.1016/S1576-9895(12)70140-6","DOIUrl":"10.1016/S1576-9895(12)70140-6","url":null,"abstract":"<div><h3>Design</h3><p>A prospective, longitudinal, consecutive and non randomised study.</p></div><div><h3>Methods</h3><p>Analysis of the factors related to the decannulation of a group of tracheostomized patients admitted in a pneumological ward coming from the intensive care unit, all of them with prolonged mechanical ventilation.</p></div><div><h3>Results</h3><p>One hundred patients were studied between January 1994 and December 2001 (72 males, 28 females). Age: 59,26±12,98 years old. 92% were coming from a medical ICU and 8% from a surgical ICU. 59% of patients were smokers. The diagnoses were: ALS (5); Thoracic cage defects (16); COPD (29); Obesity hypoventilation syndrome (11); Postsurgical complications (9); NMD (14); Sleep apnea syndrome (15); Bronchiestasis (1). Time to tracheotomy: 9,8±2,9 days. Time to arrival to pneumological ward: 28,6±36,2 days. Total stay 64,4±44,5 days (ICU stay: 38,4±36,4; ward stay: 25,6±18,8 days). 88% of the patients were decanulated. The 64% of the patients received any kind of domiciliary ventilation support (pressure or volume). One-year survival was 92%. Multivariant analysis shown age, sex and motoneuron disease as factors negatively related to decanulation.</p></div><div><h3>Conclusions</h3><p>Most patients admitted in our pneumological ward coming from the ICU and receiving ventilatory support by tracheotomy, can be candidates to safe decannulation using non-invasive mechanical ventilation. ALS patients could not be decannulated.</p></div>","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"15 2","pages":"Pages 45-53"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1576-9895(12)70140-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56525449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evolución fulminante de un adenocarcinoma pulmonar con linfangitis carcinomatosa 肺腺癌伴癌性淋巴管炎的暴发性演变

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70143-1

C. Cieza Peral, C. Jurkojc Mohremberger, S. Díaz Lobato

引用次数: 0

Aneurisma de la vena ácigos. A propósito de un caso 急性静脉动脉瘤。关于一个案例

Revista de Patologia Respiratoria Pub Date : 2012-04-01 DOI: 10.1016/S1576-9895(12)70144-3

A.M. Benítez Vázquez, A. Prieto Fernández, E. Nava Tomás, A.L. Muñoz Ruiz, N. Sánchez Rubio, P. Redondo Buil

引用次数: 1

Eficacia y seguridad de vareniclina en el abandono del tabaquismo 伐伦克林戒烟的有效性和安全性

Revista de Patologia Respiratoria Pub Date : 2012-01-01 DOI: 10.1016/S1576-9895(12)70132-7

S. Solano Reina , P. Vaquero Lozano , R. Solano García-Tenorio , J.C. Márquez Nieto , J.I. de Granda Orive , C.A. Jiménez Ruiz

{"title":"Eficacia y seguridad de vareniclina en el abandono del tabaquismo","authors":"S. Solano Reina , P. Vaquero Lozano , R. Solano García-Tenorio , J.C. Márquez Nieto , J.I. de Granda Orive , C.A. Jiménez Ruiz","doi":"10.1016/S1576-9895(12)70132-7","DOIUrl":"10.1016/S1576-9895(12)70132-7","url":null,"abstract":"<div><h3>Backgrounds</h3><p>The purpose was to analyze the efficacy and safety of Varenicline in smokers who want to try to quit, verifying abstinence and adverse events during the treatment and follow-up phase.</p></div><div><h3>Methods</h3><p>An analytic, longitudinal and prospective study was performed. A total of 598 smokers who wanted to quit were included. Women accounted for 55% with a mean age of 45.7 years. A clinical history of smoking habit was obtained and associated comorbidity was investigated. Seven visits (baseline, weeks 2 and 4; 8, 12, 24, and week 52) were made. Telephone calls were also made in-between. Verbal manifestation of abstinence was confirmed with measurement of CO in exhaled air (<10ppm). Treatment was received with Varenicline at standard dose (1mg/12h), for 12 weeks.</p></div><div><h3>Results</h3><p>Mean consumption of cigarettes was 27/day, cooximetry 28 ppm, Fagerström Test mean 6.70. The first cigarette was smoked in less than 30 minutes by 85% of the participants. Abstinence rate was 56% at week 12, 49% at week 24, and 41% at week 52. Most frequent adverse effects were nauseas, headache, insomnia, vomiting, abnormal sleep.</p></div><div><h3>Conclusions</h3><p>Varenicline has been shown to be an option for 1st line treatment of smoking cessation and can be an alternative to bupropion or nicotine replacement therapy, safe and well tolerated not only in healthy smokers but also in groups of smokers with comorbidity. More studies are needs in the groups of smokers having these characteristics.</p></div>","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"15 1","pages":"Pages 4-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1576-9895(12)70132-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56525322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Empiema causado por Streptococcus constellatus 星座链球菌引起的脓胸

Revista de Patologia Respiratoria Pub Date : 2012-01-01 DOI: 10.1016/S1576-9895(12)70136-4

G. Segrelles Calvo, C. Cisneros, R. Gómez-Punter, J.A. García Romero de Tejada, O. Rajas

引用次数: 0

Aportación europea a la especialidad de cirugía torácica general. II parte: contribución británica 欧洲对普通胸外科专业的贡献。二、英国的贡献

Revista de Patologia Respiratoria Pub Date : 2012-01-01 DOI: 10.1016/S1576-9895(12)70134-0

J.L. Bravo Bravo , F. París Romeu

引用次数: 0