Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300302 |
Resumo: | ABSTRACT CONTEXT: Today, through major technological advances in diagnostic resources within medicine, evaluation and monitoring of clinical parameters at the patient’s bedside in intensive care units (ICUs) has become possible. CASE REPORT: This case report presents results and interpretations from predictive mechanical ventilation weaning indexes obtained through monitoring using chest electrical bioimpedance tomography. These indexes included maximum inspiratory pressure, maximum expiratory pressure, shallow breathing index and spontaneous breathing test. These were correlated with variations in tidal volume variables, respiratory rate, mean arterial pressure and peripheral oxygen saturation. Regarding the air distribution behavior in the pulmonary parenchyma, the patient showed the pendelluft phenomenon. Pendelluft occurs due to the time constant (product of the airways resistance and compliance) asymmetry between adjacent lung. CONCLUSION: Bioelectrical impedance tomography can help in weaning from mechanical ventilation, as in the case presented here. Pendelluft was defined as a limitation during the weaning tests. |
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Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case reportVentilator weaningRespiration, artificialIntensive care unitThoracic surgeryAcute lung injuryABSTRACT CONTEXT: Today, through major technological advances in diagnostic resources within medicine, evaluation and monitoring of clinical parameters at the patient’s bedside in intensive care units (ICUs) has become possible. CASE REPORT: This case report presents results and interpretations from predictive mechanical ventilation weaning indexes obtained through monitoring using chest electrical bioimpedance tomography. These indexes included maximum inspiratory pressure, maximum expiratory pressure, shallow breathing index and spontaneous breathing test. These were correlated with variations in tidal volume variables, respiratory rate, mean arterial pressure and peripheral oxygen saturation. Regarding the air distribution behavior in the pulmonary parenchyma, the patient showed the pendelluft phenomenon. Pendelluft occurs due to the time constant (product of the airways resistance and compliance) asymmetry between adjacent lung. CONCLUSION: Bioelectrical impedance tomography can help in weaning from mechanical ventilation, as in the case presented here. Pendelluft was defined as a limitation during the weaning tests.Associação Paulista de Medicina - APM2017-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300302Sao Paulo Medical Journal v.135 n.3 2017reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2016.025514102016info:eu-repo/semantics/openAccessLopes,Fabiana AparecidaSouza,Lidiane Andrade Monteiro deBernardi,Juliana Tavares NevesRocha,Carlos EduardoFigueiredo,Luciana Castilho deAgostini,Ana Paula Ragonete dos AnjosDragosavac,DesankaFaez,Daniela Cristina dos Santoseng2017-07-20T00:00:00Zoai:scielo:S1516-31802017000300302Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2017-07-20T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
title |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
spellingShingle |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report Lopes,Fabiana Aparecida Ventilator weaning Respiration, artificial Intensive care unit Thoracic surgery Acute lung injury |
title_short |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
title_full |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
title_fullStr |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
title_full_unstemmed |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
title_sort |
Pendelluft diagnosed from ventilator weaning indexes obtained through bioelectrical impedance tomography: a case report |
author |
Lopes,Fabiana Aparecida |
author_facet |
Lopes,Fabiana Aparecida Souza,Lidiane Andrade Monteiro de Bernardi,Juliana Tavares Neves Rocha,Carlos Eduardo Figueiredo,Luciana Castilho de Agostini,Ana Paula Ragonete dos Anjos Dragosavac,Desanka Faez,Daniela Cristina dos Santos |
author_role |
author |
author2 |
Souza,Lidiane Andrade Monteiro de Bernardi,Juliana Tavares Neves Rocha,Carlos Eduardo Figueiredo,Luciana Castilho de Agostini,Ana Paula Ragonete dos Anjos Dragosavac,Desanka Faez,Daniela Cristina dos Santos |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Lopes,Fabiana Aparecida Souza,Lidiane Andrade Monteiro de Bernardi,Juliana Tavares Neves Rocha,Carlos Eduardo Figueiredo,Luciana Castilho de Agostini,Ana Paula Ragonete dos Anjos Dragosavac,Desanka Faez,Daniela Cristina dos Santos |
dc.subject.por.fl_str_mv |
Ventilator weaning Respiration, artificial Intensive care unit Thoracic surgery Acute lung injury |
topic |
Ventilator weaning Respiration, artificial Intensive care unit Thoracic surgery Acute lung injury |
description |
ABSTRACT CONTEXT: Today, through major technological advances in diagnostic resources within medicine, evaluation and monitoring of clinical parameters at the patient’s bedside in intensive care units (ICUs) has become possible. CASE REPORT: This case report presents results and interpretations from predictive mechanical ventilation weaning indexes obtained through monitoring using chest electrical bioimpedance tomography. These indexes included maximum inspiratory pressure, maximum expiratory pressure, shallow breathing index and spontaneous breathing test. These were correlated with variations in tidal volume variables, respiratory rate, mean arterial pressure and peripheral oxygen saturation. Regarding the air distribution behavior in the pulmonary parenchyma, the patient showed the pendelluft phenomenon. Pendelluft occurs due to the time constant (product of the airways resistance and compliance) asymmetry between adjacent lung. CONCLUSION: Bioelectrical impedance tomography can help in weaning from mechanical ventilation, as in the case presented here. Pendelluft was defined as a limitation during the weaning tests. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300302 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300302 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2016.025514102016 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.135 n.3 2017 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
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1754209265719967744 |