Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/34943 |
Resumo: | Objectives: To compare the outcome of VCV, PCV and PRVC ventilation modes in relation to ventilatory mechanics, mechanical ventilation time, ICU length of stay and survival in neurological patients. Methods: Randomized cohort study comparing three ventilation modalities VCV, PCV and PRVC in neurological patients diagnosed with ischemic or hemorrhagic stroke and TBI, mechanically ventilated and admitted to the ICU. The mechanical ventilator was adjusted according to the selected mode and with ventilation parameters adjusted to maintain a tidal volume of 6 to 8 ml/kg and blood gas parameters within the normal range. Demographic data, hemodynamic, blood gas and ventilatory parameters and the APACHE II, RASS and Glasgow scales were collected. At the end of the protocol, mortality/survival data, length of stay in the ICU and discharge from the unit were recorded. Results: The PVC group had a longer time of permanence in assisted controlled ventilation in relation to the VCV and PRVC groups (p=0.04). In addition, the PCV group had longer mechanical ventilation (p=0.002), longer ICU stay (p=0.01). Still, there was no difference between the groups in terms of survival, the VCV and PRVC groups showed a trend towards survival when compared to PCV (p=0.4). Finally, there was no difference between the groups in terms of clinical characteristics, ventilatory mechanics and blood gases. Conclusion: Neurological patients should be mechanically ventilated preferably in VCV and PRVC mode, as these modes have advantages over PCV mode in neurological patients. |
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Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients Análisis comparativo de los modos de ventilación Ventilación en Volumen Control (VCV), Ventilación Controlada a Presión (PCV) y Ventilación Controlada a Volumen y Regulada a Presión (PRVC) sobre mecánica ventilatoria, tiempo de ventilación mecánica, hospitalización en UCI y supervivencia en pacientes neurológicosAnálise comparativa dos modos ventilatórios Ventilação Controlada a Volume (VCV), Ventilação a Pressão Controlada (PCV) e Ventilação com Pressão Regulada e Volume Controlado (PRVC) sobre mecânica ventilatória, tempo de ventilação mecânica, internação em UTI e sobrevida em pacientes neurológicos Ventilação mecânicaTerapia respiratóriaTerapia intensivaLesões encefálicasAcidente vascular cerebralTraumatismos cranioencefálicos.Ventilators mechanicalRespiratory therapyCritical careBrain injuriesStrokeCraniocerebral traumas.Ventilación mecánicaTerapia respiratoriaCuidados intensivosLesiones cerebralesIctusTraumas craneoencefálicos.Objectives: To compare the outcome of VCV, PCV and PRVC ventilation modes in relation to ventilatory mechanics, mechanical ventilation time, ICU length of stay and survival in neurological patients. Methods: Randomized cohort study comparing three ventilation modalities VCV, PCV and PRVC in neurological patients diagnosed with ischemic or hemorrhagic stroke and TBI, mechanically ventilated and admitted to the ICU. The mechanical ventilator was adjusted according to the selected mode and with ventilation parameters adjusted to maintain a tidal volume of 6 to 8 ml/kg and blood gas parameters within the normal range. Demographic data, hemodynamic, blood gas and ventilatory parameters and the APACHE II, RASS and Glasgow scales were collected. At the end of the protocol, mortality/survival data, length of stay in the ICU and discharge from the unit were recorded. Results: The PVC group had a longer time of permanence in assisted controlled ventilation in relation to the VCV and PRVC groups (p=0.04). In addition, the PCV group had longer mechanical ventilation (p=0.002), longer ICU stay (p=0.01). Still, there was no difference between the groups in terms of survival, the VCV and PRVC groups showed a trend towards survival when compared to PCV (p=0.4). Finally, there was no difference between the groups in terms of clinical characteristics, ventilatory mechanics and blood gases. Conclusion: Neurological patients should be mechanically ventilated preferably in VCV and PRVC mode, as these modes have advantages over PCV mode in neurological patients.Objetivos: comparar el resultado de los modos de ventilación VCV, PCV y PRVC en relación con la mecánica ventilatoria, el tiempo de ventilación mecánica, la estancia en la UCI y la supervivencia en pacientes neurológicos. Métodos: Estudio de cohorte aleatorizado que compara tres modalidades de ventilación VCV, PCV y PRVC en pacientes neurológicos diagnosticados de ictus isquémico o hemorrágico y TCE, ventilados mecánicamente e ingresados en UCI. El ventilador mecánico se ajustó de acuerdo con el modo seleccionado y con los parámetros de ventilación ajustados para mantener un volumen corriente de 6 a 8 ml/kg y los parámetros de gases en sangre dentro del rango normal. Se recogieron datos demográficos, parámetros hemodinámicos, gasométricos y ventilatorios y las escalas APACHE II, RASS y Glasgow. Al final del protocolo se registraron los datos de mortalidad/supervivencia, tiempo de estancia en la UCI y alta de la unidad. Resultados: El grupo PVC tuvo mayor tiempo de permanencia en ventilación asistida controlada en relación a los grupos VCV y PRVC (p=0,04). Además, el grupo PCV tuvo ventilación mecánica más prolongada (p = 0,002), estancia en UCI más prolongada (p = 0,01). Aun así, no hubo diferencia entre los grupos en términos de supervivencia, los grupos VCV y PRVC mostraron una tendencia hacia la supervivencia en comparación con PCV (p = 0,4). Finalmente, no hubo diferencia entre los grupos en cuanto a las características clínicas, la mecánica ventilatoria y los gases sanguíneos. Conclusión: Los pacientes neurológicos deben ser ventilados mecánicamente preferentemente en modo VCV y PRVC.Objetivos: Comparar o desfecho dos modos ventilatórios VCV, PCV e PRVC em relação a mecânica ventilatória, o tempo de ventilação mecânica, tempo de internação em UTI e sobrevida em pacientes neurológicos. Métodos: Estudo de coorte randomizado comparando três modalidades ventilatórias VCV, PCV e PRVC em pacientes neurológicos com diagnóstico de AVC isquêmico ou hemorrágico e TCE, ventilados mecanicamente e internados em UTI. O ventilador mecânico era ajustado conforme modo sorteado e com parâmetros ventilatórios ajustados para manter volume corrente de 6 a 8 ml/Kg e parâmetros gasométricos dentro da normalidade. Foram coletados dados demográficos, parâmetros hemodinâmicos, gasométricos e ventilatórios e as escalas APACHE II, RASS e Glasgow. Ao final do protocolo foram registrados os dados de mortalidade/sobrevida, tempo de internação em UTI e alta da unidade. Resultados: O grupo PVC apresentou maior tempo de permanência em ventilação assisto controlada em relação aos grupos VCV e PRVC (p=0,04). Além disso, o grupo PCV apresentou maior tempo de ventilação mecânica (p=0,002), maior tempo de internação em UTI (p=0,01). Ainda, não houve diferença entre os grupos quanto a sobrevida, o grupo VCV e PRVC apresentou uma tendência a sobrevida quando comparado ao PCV (p=0,4). Por fim, não houve diferença entre os grupos em relação às características clínicas, mecânica ventilatória e gasométricas. Conclusão: Pacientes neurológicos devem ser ventilados mecanicamente preferencialmente em modo VCV e PRVC, pois estes modos apresentam vantagens sobre o modo PCV em pacientes neurológicos.Research, Society and Development2022-09-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3494310.33448/rsd-v11i13.34943Research, Society and Development; Vol. 11 No. 13; e18111334943Research, Society and Development; Vol. 11 Núm. 13; e18111334943Research, Society and Development; v. 11 n. 13; e181113349432525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/34943/29431Copyright (c) 2022 Maryéla Neves Mourão; Mariely Souto Liano; Rafael Tamborena Malheiros; Daniela Martins de Fausto; Antonio Adolfo Mattos de Castrohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMourão, Maryéla Neves Liano, Mariely SoutoMalheiros, Rafael TamborenaFausto, Daniela Martins deCastro, Antonio Adolfo Mattos de2022-10-17T13:43:46Zoai:ojs.pkp.sfu.ca:article/34943Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:50:02.544995Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients Análisis comparativo de los modos de ventilación Ventilación en Volumen Control (VCV), Ventilación Controlada a Presión (PCV) y Ventilación Controlada a Volumen y Regulada a Presión (PRVC) sobre mecánica ventilatoria, tiempo de ventilación mecánica, hospitalización en UCI y supervivencia en pacientes neurológicos Análise comparativa dos modos ventilatórios Ventilação Controlada a Volume (VCV), Ventilação a Pressão Controlada (PCV) e Ventilação com Pressão Regulada e Volume Controlado (PRVC) sobre mecânica ventilatória, tempo de ventilação mecânica, internação em UTI e sobrevida em pacientes neurológicos |
title |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients |
spellingShingle |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients Mourão, Maryéla Neves Ventilação mecânica Terapia respiratória Terapia intensiva Lesões encefálicas Acidente vascular cerebral Traumatismos cranioencefálicos. Ventilators mechanical Respiratory therapy Critical care Brain injuries Stroke Craniocerebral traumas. Ventilación mecánica Terapia respiratoria Cuidados intensivos Lesiones cerebrales Ictus Traumas craneoencefálicos. |
title_short |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients |
title_full |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients |
title_fullStr |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients |
title_full_unstemmed |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients |
title_sort |
Comparative analysis of Volume Controlled Ventilation (VCV), Pressure Controlled Ventilation (PCV) and Pressure-Regulated Volume-Control (PRVC) ventilatory modes on ventilatory mechanics, mechanical ventilation time, ICU hospitalization and survival in neurological patients |
author |
Mourão, Maryéla Neves |
author_facet |
Mourão, Maryéla Neves Liano, Mariely Souto Malheiros, Rafael Tamborena Fausto, Daniela Martins de Castro, Antonio Adolfo Mattos de |
author_role |
author |
author2 |
Liano, Mariely Souto Malheiros, Rafael Tamborena Fausto, Daniela Martins de Castro, Antonio Adolfo Mattos de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Mourão, Maryéla Neves Liano, Mariely Souto Malheiros, Rafael Tamborena Fausto, Daniela Martins de Castro, Antonio Adolfo Mattos de |
dc.subject.por.fl_str_mv |
Ventilação mecânica Terapia respiratória Terapia intensiva Lesões encefálicas Acidente vascular cerebral Traumatismos cranioencefálicos. Ventilators mechanical Respiratory therapy Critical care Brain injuries Stroke Craniocerebral traumas. Ventilación mecánica Terapia respiratoria Cuidados intensivos Lesiones cerebrales Ictus Traumas craneoencefálicos. |
topic |
Ventilação mecânica Terapia respiratória Terapia intensiva Lesões encefálicas Acidente vascular cerebral Traumatismos cranioencefálicos. Ventilators mechanical Respiratory therapy Critical care Brain injuries Stroke Craniocerebral traumas. Ventilación mecánica Terapia respiratoria Cuidados intensivos Lesiones cerebrales Ictus Traumas craneoencefálicos. |
description |
Objectives: To compare the outcome of VCV, PCV and PRVC ventilation modes in relation to ventilatory mechanics, mechanical ventilation time, ICU length of stay and survival in neurological patients. Methods: Randomized cohort study comparing three ventilation modalities VCV, PCV and PRVC in neurological patients diagnosed with ischemic or hemorrhagic stroke and TBI, mechanically ventilated and admitted to the ICU. The mechanical ventilator was adjusted according to the selected mode and with ventilation parameters adjusted to maintain a tidal volume of 6 to 8 ml/kg and blood gas parameters within the normal range. Demographic data, hemodynamic, blood gas and ventilatory parameters and the APACHE II, RASS and Glasgow scales were collected. At the end of the protocol, mortality/survival data, length of stay in the ICU and discharge from the unit were recorded. Results: The PVC group had a longer time of permanence in assisted controlled ventilation in relation to the VCV and PRVC groups (p=0.04). In addition, the PCV group had longer mechanical ventilation (p=0.002), longer ICU stay (p=0.01). Still, there was no difference between the groups in terms of survival, the VCV and PRVC groups showed a trend towards survival when compared to PCV (p=0.4). Finally, there was no difference between the groups in terms of clinical characteristics, ventilatory mechanics and blood gases. Conclusion: Neurological patients should be mechanically ventilated preferably in VCV and PRVC mode, as these modes have advantages over PCV mode in neurological patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34943 10.33448/rsd-v11i13.34943 |
url |
https://rsdjournal.org/index.php/rsd/article/view/34943 |
identifier_str_mv |
10.33448/rsd-v11i13.34943 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34943/29431 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 13; e18111334943 Research, Society and Development; Vol. 11 Núm. 13; e18111334943 Research, Society and Development; v. 11 n. 13; e18111334943 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052723823116288 |