Difference in Days of Mechanical Ventilation in Prone Position Less than 48 Hours Compared to More than 48 Hours in Critical Patients with Sdra and Covid-19
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 08
Abstract
Introduction:TheCOVID 19 pandemic has come to change paradigms in terms of ventilatory support measures worldwide, prone ventilation was shown to decrease mortality in patients with ARDS. Objective:To identify the difference in days of mechanical ventilation of patients with respiratory failure by COVID-19 In the Intensive Care Unit with prone position for 48hours compared to>48hours.Material and methods: We evaluated all patients admitted to the Intensive Care Unit of UMAE Hospital No. 1 de Especialidades del Bajío, who required mechanical ventilation and prone position for refractory acute respiratory failure due to SARS-CoV-2 infection, we identified those in prone position for48hours versus > 48hours(h), and we evaluated the difference in days of mechanical ventilation between the two groups, concluding who maintainedmore days of mechanical ventilation. Results: Statistical significance was found only for the following variables: days of mechanical ventilation (p=<0.001), days of ICU stay (p=0.04), time in prone position (p=0.001) andPaO2/FiO2 ratioafter maintaining prone position(p=<0.001).Conclusion: The improvement in the oxygenation index in prone position >48 h is greater compared to those who remained 48 h, however, the time (days) under mechanical ventilation was less in the 48 h group; complications hadno impact on the time in prone position.
Authors and Affiliations
Ma. Natalia Gómez-González, Víctor González-Torres, Carlos Jiménez-Correa,Pedro Luis González-Carrillo
Keywords
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- EP ID EP733098
- DOI 10.47191/ijmscrs/v2-i8-19
- Views 39
- Downloads 0
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