Resumo

CAMACHO ASSEF, Volfredo; KOELIG PADRON, Raúl; BARREDO GARCES, Carmen  e  PILA PEREZ, Rafael. Protective ventilation using graphic monitoring. AMC [online]. 2004, vol.8, n.6, pp. 144-153. ISSN 1025-0255.

During years, the selection of the ventilative parameters applied in the ventilated patients, corresponded to calculations performed on the base on the sex and weight of the patient, without taking into acount the particular conditions that the illness caused on the mechanic ventilative and the functioning of the lungs. Today it is possible to monitor the ventilative parameters by non-invasive methods at the patient bedside with a precision that was only achieved previously in the laboratory. According to the data offered with the graphic monitoring, we propose a strategy of protective ventilation that allows to settle down in each particular patient the level of the optimal Positive End-Extirpation Pressure) that guarantees a maximum alveolar recruitment, the tidal volume that doesn't imply risk of overdistension, the relationship inspiration-expiration and the ideal breathing frequency that guarantees a complete inspiration and an expiration without risk of dynamic hyperinsufflation the flow speed necessary to give the tidal volume selected in the appropriate time. These inferences we make are from 5 queries that we propose as a therapeutic guide.

Palavras-chave : ARTIFICIAL RESPIRATION; MONITORING.

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