Abstract

NARANJO VARGAS, Yaquelín; RODRIGUEZ FERNANDEZ, Zenén  and  GOMEZ MARTINEZ, Yamilé. Non-invasive mechanical ventilation and nursing actions in patients with traumatic wet lung. MEDISAN [online]. 2011, vol.15, n.8, pp.1113-1121. ISSN 1029-3019.

A descriptive, observational, and cross-sectional study of 12 patients with traumatic wet lung diagnosis hospitalized at the Intensive Care Unit from "Saturnino Lora" Provincial Clinical Surgical Teaching Hospital in Santiago de Cuba was carried out during the year 2007. Non-invasive mechanical ventilation was applied to those patients following the established protocol. Young male patients prevailed in the case material. Clinical manifestations, such as: respiratory and cardiac frequencies, chest indrawing, nasal flaring, and gaps in speech decreased when using the aforementioned ventilation after 24 hours. The obtained hemogasometric values showed significant and favorable changes. Interface rejection was observed in just one patient. There were no major complications and clinical course was satisfactory in 83,3 % of the case material. The applied therapy allowed the improvement of the relationship between ventilation and perfusion, as well as the increase of gas diffusion through alveolar-capillary membrane and tissular oxygenation. Intensive nursing actions were vital to achieve these results.

Keywords : traumatic wet lung; acute respiratory failure; non-invasive mechanical ventilation; nursing actions; intensive care unit.

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