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Type: Artigo
Title: Pendelluft Diagnosed From Ventilator Weaning Indexes Obtained Through Bioelectrical Impedance Tomography: A Case Report
Title Alternative: Pendelluft Diagnosticado Através De índices De Desmame Ventilatório Obtidos Pela Tomografia De Bioimpedância Elétrica: Um Relato De Caso
Author: 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
Abstract: 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.
Subject: Ventilator Weaning
Respiration, Artificial
Intensive Care Unit
Thoracic Surgery
Acute Lung Injury
Desmame Do Respirador
Respiração Artificial
Unidades De Terapia Intensiva
Cirurgia Torácica
Lesão Pulmonar Aguda
Editor: Associação Paulista de Medicina - APM
Citation: Sao Paulo Medical Journal. Associação Paulista De Medicina - Apm, v. 135, n. 3, p.
Rights: aberto
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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