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- W2313302820 abstract "Background and aims: In the management of respiratory failure, we use different mechanical ventilation settings according to the pattern of respiratory failure (restrictive, obstructive or mixed patterns), we think these pre-determined settings do not have a rol in the individual management. Aims: To compare different respiratory and mechanic variables in invasive ventilated patients according to the pattern of respiratory failure. Methods: Comparative study using a cohort of ventilated patients during 3 month - winter season 2013. Variables analized were PEEP, compliance, airway resistance, PaFi, tidal volume in all patients. Three different groups were analized, depending in there respiratory failure’s pattern. Statistical analisis was performed using SPSS Statistics 2.0, statistical significance: p<0.05. Results: We analyzed 424 patients (386 restrictive, 25 mixed and 13 obstructive pattern). PEEP was: 8+1,60 in restrictive, 8+0,94 in mixed and 7+0,41 in obstructive pattern (p=0,004), PaFi was: 228+111 in restrictive, 141+30 in mixed and 252 +71 in obstructive pattern (p=0,001) and compliance was: 14.5+15 in restrictive, 11,5+2,4 in mixed and 30,7+23,4 in obstructive pattern (p=0,001). Tidal volume and airway resistance were similar between the different groups. Conclusions: In this population, we did not observe the usual ventilatory settings known to manage this three different respiratory patterns (lower PEEP for obstructive diseases, lower tidal volumen in restrictive diseases and higher PEEP for restrictive disease), PEEP was statistically but not clinically significant between the respiratory patterns, tidal volumen was similar. The management of patients in mechanical ventilation should be individualized." @default.
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- W2313302820 date "2014-05-01" @default.
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- W2313302820 title "ABSTRACT 384" @default.
- W2313302820 doi "https://doi.org/10.1097/01.pcc.0000449110.15834.bc" @default.
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