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Neumología y cirugía de tórax

Print version ISSN 0028-3746

Abstract

PEREZ-NIETO, Orlando Rubén et al. Driving pressure: Main objective for alveolar protection. Neumol. cir. torax [online]. 2018, vol.77, n.3, pp.222-227. ISSN 0028-3746.

Background:

Acute respiratory distress syndrome (ARDS) is a serious pathology, common in the intensive care unit, driving pressure (DP) is a variable of the respiratory mechanics associated with mortality, which depends on the relationship between lung compliance (Cest), positive end-expiratory pressure (PEEP) and inspired tidal volume (Vt). Development: PD has been shown to be the most relevant lung protection goal in recent years, whose control has an impact on the survival of patients with ARDS, it is easy to calculate and can be measured routinely in patients who do not generate inspiratory effort, with the formulas: PEEP-Plateau pressure or Vt/CRS (respiratory system compliance).

Discussion:

PD is a measure of alveolar protection reported in 1998 and is directly related to mortality in patients with ARDS, DP integrates three variables: Vt, PEEP and plateau pressure, which in isolation have been shown to be directly related to the prognosis of this pathology.

Conclusion:

The control of DP is the primary objective for alveolar protection in patients with ARDS.

Keywords : Mechanical ventilation; driving pressure; acute respiratory distress syndrome.

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