The maximum expression of hypoxia and hypoventilation: Acute respiratory distress syndrome

Amezcua-Gutiérrez, Marcos Antonio; Montoya-Rojo, José Obeth; Castañón-González, Jorge Alberto; Zamora-Gómez, Sergio Edgar; Gorordo-Delsol, Luis Antonio; Hernández-López, Guillermo David; Pérez‐Nieto, Orlando Rubén; Cabanillas-Cervantes, A.; Garduño-López, Jéssica; Lima-Lucero, Iván Mauricio; Cruz-Montesinos, Santiago

doi:10.1016/j.hgmx.2017.03.003

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…1 This unprecedented therapeutic intervention was the scenario that allowed the description of acute respiratory distress syndrome (ARDS), the therapeutic benefit of the use of positive end-expiratory pressure (PEEP), alveolar recruitment and prone ventilation. [1][2][3][4][5][6][7] Since respiratory failure is always the first organic failure in the patient with multiple organ dysfunction syndrome, having enough ventilators is of paramount importance, particularly in ill-fated times such as those we are living in. Given the possibility that numerous patients experience acute respiratory failure in Mexico due to the Covid-19 pandemic, and the need to apply a protocol for massive mechanical ventilation to "victims" due to ventilator shortages, simultaneous ventilation of several patients with a single ventilator, especially those who share similar pathophysiological characteristics, can be a viable alternative.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous mechanical ventilation of several patients with a single ventilator

Castañón-González¹,

Camacho-Juárez²,

Gorordo-Delsol³

et al. 2023

GMM

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Introduction: Simultaneous mechanical ventilation of several patients with a single ventilator might reduce the deficit of these devices for the care of patients with acute respiratory failure due to Covid-19. Objective: To communicate the results of a mechanical ventilation exercise with a ventilator in a lung simulator, and simultaneously in two and four. Results: No statistically significant differences were observed between programmed, recorded and measured positive end-expiratory pressure, mean airway pressure and peak pressure, except when simultaneously ventilating four lung simulators. Conclusions: Simultaneous mechanical ventilation should be implemented by medical personnel with experience in the procedure, be restricted to two patients and carried out in the intensive care unit.

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Section: Introductionmentioning

confidence: 99%

Simultaneous mechanical ventilation of several patients with a single ventilator

Castañón-González¹,

Camacho-Juárez²,

Gorordo-Delsol³

et al. 2023

GMM

View full text Add to dashboard Cite

show abstract

“…1 Esta intervención terapéutica sin precedentes fue el escenario que permitió describir el síndrome de insuficiencia respiratoria aguda (SIRA), el beneficio terapéutico de la aplicación de la presión positiva al final de la espiración (PEEP), el reclutamiento alveolar y la ventilación en prono. [1][2][3][4][5][6][7] Debido a que la insuficiencia respiratoria es siempre la primera falla orgánica en el paciente con síndrome de falla orgánica múltiple, disponer de suficientes ventiladores es de importancia capital, en particular en momentos aciagos como los que estamos viviendo. Ante la posibilidad de que numerosos pacientes presenten insuficiencia respiratoria aguda en México por la pandemia de Covid-19 y la necesidad de aplicar un protocolo de ventilación mecánica masiva a "víctimas" debido a déficit de ventiladores, una alternativa viable puede ser la ventilación simultánea a varios pacientes con un solo ventilador, sobre todo a quienes compartan características fisiopatológicas similares.…”

Section: Introductionunclassified

Ventilación mecánica simultánea con un solo ventilador a varios pacientes

Castañón-González

Camacho-Juárez

Gorordo-Delsol

et al. 2020

GMM

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La ventilación mecánica simultánea a varios pacientes con un solo ventilador podría disminuir el déficit de esos dispositivos para atender a los enfermos con insuficiencia respiratoria aguda por Covid-19. objetivo: Comunicar los resultados de un ejercicio de ventilación mecánica con un ventilador en un simulador de pulmón, y simultáneamente en dos y cuatro simuladores. resultados: No se observaron diferencias estadísticamente significativas entre la presión positiva al final de la espiración, presión media de la vía aérea y presión pico programadas, registradas y medidas, excepto al ventilar simultáneamente cuatro simuladores de pulmón. Conclusiones: La ventilación mecánica simultánea debe ser instaurada por personal médico con experiencia en el procedimiento, restringirse a dos pacientes y ser realizada en la unidad de cuidados intensivos.Palabras clave: Ventilación mecánica controlada. Insuficiencia respiratoria aguda. COVID-19. Simuladores de pulmón. simultaneous mechanical ventilation of several patients with a single ventilator abstract introduction:Simultaneous mechanical ventilation of several patients with a single ventilator might reduce the deficit of these devices for the care of patients with acute respiratory failure due to Covid-19. objective: To communicate the results of a mechanical ventilation exercise with a ventilator in a lung simulator, and simultaneously in two and four. results: No statistically significant differences were observed between positive end-expiratory pressure, mean airway pressure, and programmed, recorded and measured peak pressure, except when simultaneously ventilating four lung simulators. Conclusions: Simultaneous mechanical ventilation should be implemented by medical personnel with experience in the procedure, be restricted to two patients and carried out in the intensive care unit.

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Current data regarding homeostasis of tissues oxygenation in pathophysiological and therapeutic circumstances

Munteanu

Manea

Popescu

et al. 2023

Balneo and PRM Research Journal

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Oxygen is essential for cellular respiration and energy production. Tissue oxygenation refers to delivering oxygen to cells throughout the body. Microcirculation brings blood through small sanguine vessels to maintain the cells' supply of nutrients and oxygen. Optimal tissue oxygenation and microcirculation are essential for maintaining healthy tissue. Conversely, poor oxygenation can cause tissue damage, impair wound healing, and increase infection risk. Several factors can affect tissue oxygenation and microcirculation, including age, lifestyle factors (such as smoking and stress), and underlying medical conditions (such as diabetes and high blood pressure). To improve tissue oxygenation and microcirculation, individuals can engage in healthy lifestyle habits such as regular exercise, healthy eating, stress management, and avoiding smoking. Tissue oxygenation can also be looked therapeutic, given that topical and cosmetic treatments such as massage, pelotherapy, hydrotherapy, moisturizers, and certain skin care products can help pro-mote healthy microcirculation at the somatic level. In the scientific literature, the focus is on hypoxia rather than tissue oxygenation. This article proposes a paradigm shift and emphasizes the homeostatic importance of microcirculation and tissue oxygenation in pathophysiological and therapeutic circumstances. The systematic review of the data from the last 2 years (2021-2022) and the meta-analysis performed on tissue oxygenation will contribute to the practical approach to the pathology circumscribed to tissue oxygenation. Keywords: Tissue oxygenation; Hypoxia; Microcirculation; Homeostasis; Microenvironment

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The maximum expression of hypoxia and hypoventilation: Acute respiratory distress syndrome

Cited by 4 publications

References 43 publications

Simultaneous mechanical ventilation of several patients with a single ventilator

Simultaneous mechanical ventilation of several patients with a single ventilator

Ventilación mecánica simultánea con un solo ventilador a varios pacientes

Current data regarding homeostasis of tissues oxygenation in pathophysiological and therapeutic circumstances

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