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Colombian Journal of Anestesiology

Print version ISSN 0120-3347On-line version ISSN 2256-2087

Abstract

RIVERA PALACIOS, Alejandro et al. Mechanical power measurement during mechanical ventilation of SARS-CoV-2 critically ill patients. A cohort study. Rev. colomb. anestesiol. [online]. 2022, vol.50, n.4, e204.  Epub Oct 22, 2022. ISSN 0120-3347.  https://doi.org/10.5554/22562087.e1037.

Introduction:

The ventilator-induced lung injury (VILI) depends on the amount of energy per minute transferred by the ventilator to the lung measured in Joules, which is called mechanical power. Mechanical power is a development variable probably associated with outcomes in ventilated patients.

Objective:

To describe the value of mechanical power in patients with SARS-CoV-2 infection and ventilated for other causes and its relationship between days of mechanical ventilation, length of stay in the intensive care unit (ICU), and mortality.

Methods:

A multicenter, analytical, observational cohort study was conducted in patients with SARS-CoV-2 infection who required invasive mechanical ventilation and patients ventilated for other causes for more than 24 hours.

Results:

The cohort included 91 patients on mechanical ventilation in three tertiary care centers in the city of Pereira, Colombia. The average value of the mechanical power found was 22.7 ± 1 Joules/ min. In the subgroup of patients with SARS-CoV-2 infection, the value of mechanical power was higher 26.8 ± 9 than in the subgroup of patients without a diagnosis of SARS-CoV-2 infection 18.2 ± 1 (p <0.001).

Conclusions:

Mechanical power is an important variable to consider during the monitoring of mechanical ventilation. This study found an average value of mechanical power of 22.7 ± 1 Joules/min, being higher in patients with SARS-CoV-2 infection related to longer days of mechanical ventilation and a longer stay in the ICU.

Keywords : Respiratory distress syndrome; Artificial respiration; SARS-CoV-2 infection; Coronavirus; Critical care; Anesthesiology.

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