How is the epidemiology of mechanically ventilated patients in the intensive care units of Argentina?
Mechanical ventilation is an indispensable tool in life support and one of the interventions that characterizes intensive care units (ICU). Epidemiological studies have allowed us to improve knowledge and optimize the treatment of patients with acute respiratory failure. In Latin America the epidemiological data of mechanical ventilation is poor. Primary goal of this national, observational, prospective, multicentric epidemiological study: to analyze the survival and describe epidemiological features of patients receiving mechanical ventilation in the Intensive Care Units of Argentina.
Study Type
OBSERVATIONAL
Enrollment
950
Survival in the ICU
"Survival in the ICU" will be measured as YES or NO at day 28 after the enrollment.
Time frame: Up to 28 days after the enrollment
Main reason of Invasive Mechanical Ventilation
1. Acute respiratory failure in patient with chronic respiratory failure: A)Chronic Obstructive Pulmonary Disease, B) Asthma, C) Other Chronic Obstructive Pulmonary Disease (Idiopathic pulmonary fibrosis, Cystic Fibrosis, Interstitial disease). 2. Acute Respiratory Failure: A) Acute Respiratory Distress Syndrome, B) Postoperative, C) Acute Heart Failure, D) Aspiration, E) Pneumonia, F) Sepsis, G) Trauma, H) Cardiac arrest, I)Others. 3. Coma: A)Metabolic, B)Overdose, Intoxication, C)Stroke, D)Brain trauma. 4. Neuromuscular disease
Time frame: 1 day
Ventilatory Modes and setting
Volume Control Ventilation, Pressure Control Ventilation, Pressure Support Ventilation, Synchronized Intermittent Mandatory Ventilation, Other (Proportional Assist Ventilation, Neurally Adjusted Ventilation, Airway Pressure Release Ventilation)
Time frame: Up to 10 days
Tidal Volume
Set tidal volume in mililiters
Time frame: Up to 10 days
Weaning and mortality
Weaning characteristics and outcome of the patient in terms of mortality.
Time frame: Up to 28 days
Noninvasive ventilation during weaning and mortality
The use of NIV during weaning and the outcome of the patient in terms of mortality
Time frame: Up to 28 days
Incidence of delirium
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Hospital Fiorito
Avellaneda, Argentina
Sanatorio Norte SRL
Avellaneda, Argentina
Hospital Italiano Regional del Sur
Bahía Blanca, Argentina
Hospital privado Dr Raul Matera
Bahía Blanca, Argentina
Hospital Area Programa Bariloche "Ramón Carrillo"
Bariloche, Argentina
Cemic H.U. Pombo
Buenos Aires, Argentina
CEMIC H.U. Saavedra
Buenos Aires, Argentina
Clinica La Sagrada Familia
Buenos Aires, Argentina
Clinica y Maternidad Suizo Argentina
Buenos Aires, Argentina
Clinica Zabala
Buenos Aires, Argentina
...and 144 more locations
Delirium measured with the CAM- ICU.
Time frame: Up to 28 days
Incidence of ICU acquired weakness
Periphereal muscle weakness measured with MRC defined as a total value of less than 48 points.
Time frame: Up to 28 days
Incidence of tracheostomy
Presence of tracheostomy
Time frame: Up to 28 days
Sedation and analgesia in mechanical ventilation
Implementation of sedation and analgesia during the period of mechanical ventilation.
Time frame: Up to 28 days
Peak Pressure
Monitored Peak Pressure in centimeters of water
Time frame: Up to 10 days
Plateau Pressure
Monitored Plateau Pressure in centimeters of water
Time frame: Up to 10 days
Applied PEEP
Set PEEP in centimeters of water
Time frame: Up to 10 days
Total PEEP
Monitored total PEEP in centimeters of water
Time frame: Up to 10 days
Driving Pressure
Monitored Driving Pressure in centimeters of water as the difference between Total PEEP and Plateau Pressure in centimeters of water
Time frame: Up to 10 days