Relation of Pulmonary Protective Ventilation, Mechanical Power and Driving Pressure With Mortality and SOFA of Mechanically Ventilated Patients in ER, Ward and ICU at General Hospital 11 IMSS Piedras Negras, Coahuila
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Mechanical Ventilation Complication
- Sponsor
- JOSE IVAN RODRIGUEZ DE MOLINA SERRANO
- Enrollment
- 63
- Locations
- 1
- Primary Endpoint
- Correlation of driving pressure with mortality and SOFA
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Prospective, observational, longitudinal study, September 2019 to March 2020 of all adult patients who required invasive mechanical ventilation treated at General Hospital of Zone 11 IMSS in Piedras Negras, Coahuila. The investigators aim to assess the relation of lung protective ventilation, mechanical power and driving pressure in mortality and SOFA of mechanically ventilated patients inside and outside ICU at the General Hospital of Zona 11 Piedras Negras, IMSS
Detailed Description
Prospective, observational, longitudinal study from Sept 2019 to Feb 2020 of all adult patients who required invasive mechanical ventilation treated at General Hospital of Zone 11 IMSS in Piedras Negras Coahuila. Independent variable: Lung protective ventilation, Mechanical power, Driving pressure Dependent variable: Hospital Mortality, Sequential Organic Failure Assessment (SOFA) Also will be registered: 1. Primary diagnosis 2. Compliance with lung protective ventilation 3. Complications associated to mechanical ventilation 4. Quality of attention indicators for MV patients as defined by Semicyuc. 5. Real mortality vs Expected mortality analysis
Investigators
JOSE IVAN RODRIGUEZ DE MOLINA SERRANO
Head of ICU Jose Ivan RodriguezdeMolina Critical Care Ph.
IMSS Hospital General de Zona 11, Piedras Negras
Eligibility Criteria
Inclusion Criteria
- •Patients with 18 years or older, with invasive mechanical ventilation
Exclusion Criteria
- •Patients with 17 years or younger
Outcomes
Primary Outcomes
Correlation of driving pressure with mortality and SOFA
Time Frame: Sept 19-Feb 20
Driving Pressure: Quantitative variabel, calculated using: Pplateau pressure-PEEP. nomral range \< 13
Correlation of Lung protective ventilation with mortality and SOFA (Sequential Organic Failure Assessment)
Time Frame: Sept 19-Feb 20
Lung Protective Ventilation: Qualitative variable will be defined as YES or NO with the averages of the daily measurements of tidal volume and Pressure plateau. It is defined as Tidal volume (Vc or Vt) \<8 ml / kg (ideal weight) and Plateau or plateau pressure (Ppl, Pm) \<30cmH2O
Correlation of mechanical power with mortality and SOFA
Time Frame: Sept 19-Feb 20
Mechanical power: Quantitative variable. calculated using Marinni equation: MP= (0.098)x(Plateau pressure-PEEP)x Respiratory Rate xTidal Volume. Normal range \< 13