%0 Journal Article
%T Ventilaci車n mec芍nica no invasiva y acciones de enfermer赤a en pacientes con pulm車n h迆medo traum芍tico Non-invasive mechanical ventilation and nursing actions in patients with traumatic wet lung
%A Yaquel赤n Naranjo Vargas
%A Zen谷n Rodr赤guez Fern芍ndez
%A Yamil谷 G車mez Mart赤nez
%J MEDISAN
%D 2011
%I Centro Provincial de Ciencias M谷dicas
%X Se realiz車 un estudio observacional, descriptivo y transversal de 12 pacientes ingresados con diagn車stico de pulm車n h迆medo traum芍tico en la Unidad de Cuidados Intensivos del Hospital Provincial Clinicoquir迆rgico Docente "Saturnino Lora" de Santiago de Cuba durante el 2007, a los cuales se aplic車 ventilaci車n mec芍nica no invasiva seg迆n el protocolo establecido. En la casu赤stica predominaron los pacientes j車venes del sexo masculino. A las 24 horas del tratamiento con la mencionada ventilaci車n disminuyeron las manifestaciones cl赤nicas siguientes: frecuencias respiratoria y card赤aca, tiraje, cianosis, aleteo nasal y pausas al hablar. Los valores hemogasom谷tricos obtenidos evidenciaron cambios favorables significativos. En un solo paciente se produjo rechazo de la interfase, no se presentaron grandes complicaciones y la evoluci車n fue satisfactoria en 83,3 % de la casu赤stica. La terap谷utica aplicada mejor車 la relaci車n ventilaci車n-perfusi車n, as赤 como increment車 la difusi車n de gases a trav谷s de la membrana alv谷olo-capilar y la oxigenaci車n tisular; pero las acciones de enfermer赤a intensiva fueron vitales en ello. A descriptive, observational, and cross-sectional study of 12 patients with traumatic wet lung diagnosis hospitalized at the Intensive Care Unit from "Saturnino Lora" Provincial Clinical Surgical Teaching Hospital in Santiago de Cuba was carried out during the year 2007. Non-invasive mechanical ventilation was applied to those patients following the established protocol. Young male patients prevailed in the case material. Clinical manifestations, such as: respiratory and cardiac frequencies, chest indrawing, nasal flaring, and gaps in speech decreased when using the aforementioned ventilation after 24 hours. The obtained hemogasometric values showed significant and favorable changes. Interface rejection was observed in just one patient. There were no major complications and clinical course was satisfactory in 83,3 % of the case material. The applied therapy allowed the improvement of the relationship between ventilation and perfusion, as well as the increase of gas diffusion through alveolar-capillary membrane and tissular oxygenation. Intensive nursing actions were vital to achieve these results.
%K pulm車n h迆medo traum芍tico
%K insuficiencia respiratoria aguda
%K ventilaci車n mec芍nica no invasiva
%K acciones de enfermer赤a
%K unidad de cuidados intensivos
%K traumatic wet lung
%K acute respiratory failure
%K non-invasive mechanical ventilation
%K nursing actions
%K intensive care unit
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192011000800010