##plugins.themes.bootstrap3.article.main##

Gonzalo Moscoso A. Gregory Villarroel S. Nicolás Ibáñez U. Claudia Astudillo M. Yorschua Jalil C.

Resumen

Introduction: The prolonged use of tracheostomy leads to several complications, being necessary a prompt and safe decannulation. Maintained Inspiratory Airway Pressure (PiMant) is a functional evaluation of the dynamic changes of upper airway in inspiration which could indicate the tolerance to capped tracheostomy and adapting to this new airflow resistance, prior to decannulate. Methods: Sixteen tracheostomized patients were evaluated with PiMant using a vacuum gauge, recording pressure value, oxygen saturation, respiratory rate, heart rate, accesory muscles use and presence of stridor during 15 minutes. Results: Median age 60 months-old, pressure range -2 to -40 cmH2O. PiMant values > -7 cmH2O were associated with better tolerance to capped tracheostomy. Stridor was associated to increase of respiratory effort being the best criteria to bring to a halt the test. Conclusions: PiMant is a safe assessment, and indicates tolerance to capped tracheostomy when values > -7 cmH2O are found.

##plugins.themes.bootstrap3.article.details##

Palabras clave

Traqueostomía, Decanulación, Cánula Tapada, niños

Sección
TRABAJO ORIGINAL
Derechos
Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.

Cómo citar

Moscoso A., G., Villarroel S., G., Ibáñez U., N., Astudillo M., C., & Jalil C., Y. (2019). Presión inspiratoria mantenida en pacientes pediátricos traqueostomizados como indicador de tolerancia al uso de cánula tapada. Revista Chilena De Enfermedades Respiratorias, 35(2), 111–115. Recuperado a partir de https://revchilenfermrespir.cl/index.php/RChER/article/view/821

Artículos más leídos del mismo autor/a