Efecto del diámetro interno del tubo endotraqueal sobre el consumo de oxígeno durante la respiración espontánea
Effect of the inner diameter of the endotracheal tube on oxygen consumption during spontaneous respiration
Servicio de Medicina Intensiva. Hospital Son Dureta. Palma de Mallorca
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"apellidos" => "Fernández Mondéjar" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796100?idApp=WMIE" "url" => "/02105691/0000002400000007/v1_201304241200/S0210569100796100/v1_201304241200/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210569100796082" "issn" => "02105691" "doi" => "10.1016/S0210-5691(00)79608-2" "estado" => "S300" "fechaPublicacion" => "2000-10-01" "aid" => "79608" "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Intensiva. 2000;24:293-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6915 "formatos" => array:3 [ "EPUB" => 172 "HTML" => 3877 "PDF" => 2866 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Monitorización no invasiva de la PaCO2 en pacientes críticos con ventilación mecánica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "293" "paginaFinal" => "299" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Noninvasive monitorization of PaCO2 in critically ill ventilated patients" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Peláez Fernández, V. Cerdeño Impuesto, M. Jiménez Lendínez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Peláez Fernández" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Cerdeño Impuesto" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Jiménez Lendínez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796082?idApp=WMIE" "url" => "/02105691/0000002400000007/v1_201304241200/S0210569100796082/v1_201304241200/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Efecto del diámetro interno del tubo endotraqueal sobre el consumo de oxígeno durante la respiración espontánea" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "300" "paginaFinal" => "303" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Raurich Puigdevall, J. Ibáñez Juvé" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J.M." "apellidos" => "Raurich Puigdevall" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Ibáñez Juvé" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Medicina Intensiva. Hospital Son Dureta. Palma de Mallorca" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. J.M. Raurich Puigdevall. Servicio de Medicina Intensiva. Hospital Son Dureta. C./ Andrea Doria, 55 07014 Palma de Mallorca." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effect of the inner diameter of the endotracheal tube on oxygen consumption during spontaneous respiration" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2000-05-02" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec82362" "palabras" => array:2 [ 0 => "tubo endotraqueal" 1 => "consumo de oxígeno" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec82361" "palabras" => array:2 [ 0 => "Endotracheal tube" 1 => "oxygen consumption" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar, en pacientes con respiración espontánea, el efecto de la reducción simulada del diámetro interno del tubo endotraqueal (TET) desde 8 a 7 mm sobre el consumo de oxígeno (V . O2) y la frecuencia respiratoria</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Durante la desconexión de la ventilación mecánica, en doce pacientes que mantenían una correcta respiración espontánea a través de un TET, medimos el V . O2 y la producción de CO2 (V . CO2) en dos ocasiones, una con un TET de 8 mm de diámetro interno (Æ) y otra con un conector de un TET de 6 mm de Æ, que simula la resistencia al flujo de aire de un TET de 7 mm de Æ. Medimos el V . O2 y la V . CO2 con el método del circuito abierto mediante un espirómetro Wright y un analizador de gases IL-1312 (Izasa, España). Se ha utilizado la prueba de la “t” de Student para datos pareados. Se consideró significativo un valor de p <0,05</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La reducción del Æ del TET de 8 a 7 mm se acompañó de un incremento en el V . O2 de 8 (DE 13) ml/min (límites de –12 a 27 ml/min, 95% IC de –1 a 16 ml/min; p = 0,07) y en la V . CO2 de 9 (DE 8) ml/min (límites de –6 a 16 ml/min, 95% IC de 4 a 14 ml/min; p = 0,002). La frecuencia respiratoria disminuyó de 26 a 25 rpm (p = 0,07)</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Durante la desconexión de la ventilación mecánica, en pacientes con buena tolerancia a la respiración espontánea en “tubo en T”, la reducción del diámetro interno del tubo endotraqueal de 8 a 7 mm no modifica el consume de O2, ni la frecuencia respiratoria, de forma clínicamente relevante</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the effect of simulated reduction in the inner diameter of the endotracheal tube (ETT), from 8 to 7 mm, on oxygen consumption (VO2) and respiratory rate among patients with spontaneous respiration</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">During weaning of mechanical ventilation, in 12 patients maintaining an adequate spontaneous respiration through an ETT, a measurement was made of VO2 and CO2 production (VCO2) on two occasions, one with ETT with 8 mm inner diameter (Æ) and another with a connector of an ETT with 6 mm Æ, which mimicks resistance to airflow of an ETT of 7 mm Æ. Both VO2 and VCO2 were measured with the open circuit methods by means of a Wright spirometer and a IL-1312 gas analyzer (Izasa, Spain). The Student t test was used for paired data. A <0,5 p value was considered significant</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The Æ decrease from 8 to 7 mm was associated with an increase in VO2 of 8 (SD 13) ml/min (range –12 to 27 ml/min; 95% CI: –1 to 16 ml/min; p = 0.07) and V . CO2 of 9 (SD 8) ml/min (range –6 to 16 ml/min; 95% CI: 4 to 14 ml/min; p = 0.002). The respiratory rate decreased from 26 to 25 rpm (p = 0.07)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">During weaning of mechanical ventilation among patients with good tolerance to spontaneous respiration in “T tube”, the decrease in the inner diameter of the endotracheal tube from 8 to 7 mm was not associated with clinically relevant changes both in oxygen consumption and respiratory rate</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary mechanics in normal subjects following endotracheal intubation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "T.J. 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Rodarte" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1988" "volumen" => "94" "paginaInicial" => "1148" "paginaFinal" => "1155" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3142721" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inspiratory pressure support prevents diaphagmatic fatigue during weaning from mechanical ventilation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Brochard" 1 => "A. Harf" 2 => "H. Lorino" 3 => "F. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 9 | 22 | 31 |
| 2024 Octubre | 40 | 92 | 132 |
| 2024 Septiembre | 36 | 79 | 115 |
| 2024 Agosto | 34 | 76 | 110 |
| 2024 Julio | 36 | 67 | 103 |
| 2024 Junio | 47 | 64 | 111 |
| 2024 Mayo | 32 | 54 | 86 |
| 2024 Abril | 26 | 68 | 94 |
| 2024 Marzo | 33 | 62 | 95 |
| 2024 Febrero | 29 | 66 | 95 |
| 2024 Enero | 35 | 74 | 109 |
| 2023 Diciembre | 30 | 66 | 96 |
| 2023 Noviembre | 25 | 65 | 90 |
| 2023 Octubre | 33 | 76 | 109 |
| 2023 Septiembre | 26 | 62 | 88 |
| 2023 Agosto | 21 | 31 | 52 |
| 2023 Julio | 28 | 49 | 77 |
| 2023 Junio | 24 | 40 | 64 |
| 2023 Mayo | 21 | 37 | 58 |
| 2023 Abril | 32 | 65 | 97 |
| 2023 Marzo | 33 | 109 | 142 |
| 2023 Febrero | 27 | 93 | 120 |
| 2023 Enero | 21 | 110 | 131 |
| 2022 Diciembre | 53 | 110 | 163 |
| 2022 Noviembre | 43 | 93 | 136 |
| 2022 Octubre | 43 | 62 | 105 |
| 2022 Septiembre | 49 | 84 | 133 |
| 2022 Agosto | 78 | 70 | 148 |
| 2022 Julio | 75 | 62 | 137 |
| 2022 Junio | 88 | 48 | 136 |
| 2022 Mayo | 39 | 53 | 92 |
| 2022 Abril | 40 | 70 | 110 |
| 2022 Marzo | 41 | 70 | 111 |
| 2022 Febrero | 37 | 53 | 90 |
| 2022 Enero | 24 | 75 | 99 |
| 2021 Diciembre | 36 | 59 | 95 |
| 2021 Noviembre | 40 | 57 | 97 |
| 2021 Octubre | 42 | 63 | 105 |
| 2021 Septiembre | 51 | 62 | 113 |
| 2021 Agosto | 32 | 44 | 76 |
| 2021 Julio | 32 | 48 | 80 |
| 2021 Junio | 35 | 62 | 97 |
| 2021 Mayo | 36 | 55 | 91 |
| 2021 Abril | 92 | 103 | 195 |
| 2021 Marzo | 81 | 45 | 126 |
| 2021 Febrero | 104 | 29 | 133 |
| 2021 Enero | 62 | 30 | 92 |
| 2020 Diciembre | 40 | 28 | 68 |
| 2020 Noviembre | 46 | 30 | 76 |
| 2020 Octubre | 33 | 26 | 59 |
| 2020 Septiembre | 22 | 11 | 33 |
| 2020 Agosto | 34 | 27 | 61 |
| 2020 Julio | 30 | 18 | 48 |
| 2020 Junio | 31 | 17 | 48 |
| 2020 Mayo | 27 | 24 | 51 |
| 2020 Abril | 46 | 26 | 72 |
| 2020 Marzo | 15 | 22 | 37 |
| 2020 Febrero | 61 | 34 | 95 |
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| 2019 Diciembre | 22 | 37 | 59 |
| 2019 Noviembre | 33 | 42 | 75 |
| 2019 Octubre | 49 | 15 | 64 |
| 2019 Septiembre | 35 | 29 | 64 |
| 2019 Agosto | 31 | 21 | 52 |
| 2019 Julio | 33 | 38 | 71 |
| 2019 Junio | 21 | 27 | 48 |
| 2019 Mayo | 53 | 69 | 122 |
| 2019 Abril | 21 | 35 | 56 |
| 2019 Marzo | 20 | 19 | 39 |
| 2019 Febrero | 20 | 33 | 53 |
| 2019 Enero | 24 | 40 | 64 |
| 2018 Diciembre | 31 | 25 | 56 |
| 2018 Noviembre | 19 | 48 | 67 |
| 2018 Octubre | 41 | 18 | 59 |
| 2018 Septiembre | 15 | 9 | 24 |
| 2018 Agosto | 14 | 24 | 38 |
| 2018 Julio | 17 | 13 | 30 |
| 2018 Junio | 19 | 13 | 32 |
| 2018 Mayo | 10 | 6 | 16 |
| 2018 Abril | 23 | 12 | 35 |
| 2018 Marzo | 10 | 6 | 16 |
| 2018 Febrero | 21 | 11 | 32 |
| 2018 Enero | 19 | 13 | 32 |
| 2017 Diciembre | 18 | 8 | 26 |
| 2017 Noviembre | 14 | 9 | 23 |
| 2017 Octubre | 21 | 12 | 33 |
| 2017 Septiembre | 17 | 7 | 24 |
| 2017 Agosto | 9 | 15 | 24 |
| 2017 Julio | 11 | 5 | 16 |
| 2017 Junio | 18 | 18 | 36 |
| 2017 Mayo | 22 | 18 | 40 |
| 2017 Abril | 24 | 5 | 29 |
| 2017 Marzo | 12 | 33 | 45 |
| 2017 Febrero | 12 | 3 | 15 |
| 2017 Enero | 31 | 5 | 36 |
| 2016 Diciembre | 17 | 17 | 34 |
| 2016 Noviembre | 36 | 9 | 45 |
| 2016 Octubre | 44 | 13 | 57 |
| 2016 Septiembre | 49 | 32 | 81 |
| 2016 Agosto | 19 | 8 | 27 |
| 2016 Julio | 14 | 7 | 21 |
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