None listed
Conditions
Brief summary
The Acute Respiratory Distress Syndrome Group (ARDS) determines that we must use 6 ml of kg of predicted body weight in order to offer appropriate measures of tidal volume to patients under mechanical ventilation. But improper methods to predict the body weight may cause damage to patients' lungs. Inadequate tidal volume will reflect in respiratory mechanics alteration.
Interventions
All the calculation will be done for every participant. Each phase correspond to one of the three interventions. Each phase will be performed once over a single day. PHASE 1: calculation of predicted body weight through the formulas:50+0,91(height in centimeters)-152,4 for men and 45,5 +0,91 (height in centimeters)-152,4 for women. The result will be multiplied by 6 ml (this is the ARDS recommendation of protective ventilation) and the final result will be the tidal volume. We'll adjust the pressure limit that offers this tidal volume and keep the ventilation for 2 hours. After, the respiratory mechanics will be calculated according to the found tidal volume. PHASE 2: calculation of the current estimated body weight through the formula: [0,98 X calf circumference(cm) + 1,16 X knee height(cm)]+[1,73 X arm circumference (cm)]+0,37 X subscapularis skinfold(mm)]-81,69 for men and [1,27 X calf ircumference(cm)]+[0,87 X knee height(cm)]+0,98 X arm circumference (cm)]+0,4 X subscapularis skinfold(cm)]-62 for women. The result will be multiplied by 6 ml and the final result will be the tidal volume. We'll adjust the pressure limit that offers this tidal volume and keep the ventilation for 2 hours. After, the respiratory mechanics will be calculated according to the found tidal volume. PHASE 3: for no body weight prediction method we'll use the tidal volume observed at the mechanical ventilator initially. After, the respiratory mechanics will be calculated according to this tidal volume. Then the results of respiratory mechanics corresponding to each phase will be compared and defined which prediction body weight method is more appropriate, closer to normal values os respiratory mechanics.
Sponsors
Study design
Eligibility
Inclusion criteria
Adult patients, patients under mechanical ventilation, pressure controlled mode, respiratory failure diagnosed, hemodynamically stable patients, sedated patients.
Exclusion criteria
Other ventilatory mode, sepsis diagnosed, presence of respiratory drive.