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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Feb 4, 2018; 7(1): 24-30
Published online Feb 4, 2018. doi: 10.5492/wjccm.v7.i1.24
Published online Feb 4, 2018. doi: 10.5492/wjccm.v7.i1.24
Respiratory mechanics, ventilator-associated pneumonia and outcomes in intensive care unit
Kelser de Souza Kock, Department of Physiotherapy, University of South of Santa Catarina, Tubarão, SC 88704-001, Brazil
Rosemeri Maurici, Graduate Program in Medical Sciences, Federal University of Santa Catarina, Florianópolis, SC 88700-000, Brazil
Author contributions: Kock KS performed the data collect, statistical analysis and wrote the mansucript; Maurici R performed the revision and editing the manuscript.
Conflict-of-interest statement: There is no conflict-of-interest.
Data sharing statement: No additional data is available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kelser de Souza Kock, MSc, Department of Physiotherapy, University of South of Santa Catarina, José Acácio Moreira street, number 787, Tubarão, SC 88704-001, Brazil. kelserkock@yahoo.com.br
Telephone: +55-48-999969811
Received: August 28, 2017
Peer-review started: August 29, 2017
First decision: September 25, 2017
Revised: November 5, 2017
Accepted: December 3, 2017
Article in press: December 3, 2017
Published online: February 4, 2018
Peer-review started: August 29, 2017
First decision: September 25, 2017
Revised: November 5, 2017
Accepted: December 3, 2017
Article in press: December 3, 2017
Published online: February 4, 2018
Core Tip
Core tip: The results show that the respiratory function is a prognostic measure, and is strongly associated with mortality. Low oxygen and low lung compliance during volume-controlled ventilation demonstrate this fact. Worsening of respiratory system resistance during pressure-controlled ventilation, associated with the development of ventilator-associated pneumonia, indicates the possibility of early diagnosis. Based on this assumption, this procedure should be performed routinely in the intensive care unit environment, providing the intensive care physician and the physiotherapist with additional prognosis and diagnosis variables, in addition to the clinical, laboratory and radiological data.