Title |
Inhalation therapy in mechanical ventilation
|
---|---|
Published in |
Jornal de Pneumologia, January 2015
|
DOI | 10.1590/s1806-37132015000000035 |
Pubmed ID | |
Authors |
Juçara Gasparetto Maccari, Cassiano Teixeira, Marcelo Basso Gazzana, Augusto Savi, Felippe Leopoldo Dexheimer-Neto, Marli Maria Knorst |
Abstract |
Patients with obstructive lung disease often require ventilatory support via invasive or noninvasive mechanical ventilation, depending on the severity of the exacerbation. The use of inhaled bronchodilators can significantly reduce airway resistance, contributing to the improvement of respiratory mechanics and patient-ventilator synchrony. Although various studies have been published on this topic, little is known about the effectiveness of the bronchodilators routinely prescribed for patients on mechanical ventilation or about the deposition of those drugs throughout the lungs. The inhaled bronchodilators most commonly used in ICUs are beta adrenergic agonists and anticholinergics. Various factors might influence the effect of bronchodilators, including ventilation mode, position of the spacer in the circuit, tube size, formulation, drug dose, severity of the disease, and patient-ventilator synchrony. Knowledge of the pharmacological properties of bronchodilators and the appropriate techniques for their administration is fundamental to optimizing the treatment of these patients. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Colombia | 4 | 19% |
Spain | 4 | 19% |
Ecuador | 3 | 14% |
Germany | 1 | 5% |
Costa Rica | 1 | 5% |
Belgium | 1 | 5% |
Unknown | 7 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 19 | 90% |
Science communicators (journalists, bloggers, editors) | 1 | 5% |
Practitioners (doctors, other healthcare professionals) | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 81 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 13 | 16% |
Researcher | 10 | 12% |
Student > Master | 10 | 12% |
Student > Postgraduate | 7 | 9% |
Student > Ph. D. Student | 4 | 5% |
Other | 14 | 17% |
Unknown | 23 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 26 | 32% |
Nursing and Health Professions | 13 | 16% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 7% |
Unspecified | 2 | 2% |
Chemical Engineering | 1 | 1% |
Other | 4 | 5% |
Unknown | 29 | 36% |