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2023, Number 4

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Rev Mex Anest 2023; 46 (4)

Measurement of muscular strength in adults as a predicator of extubation in intensive care units. Narrative review

Zona-Rubio DC, Rojas-López IJ, Romero-Díaz SA, Berrío-Molano FE, Buitrago-Florián PM, Ávila-Velandia LJ, Barrantes-Granobles TC, Suárez-Alba LP, Urrea-Morales PA, Velásquez-Velásquez LV, Gutiérrez-González DA, Ramírez ÁM

Language: Spanish
References: 36
Page: 263-267
PDF size: 231.16 Kb.


ABSTRACT

Introduction: one of the main effects of invasive mechanical ventilation is injury to the respiratory muscles, specifically the diaphragm. In which structural and functional alterations can occur that partially or totally modify its function. During mechanical ventilation, a process of disuse atrophy of said muscle occurs. Therefore, the clinical utility of measuring diaphragmatic muscle strength is important to know if the patient has the ability to activate the protective mechanisms of the airway to achieve successful extubation and removal of the mechanical ventilator in the shortest time possible. Objective: describe the measurement of muscle strength as a predictor of extubation in intensive care units. Material and methods: a literature review was carried out, carried out between 2011 and 2022. Results: patients who are subjected to prolonged mechanical ventilation generally develop a diaphragmatic muscle disorder, becoming a problem for the weaning, for it is important know the methods of measuring muscle strength.


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