Evaluación de la ventilación mecánica no invasiva en pacientes con insuficiencia respiratoria aguda
aproximarnos de manera más real a estimar variables
predictoras de fracaso.
CONCLUSIONES
La VMNI reafirma su rol como estrategia para el manejo
de la IRA, evitando la intubación en el 75% de los
pacientes de esta serie.
Es necesario establecer estadísticamente un punto de
corte para la relación PaO2/FiO2 para aportar precozmente a la toma de decisiones en el manejo de pacientes
con IRA.
Las variables IPAP y FC, podrían aportar información valiosa para determinar el momento de término de
la VMNI e iniciar la ventilación mecánica invasiva. Sin
embargo es necesario enrolar un número mayor de
pacientes y posterior análisis por subgrupos.
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