Transport mechanical ventilation for adults in the prehospital setting: a practical approach
Abstract
Mechanical ventilation (MV) is a convenient therapeutic intervention modality in prehospital settings for managing urgent situations requiring ventilatory support due to respiratory failure, regardless of the etiology. It must be administered by adequately trained healthcare personnel who, in addition to technical-operational skills, must be knowledgeable in the relevant pathophysiological principles to individualize patient care. Mechanical ventilators are biomedical devices with turbine or piston systems that deliver oxygen-enriched gas under positive pressure to support and/or replace the patient’s ventilatory process. This article discusses the different mechanical ventilation modalities, its objectives, essential operational aspects of MV devices, ventilatory modes, phases of the ventilatory cycle, initial programming parameters, and guiding examples related to common pathologies or clinical conditions.
References
1. El Sayed M, Tamim H, Mailhac AN, Clay M. Ventilator use by emergency medical services during 911 calls in the United States. Am J Emerg Med. 2018;36(5):763-8. https://doi.org/10.1016/j.ajem.2017.10.008
2. Ministerio de Salud y Protección Social de Colombia. Guías Básicas de Atención Médica Prehospitalaria. 2da. Ed. Bogotá: 2012.
3. Wilcox SR, Saia MS, Waden H, Frakes M, Wedel SK, Richards JB. Mechanical ventilation in critical care transport. Air Med J. 2016;35(3):161-5. https://doi.org/10.1016/j.amj.2016.01.004
4. Díaz-Tamayo AM. Risks of the staff working in pre-hospital care: A challenge for the emergency services. Salud Uninorte. 2021;37(3):851-64. https://doi.org/10.14482/sun.37.3.363.11.
5. Ministerio de Salud y Protección Social de Colombia. Manual de inscripción de prestadores y habilitación de servicios de salud. Resolución 3100/2019 del 25 de noviembre de 2019.
6. Ministerio de Salud Pública de Colombia. Reglamentación parcial de los servicios de urgencias. Decreto 412/1992 del 6 de marzo. Diario Oficial 40.368.
7. Dueñas Castell C, Mejía Bermúdez J, Coronel C, Ortiz Ruiz G. Acute respiratory failure. Acta Colombiana de Cuidado Intensivo. 2016;16:1-24. https://doi.org/10.1016/j.acci.2016.05.001
8. Matabuena-Gómez-Limón MR, Leiva-Cepas F. Use of non-invasive ventilation (NIV) in patients with acute respiratory failure in emergency departments: a systematized review. Actualidad Médica. 2021;106(106[813]):188-97. https://doi.org/10.15568/am.2021.813.rev02
9. Roginski MA, Carroll MC, Trautwein ML, Watkins ED, Esteves AM. Sedation practices of mechanically ventilated patients during critical care transport. Air Med J. 2023;42(5):343-7. https://doi.org/10.1016/j.amj.2023.05.002
10. Dries DJ. Mechanical ventilation: Finer points. Air Med J. 2020;39:9-11. https://doi.org/10.1016/j.amj.2023.09.001
11. Dirección General de Asistencia Sanitaria y Aseguramiento, SUMMA 112. Manual de ventilación en urgencias y emergencias extrahospitalarias. 2022:99-330.
12. Naranjo C, Flor O, Tapia J, Flores E, Coba A, Chango E. Emergency mechanical ventilator design in assisted/controlled and spontaneous pressure mode. UCT. 2020;1(1):130-7.
13. Garnero AJ, Abbona H, Gordo-Vidal F, Hermosa-Gelbard C. Pressure versus volume controlled modes in invasive mechanical ventilation. Med Intens. 2013;37(4):292-8. https://doi.org/10.1016/j.medin.2012.10.007
14. Brown B, Roberts J. Principles of artificial ventilation. Anaesth Intens Care Med. 2022;23:6-18. https://doi.org/10.1016/j.mpaic.2021.09.008
15. Barahona Hernández C, Jiménez Durán D. Ventilación mecánica, conceptos básicos y aplicación de parámetros ventilatorios. En: Roldán L, Sarmiento P, editores. Terapia respiratoria para profesionales. Bogotá: Distribuna; 2019. p. 261-267.
16. Río FG, Lores V, Rojo B. Evaluation of respiratory function (obstruction and air entrapment). Arch Bronconeumol. 2007;43(Supl 3):8-14. https://doi.org/10.1016/S0300-2896(07)71180-8
17. Pruitt B. Aflojar las cadenas de la enfermedad pulmonar restrictiva. Nursing. 2009;27(4):16-21. https://doi.org/10.1016/S0212-5382(09)70535-7
18. Ruiz Ferrón F, Rucabado Aguilar L, Poala Gallego MD, Muñoz Muñoz JL, Brea Salvago JF, La Rosa Salas FJ, et al. Changes in Auto-peep during Mechanical Ventilation Associated with Respiratory Steady according to Time-Constant Analysis. Med Intens. 2004;28(4):185-92. https://doi.org/10.1016/S0210-5691(04)70044-3
19. Gómez-de-Oña J, De-la-Hoz-García C, Utrilla-Cid N, Cárdenas-Cruz A. Analysis of the complications in patients undergoing an invasive mechanical ventilation program. Actualidad Médica. 2020;153-9. https://doi.org/10.15568/am.2020.811.or01
20. Placenti A, Ramos M, Fratebianchi F. Respiratory mechanics in general anesthesia: Concepts review. Revista Chilena de Anestesia. 2022;51:102-16. https://doi.org/10.25237/revchilanestv5130121222
Downloads
Copyright (c) 2025 Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
