Table 2. Distribution of the defining characteristics for the ineffective breathing pattern and impaired spontaneous ventilation diagnoses, as well as for the review of the “ventilation” concept for the total sample of patients and subsamples related to the type of ventilatory support. Porto Alegre, RS, Brazil, 2016.
Defining characteristics | Total (N*=626) f † % ‡ | SV § (n=323) f % | NIMV || (n=128) f % | IMV ¶ (n=175) f % | ||||
Alterations in respiratory rate | 400 | 63.6 | 189 | 58.4 | 98 | 76.4 | 113 | 64.4 |
Decrease in inspiratory pressure | 309 | 49.1 | 6 | 1.9 | 128 | 100 | 175 | 100 |
Decrease in expiratory pressure | 309 | 49.1 | 6 | 1.9 | 128 | 100 | 175 | 100 |
Increase in heart rate | 293 | 46.6 | 126 | 38.9 | 82 | 63.9 | 85 | 48.4 |
Use of accessory muscles to breathe | 288 | 45.8 | 125 | 38.6 | 90 | 70.2 | 73 | 41.6 |
Altered arterial blood gases | 288 | 45.8 | 93 | 28.7 | 85 | 66.3 | 110 | 62.7 |
Increased metabolic rate | 282 | 44.8 | 117 | 36.2 | 81 | 63.1 | 84 | 47.8 |
Dyspnea | 251 | 40.0 | 152 | 47.0 | 49 | 38.2 | 50 | 28.5 |
Alterations in tidal volume | 224 | 35.6 | 36 | 11.1 | 88 | 68.6 | 100 | 57.0 |
Fatigue | 220 | 35.0 | 97 | 30.0 | 65 | 50.7 | 58 | 33.0 |
Orthopnea | 210 | 33.4 | 142 | 43.9 | 35 | 27.3 | 33 | 18.8 |
Abdominal paradoxical respiratory pattern | 205 | 32.6 | 123 | 38.0 | 26 | 20.2 | 56 | 31.9 |
Increased restlessness | 201 | 32.0 | 78 | 24.1 | 54 | 42.1 | 69 | 39.3 |
Altered ventilation/perfusion ratio | 179 | 28.5 | 51 | 15.7 | 52 | 40.5 | 76 | 43.3 |
Decrease in SaO2** | 161 | 25.6 | 13 | 4.0 | 64 | 49.9 | 84 | 47.8 |
Decrease in cooperation | 133 | 21.1 | 41 | 12.6 | 39 | 30.4 | 53 | 30.2 |
Hypoxia | 114 | 18.1 | 30 | 9.2 | 31 | 24.1 | 53 | 30.2 |
Apprehensiveness | 86 | 13.7 | 35 | 10.8 | 28 | 21.8 | 23 | 13.1 |
Cyanosis of the skin, lips or extremities | 65 | 10.3 | 15 | 4.6 | 11 | 8.5 | 39 | 22.2 |
Prolonged expiration phase | 58 | 9.2 | 34 | 10.5 | 10 | 7.8 | 14 | 7.9 |
Use of three-point position | 40 | 6.4 | 8 | 2.4 | 23 | 17.9 | 9 | 5.1 |
Increase in anterior-posterior chest diameter | 26 | 4.1 | 11 | 3.4 | 7 | 5.4 | 8 | 4.5 |
Nasal flaring | 11 | 1.7 | 3 | 0.9 | 3 | 2.3 | 3 | 1.7 |
Drumming of fingers | 9 | 1.4 | 5 | 1.5 | 5 | 3.9 | 1 | 0.5 |
Altered chest excursion | 1 | 0.2 | 0 | 0 | 0 | 0 | 1 | 0.5 |
*Number of patients; †Frequency; ‡Percentage; §Spontaneous ventilation; ||Non-invasive mechanical ventilation; ¶Invasive mechanical ventilation; **Arterial oxygen saturation