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capa do ebook ANALYSIS OF MECHANICAL VENTILATORY ASSISTANCE PROTOCOLS IN PATIENTS WITH COVID-19: AN INTEGRATIVE LITERATURE REVIEW

ANALYSIS OF MECHANICAL VENTILATORY ASSISTANCE PROTOCOLS IN PATIENTS WITH COVID-19: AN INTEGRATIVE LITERATURE REVIEW

Introduction COVID-19 is an infectious disease discovered in December 2019, caused by SARSCoV-2, which is part of the Coronavirus family of viruses. Mechanical Ventilation is a ventilatory support used mainly to treat acute respiratory failure in patients with pulmonary complications. Objectives To analyze the protocols of mechanical ventilatory assistance in patients with COVID-19, in addition to detailing protective mechanical ventilation; to verify which parameters are used in mechanical ventilatory assistance in patients with COVID-19 and to identify which ventilatory protocol is most cited in the literature. Methodology it was an integrative literature review, searching through the following databases: SciELO; LILACS, ScienceDirect; MEDLINE; guidelines; recommendations and protocols of health-related institutions, with the descriptors: COVID-19; Clinical Protocols; Mechanical Fans, 555 articles were found, selecting 7, through two screenings, for the explanation of the results. Results showed that the presence of hypoxemia is characteristic of both COVID-19 and ARDS, however, they may have different characteristics depending on the phenotype found. It was also observed that protective mechanical ventilation must be used in IMV, introducing the following parameters: VT at 6ml/kg; driving pressure < 15 cm/H2O; PEEP to the point of reducing PD, and maintaining PaO2 > 60 cm/H2O with FIO2 ≤ 60% to avoid lung injury. Conclusion It is therefore concluded that protective ventilation is essential for good results for patients diagnosed with COVID-19, and it is necessary to have knowledge about the subject and the patient's clinic to obtain positive results.

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ANALYSIS OF MECHANICAL VENTILATORY ASSISTANCE PROTOCOLS IN PATIENTS WITH COVID-19: AN INTEGRATIVE LITERATURE REVIEW

  • DOI: 10.22533/at.ed.15923722120710

  • Palavras-chave: COVID-19. Clinical protocols. fans mechanics.

  • Keywords: COVID-19. Clinical protocols. fans mechanics.

  • Abstract:

    Introduction COVID-19 is an infectious disease discovered in December 2019, caused by SARSCoV-2, which is part of the Coronavirus family of viruses. Mechanical Ventilation is a ventilatory support used mainly to treat acute respiratory failure in patients with pulmonary complications. Objectives To analyze the protocols of mechanical ventilatory assistance in patients with COVID-19, in addition to detailing protective mechanical ventilation; to verify which parameters are used in mechanical ventilatory assistance in patients with COVID-19 and to identify which ventilatory protocol is most cited in the literature. Methodology it was an integrative literature review, searching through the following databases: SciELO; LILACS, ScienceDirect; MEDLINE; guidelines; recommendations and protocols of health-related institutions, with the descriptors: COVID-19; Clinical Protocols; Mechanical Fans, 555 articles were found, selecting 7, through two screenings, for the explanation of the results. Results showed that the presence of hypoxemia is characteristic of both COVID-19 and ARDS, however, they may have different characteristics depending on the phenotype found. It was also observed that protective mechanical ventilation must be used in IMV, introducing the following parameters: VT at 6ml/kg; driving pressure < 15 cm/H2O; PEEP to the point of reducing PD, and maintaining PaO2 > 60 cm/H2O with FIO2 ≤ 60% to avoid lung injury. Conclusion It is therefore concluded that protective ventilation is essential for good results for patients diagnosed with COVID-19, and it is necessary to have knowledge about the subject and the patient's clinic to obtain positive results.

  • Número de páginas: 19

  • Tatiane Carvalho Brandão
  • Rebeca Barbosa Dourado Ramalho
  • Fernanda Nayra Macedo
  • Sabrina Barbosa da Silva
  • Amanda Mikaele Andrade Furtado
  • Karla Janiele Costa Rocha
  • Julio Davi Costa e Silva
  • Rodolfo Freitas Dantas
  • Manoelly Anyelle Pessoa Dias Dantas
  • Maryelli Laynara Barbosa de Aquino Santos
  • Rosa Suenia da Câmara Melo
  • Ana Beatriz Marques Barbosa
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