Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942001000600011
Brazilian Journal of Anesthesiology
Review Article

Propostas em ventilação mecânica na síndrome da angústia respiratória

Mechanical ventilatory management in adult respiratory distress syndrome

José Otávio Costa Auler Junior; Fernando Bliacheriene; Erika Miyoshi; Cláudia Regina Fernandes

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Resumo

JUSTIFICATIVA E OBJETIVOS: O objetivo deste artigo é oferecer ao leitor um resumo das normas já consagradas pela literatura a respeito da estratégia atual do manuseio da ventilação durante a Síndrome da Angústia Respiratória Aguda (SARA). Isto é de fundamental importância, já que a ventilação mecânica, como medida terapêutica, tem estado sob constante revisão e muitos artigos têm sido publicados a este respeito. CONTEÚDO: Este trabalho contém a revisão de 29 artigos e um livro, selecionados a partir de pesquisa de palavras-chaves realizada no MEDLINE. CONCLUSÕES: Muito se tem publicado a respeito de ventilação em SARA, porém, tende-se para uma estratégia de proteção pulmonar baseada em baixo volume corrente e altos níveis de PEEP. Outras medidas adjuvantes seriam tomografias computadorizadas seriadas de tórax, ajuste de PaO2, inalação de óxido nítrico, posição prona e ECMO (extracorporeal membrane oxygenation).

Palavras-chave

DOENÇA, VENTILAÇÃO

Abstract

Background and Objectives: This article’s objective is to summarize published ARDS ventilation strategies. This is very important since mechanical ventilation as a therapeutic measure has been under constant evaluation and many articles have been published on it. Contents: This is a 29 articles and one book review selected from a keyword search in MEDLINE. Conclusions: Despite of the great number of articles published on ARDS, most of them suggest a so-called ‘lung-protection’ strategy based on low tidal volume and high PEEP levels. Other adjuvant measures would be serial thoracic computerized tomography, PaO2 adjustments, nitric oxide inhalation, prone position and ECMO.

Keywords

DISEASE, VENTILATION

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