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Jornal Brasileiro de Pneumologia

ISSN (on-line): 1806-3756

ISSN (impressa): 1806-3713

Número Atual: 2014 - Volume 40 - Número 4 (Julho/Agosto)

Amib/sbpt Recomenda–∑—Öes brasileiras de ventila–∑–≥o mec–≤nica 2013 Parte I J Bras Pneumol 2014;40(4):327-363

Recomenda–∑—Öes brasileiras de ventila–∑–≥o mec–≤nica 2013 Parte I

Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil For those reasons, the Brazilian Association of Intensive Care Medicine (Associa–∑–≥o de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in S–≥o Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document

Palavras-chave: Recomenda–∑—Öes; Ventila–∑–≥o Mec–≤nica; Insufici–ļncia Respirat—Éria

Keywords: Recommendations; Mechanical Ventilation; Respiratory Insufficiency

Ventila–∑–≥o mec–≤nica n–≥o invasiva na s–Ĺndrome de desconforto respirat—Ério agudo

Sugest–≥o - Utilizar preferencialmente o laringosc—Épio de l–≤mina curva de n—ämero apropriado O laringosc—Épio de l–≤mina reta pode ser usado para exposi–∑–≥o da laringe em intuba–∑—Öes dif–Ĺceis(31,32,34)

Identifica–∑–≥o - Na VCV, a curva press–≥o versus tempo mostra o pico de press–≥o sendo alcan–∑ado precocemente(68,69) Na PCV ou PSV, a press–≥o nas vias a–Ļreas ultrapassa o n–Ĺvel ajustado, fen—Ąmeno denominado overshoot (69)

Recomenda–∑–≥o - Realizar a monitoriza–∑–≥o cont–Ĺnua por oximetria de pulso em todo o paciente sob suplementa–∑–≥o de O2, VNI ou suporte ventilat—Ério invasivo e nos casos de IRpA

Coment–Īrio - Utiliza-se visando ajustar a rela–∑–≥o ventila–∑–≥o/perfus–≥o por meio de vasodilata–∑–≥o em territ—Ério arterial pulmonar em –Īreas ventiladas

150 Jolliet P, Abajo B, Pasquina P, Chevrolet JC Non-invasive pressure support ventilation in severe community-acquired pneumonia Intensive Care Med 2001;27(5):812-21

Final da elabora–∑–≥o: 20 de outubro de 2013

Autor correspondente: Carmen Silvia Valente Barbas, Disciplina de Pneumologia, Hospital das Cl–Ĺnicas da Faculdade de Medicina da Universidade de S–≥o Paulo Avenida Dr Eneas de Carvalho Aguiar, 44 CEP - 05403-900 - S–≥o Paulo (SP), Brasil

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O Jornal Brasileiro de Pneumologia está indexado em:

SCS Quadra 01, Bloco K, Salas 203/204 Ed Denasa CEP: 70398-900 - Brasília - DF

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