Revista da Sociedade Brasileira de Medicina Tropical · 2020
Protective mechanical ventilation in suspected influenza infection.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Pimenta Letícia Brito Mendes, Sanson Nicole Zanzarini, Volpe Márcia Souza, Amato Marcelo Britto Passos, Micheletti Adilha Misson Rua, Teixeira Luciana de Almeida Silva
Аннотация
INTRODUCTION: Patients with acute respiratory failure due to influenza require ventilatory support. However, mechanical ventilation itself can exacerbate lung damage and increase mortality.
METHODS: The aim of this study was to describe a feasible and protective ventilation protocol, with limitation of the tidal volume to ≤6 mL/kg of the predicted weight and a driving pressure ≤15 cmH2O after application of the alveolar recruitment maneuver and PEEP titration.
RESULTS: Initial improvement in oxygenation and respiratory mechanics were observed in the four cases submitted to the proposed protocol.
CONCLUSIONS: Our results indicate that the mechanical ventilation strategy applied could be optimized.
METHODS: The aim of this study was to describe a feasible and protective ventilation protocol, with limitation of the tidal volume to ≤6 mL/kg of the predicted weight and a driving pressure ≤15 cmH2O after application of the alveolar recruitment maneuver and PEEP titration.
RESULTS: Initial improvement in oxygenation and respiratory mechanics were observed in the four cases submitted to the proposed protocol.
CONCLUSIONS: Our results indicate that the mechanical ventilation strategy applied could be optimized.