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ESTRATEGIAS ATUAIS DE VENTILAÇAO MECANICA NA SINDROME DA ANGUSTIA RESPIRATORIA AGUDA (SARA)

ESTRATEGIAS ATUAIS DE VENTILAÇAO MECANICA NA SINDROME DA ANGUSTIA RESPIRATORIA AGUDA (SARA)

(especial para SIIC © Derechos reservados)
O emprego de volume corrente reduzido, minimizando a hiperdistensão alveolar, parece ser o maior avanço relacionado a ventilação mecânica desde o advento do PEEP, há mais de duas décadas, e o único com comprovado impacto na taxas de mortalidade.
coimbra.jpg Autor:
Raul Coimbra
Columnista Experto de SIIC
Artículos publicados por Raul Coimbra
Recepción del artículo
25 de Junio, 2003
Primera edición
7 de Abril, 2004
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Nos últimos anos ocorreram avanços significativos na compreensão da fisiopatologia da Lesão Pulmonar Aguda (LPA) e da Síndrome da Angústia Respiratória Aguda (SARA), bem como novas estratégias de ventilação mecânica visando o recrutamento alveolar e a proteção pulmonar foram desenvolvidas. O presente artigo tem por objetivo fazer uma revisão das estratégias atuais de ventilação mecânica na SARA incluindo o uso de volume corrente reduzido (4-8 mL/kg), hipercapnia permissiva, e ventilação em pronação.

Palabras clave
Insuficiência Respiratória Aguda, Síndrome da Angústia Respiratória Aguda, Lesão Pulmonar Aguda, Ventilação Mecânica


Artículo completo

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Extensión:  +/-4.87 páginas impresas en papel A4
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Abstract
In recent years, significant advances in the pathophysiology and ventilatory management of Acute Lung Injury (ALI) and Acute Respiratory Distress Syndrome (ARDS) occurred. These new ventilatory strategies aim to protect the lung against the deleterious effects of conventional mechanical ventilation, as well as to promote alveolar recruitment.In the present article current ventilatory strategies including the use of low tidal volumes (4-8 mL/kg), permissive hypercapnia, and prone ventilation are reviewed.

Key words
Insuficiência Respiratória Aguda, Síndrome da Angústia Respiratória Aguda, Lesão Pulmonar Aguda, Ventilação Mecânica


Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Cuidados Intensivos
Relacionadas: Emergentología, Neumonología



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Bibliografía del artículo
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Título español
Resumen
 Palabras clave
 Bibliografía
 Artículo completo
(exclusivo a suscriptores)
 Autoevaluación
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 Especialidades

 English title
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 Key words
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