Protective mechanical ventilation in suspected influenza infection
Pimenta, Letícia Brito Mendes; Sanson, Nicole Zanzarini; Volpe, Márcia Souza; Amato, Marcelo Britto Passos; Micheletti, Adilha Misson Rua; Teixeira, Luciana de Almeida Silva.
Rev. Soc. Bras. Med. Trop;
53: e20190481, 2020. tab, graf
Artigo
em Inglês
| SES-SP
| ID: biblio-1136849
Resumo
Abstract 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.
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