Ventilação protetora na síndrome do desconforto respiratório agudo causada pela COVID-19: o manejo do fisioterapeuta
DOI:
https://doi.org/10.12662/2317-3076jhbs.v11i1.4463.p1-7.2023Keywords:
Unidades de Terapia Intensiva, Ventilação mecânica, COVID-19, SDRA, FisioterapiaAbstract
Objetivos: conhecer o manejo do fisioterapeuta relacionado à ventilação protetora em pacientes com SDRA por COVID-19, listando as principais estratégias utilizadas e as barreiras encontradas para sua implementação. Métodos: estudo de campo transversal e descritivo, de caráter quantitativo, realizado no período de outubro de 2021 a abril de 2022, com fisioterapeutas de hospitais públicos e privados, na cidade de Fortaleza, que tivessem experiência com pacientes infectados pela COVID-19. Para coleta de dados, utilizou-se um formulário online viabilizado pela plataforma Google Forms. Os dados foram tabulados em planilha Microsoft Excel® 2010 e, posteriormente, transferido para o Statistical Package for the Social Sciences (SPSS®) 20.0, utilizando-se a estatística descritiva. Resultados: participaram 102 fisioterapeutas, 74,5% do gênero feminino. As principais estratégias de ventilação protetora citadas foram: volume corrente de 6 mL/Kg por peso predito, pressão de platô menor que 30 cmH2O e driving pressure menor que 15 cmH2O (93,1%), além da titulação de PEEP (68,6%) e posição prona (64,7%). Manter uma driving pressure menor que 15 cmH2O (57,8%) e discordância profissional (43,1%) foram as principais barreiras encontradas para realização da ventilação protetora. Conclusão: a ventilação protetora configura-se no uso de baixos volumes e pressões, titulação da PEEP e posição prona. A manutenção de driving pressure menor que 15 cmH2O e discordância entre os profissionais na tomada de decisão destacam-se como as principais barreiras.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
a) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
b) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
c) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Declaration
Transfer of Copyright
The author hereby declare that the article entitled "TITLE OF THE ARTICLE" approved for publication in the Journal of Health & Biological Sciences is an original work that has not been published or is being considered for publication elsewhere, that is in print or electronic.
The author's manuscript quoted above also states (m):
- I certify that I have participated sufficiently in the work to take public responsibility for the content.
- I declare that the use of any trademark or copyright in the manuscript has been credited to its owner or permission to use the name was given, if necessary.
- I declare that I agree that the copyright for the article referenced above will become the exclusive property of the Journal of Health & Biological Sciences - JHBS, any form of reproduction, in whole or in part, in any form or means of disclosure, printed or electronic, without the prior authorization is required, and, if obtained, I include my thanks to the Journal of Health & Biological Sciences - JHBS.
- The original submission to the Journal of Health and Biological Sciences (JHBS) imply transfer by authors, printed and digital publishing rights.
Note: All persons listed as authors must sign this statement and signed statements will not be accepted by others.
The original statement shall be signed, dated and sent to the address below or by email:
JOURNAL OF BIOLOGICAL SCIENCES & HEALTH
Councilman Paul Street Mamede, 130 - 5th floor - Neighborhood: Coco.
Fortaleza - CE
CEP 60192-350
Phone: (85) 3265-8109, Ext: 8109
e-mail: @ secretaria.jhbs fchristus.edu.br