Jerre George, Beraldo Marcelo A, Silva Thelso de Jesus, Gastaldi Ada, Kondo Claudia, Leme Fábia, Guimarães Fernando, Forti Junior Germano, Lucato Jeanette J J, Veja Joaquim M, Luque Alexandre, Tucci Mauro R, Okamoto Valdelis N
Universidade de Santo Amaro.
Hospital Nossa Senhora de Lourdes, SP.
Rev Bras Ter Intensiva. 2007 Sep;19(3):399-407.
The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based. This explicit approach has broadened the understanding and adoption of clinical recommendations. For these reasons, AMIB - Associação de Medicina Intensiva Brasileira and SBPT - Sociedade Brasileira de Pneumologia e Tisiologia - decided to update the recommendations of the II Brazilian Consensus. Physical therapy during mechanical ventilation has been one of the updated topics. This objective was described the most important topics on the physical therapy during mechanical ventilation.
Systematic review of the published literature and gradation of the studies in levels of evidence, using the key words: mechanical ventilation and physical therapy.
Recommendations on the most important techniques applied during mechanical ventilation.
Physical therapy has a central role at the Intensive Care environment, mainly in patients submitted to a mechanical ventilatory support invasive or non invasive.
第二届巴西机械通气共识会议于2000年发布。自那时起，机械通气领域的知识迅速发展，大量临床研究发表，这些研究可能对危重症患者的通气管理产生影响。此外，循证医学不断发展的理念决定了根据临床建议所基于研究的方法学价值对其进行分级。这种明确的方法拓宽了对临床建议的理解和采用。出于这些原因，巴西重症医学协会（AMIB）和巴西肺脏病与胸科学会（SBPT）决定更新第二届巴西共识的建议。机械通气期间的物理治疗是更新的主题之一。本研究旨在描述机械通气期间物理治疗的最重要主题。
使用关键词“机械通气”和“物理治疗”对已发表文献进行系统综述，并对研究进行证据水平分级。
关于机械通气期间应用的最重要技术的建议。
物理治疗在重症监护环境中具有核心作用，主要针对接受有创或无创机械通气支持的患者。
