Universidade Federal do Triângulo Mineiro, Programa de Pós-Graduação Stricto Sensu em Medicina Tropical e Infectologia, Uberaba, MG, Brasil.
Universidade Federal do Triângulo Mineiro, Curso de Graduação em Medicina, Uberaba, MG, Brasil.
Rev Soc Bras Med Trop. 2020 Oct 5;53:e20190481. doi: 10.1590/0037-8682-0481-2019. eCollection 2020.
Patients with acute respiratory failure due to influenza require ventilatory support. However, mechanical ventilation itself can exacerbate lung damage and increase mortality.
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.
Initial improvement in oxygenation and respiratory mechanics were observed in the four cases submitted to the proposed protocol.
Our results indicate that the mechanical ventilation strategy applied could be optimized.
因流感导致急性呼吸衰竭的患者需要通气支持。然而，机械通气本身可能会加重肺损伤并增加死亡率。
本研究旨在描述一种可行且具有保护作用的通气方案，即在应用肺复张手法和呼气末正压通气滴定后，将潮气量限制在预测体重的 ≤6 毫升/公斤以下，驱动压 ≤15 厘米水柱。
4 例接受所提出方案的患者的氧合和呼吸力学均得到初步改善。
我们的结果表明所应用的机械通气策略可以得到优化。
