Ventilação mecânica não invasiva com pressão positiva

Schettino, Guilherme; Reis, Marco Antônio Soares; Galas, Filomena Regina Barbosa Gomes; Park, Marcelo; Franca, Suelene Aires; Okamoto, Valdelis Novis

doi:10.1590/s1806-37132007000800004

Cited by 24 publications

(32 citation statements)

References 96 publications

(90 reference statements)

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“…The use of NIV for the treatment of patients with ARF or chronic respiratory failure has certainly been one of the greatest advances in mechanical ventilation in recent decades. ( 1 - 3 ) …”

Section: Introductionmentioning

confidence: 99%

“…In an attempt to improve patient comfort with and tolerance of NIV, new masks have become available in recent years, among which are TFMs, also known as "full face masks". ( 1 ) …”

Section: Introductionmentioning

confidence: 99%

“…O uso da VNI para o tratamento de pacientes com IRA ou insuficiência respiratória crônica foi, certamente, um dos maiores avanços da ventilação mecânica nas últimas décadas. ( 1 - 3 ) …”

Section: Introductionunclassified

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Adaptation to different noninvasive ventilation masks in critically ill patients

et al. 2013

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OBJECTIVE: To identify which noninvasive ventilation (NIV) masks are most commonly used and the problems related to the adaptation to such masks in critically ill patients admitted to a hospital in the city of São Paulo, Brazil. METHODS: An observational study involving patients ≥ 18 years of age admitted to intensive care units and submitted to NIV. The reason for NIV use, type of mask, NIV regimen, adaptation to the mask, and reasons for non-adaptation to the mask were investigated. RESULTS: We evaluated 245 patients, with a median age of 82 years. Acute respiratory failure was the most common reason for NIV use (in 71.3%). Total face masks were the most commonly used (in 74.7%), followed by full face masks and near-total face masks (in 24.5% and 0.8%, respectively). Intermittent NIV was used in 82.4% of the patients. Adequate adaptation to the mask was found in 76% of the patients. Masks had to be replaced by another type of mask in 24% of the patients. Adequate adaptation to total face masks and full face masks was found in 75.5% and 80.0% of the patients, respectively. Non-adaptation occurred in the 2 patients using near-total facial masks. The most common reason for non-adaptation was the shape of the face, in 30.5% of the patients. CONCLUSIONS: In our sample, acute respiratory failure was the most common reason for NIV use, and total face masks were the most commonly used. The most common reason for non-adaptation to the mask was the shape of the face, which was resolved by changing the type of mask employed.

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Section: Introductionmentioning

confidence: 99%

“…In an attempt to improve patient comfort with and tolerance of NIV, new masks have become available in recent years, among which are TFMs, also known as "full face masks". ( 1 ) …”

Section: Introductionmentioning

confidence: 99%

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Adaptation to different noninvasive ventilation masks in critically ill patients

et al. 2013

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“…The use of NIV is contraindicated in cases of non-drained pneumothorax. [23][24][25][26][27] -It is strongly recommended that the physiotherapist review the imaging exams (CT scans and/or x-rays) before attending them and discuss them with the medical staff.…”

Section: Chest Traumamentioning

confidence: 99%

Physiotherapy in severe polytrauma patients: a therapeutic care model

Padovani¹,

Silva

Tanaka³

2017

Acta Fisiátrica

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Objective: In view of the high degree of complexity that the polytrauma patient represents to the multiprofessional team in the elaboration and execution of their care plan in the intensive care unit (ICU), combined with the lack of evidence on the subject, this study suggests a model of early physiotherapeutic assistance to critical polytrauma patients based on the clinical experience of recent years. Method: The model was elaborated based on the practices verified in the records of 6,388 physiotherapy sessions performed in 198 patients hospitalized between December 2009 and September 2011 in polytraumas-specialized ICU. The activities/care were inserted in the model after approved in discussion with the multiprofessional team. All patients enrolled were aged 18 years or older and were victims of severe trauma according to the Injury Severity Score (ISS). Results: The proposed model was structured in such a way that the physical therapy activities/ care were organized according to the injured body region (traumatic brain injury, face fractures, spine fractures, thoracic trauma, abdominal trauma, pelvic fracture and extremities fractures). The routine of the ICU encouraged daily discussions with the medical team to know the particularities of each clinical case, to establish therapeutic goal and to design the rehabilitation program. Conclusion:The proposed model became routine and consolidated the physiotherapeutic action in the respective care unit. The physiotherapy team started working 24 hours a day. The model made possible the standardization of physical therapy assistance and greater safety for the severe polytrauma patient.

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“…The use of NIV in selected groups of adult patients, such as those with acute exacerbation of chronic obstructive pulmonary disease (COPD), reduces the need for intubation, mortality, and costs of treatment (1) . In 1987, the first use of NIV with a nasal mask was recorded in a six-year-old child with a primary diagnosis of alveolar hyperventilation (2) .…”

Section: Introductionmentioning

confidence: 99%

Noninvasive ventilation for acute respiratory failure in children – a systematic review

Gonzaga

Silva

Alonso

et al. 2011

Einstein (São Paulo)

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Objective: To assess the role of noninvasive ventilation in the treatment of children with acute respiratory failure. Methods: A systematic review of literature on noninvasive ventilation in MEDLINE, LILACS, EMBASE, and Cochrane databases, besides references in articles. The outcomes evaluated were responses in blood oxygenation and ventilation, and patient survival. Results: A total of 120 studies on noninvasive ventilation were found as of May, 2010. Of these, only 19 were about noninvasive ventilation in children. On the other hand, there are prospective and cohort clinical trials leading to a level II quality of evidence concerning the use of noninvasive ventilation in children. Conclusion: There is scientific evidence for proposing the use of noninvasive ventilation, with a B-II degree of recommendation. Keywords

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Ventilação mecânica não invasiva com pressão positiva

Cited by 24 publications

References 96 publications

Adaptation to different noninvasive ventilation masks in critically ill patients

Adaptation to different noninvasive ventilation masks in critically ill patients

Physiotherapy in severe polytrauma patients: a therapeutic care model

Noninvasive ventilation for acute respiratory failure in children – a systematic review

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