Protective mechanical ventilation in suspected influenza infection
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, wi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2020-10-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100662&tlng=en |
| _version_ | 1818553877560033280 |
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| author | Letícia Brito Mendes Pimenta Nicole Zanzarini Sanson Márcia Souza Volpe Marcelo Britto Passos Amato Adilha Misson Rua Micheletti Luciana de Almeida Silva Teixeira |
| author_facet | Letícia Brito Mendes Pimenta Nicole Zanzarini Sanson Márcia Souza Volpe Marcelo Britto Passos Amato Adilha Misson Rua Micheletti Luciana de Almeida Silva Teixeira |
| author_sort | Letícia Brito Mendes Pimenta |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T09:31:34Z |
| format | Article |
| id | doaj.art-078d2eb9c3664e5d81a4c8fabf837718 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-12-12T09:31:34Z |
| publishDate | 2020-10-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-078d2eb9c3664e5d81a4c8fabf8377182022-12-22T00:28:50ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492020-10-015310.1590/0037-8682-0481-2019Protective mechanical ventilation in suspected influenza infectionLetícia Brito Mendes Pimentahttps://orcid.org/0000-0001-5802-0184Nicole Zanzarini SansonMárcia Souza VolpeMarcelo Britto Passos AmatoAdilha Misson Rua MichelettiLuciana de Almeida Silva TeixeiraAbstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100662&tlng=enAcute respiratory distress syndromeInfluenza virusMechanical ventilation |
| spellingShingle | Letícia Brito Mendes Pimenta Nicole Zanzarini Sanson Márcia Souza Volpe Marcelo Britto Passos Amato Adilha Misson Rua Micheletti Luciana de Almeida Silva Teixeira Protective mechanical ventilation in suspected influenza infection Revista da Sociedade Brasileira de Medicina Tropical Acute respiratory distress syndrome Influenza virus Mechanical ventilation |
| title | Protective mechanical ventilation in suspected influenza infection |
| title_full | Protective mechanical ventilation in suspected influenza infection |
| title_fullStr | Protective mechanical ventilation in suspected influenza infection |
| title_full_unstemmed | Protective mechanical ventilation in suspected influenza infection |
| title_short | Protective mechanical ventilation in suspected influenza infection |
| title_sort | protective mechanical ventilation in suspected influenza infection |
| topic | Acute respiratory distress syndrome Influenza virus Mechanical ventilation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100662&tlng=en |
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