MECHANICAL VENTILATION IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS)
DOI:
https://doi.org/10.47820/recima21.v5i7.5561Keywords:
Mechanical ventilation. Acute respiratory distress syndrome. Mortality.Abstract
This study aimed to investigate the effects generated by the use of Mechanical Ventilation (MV) in the treatment of patients with Acute Respiratory Distress Syndrome (ARDS). Methods: An integrative literature review was carried out, and it was searched in the databases of the Virtual Health Library (VHL), in the Latin American and Caribbean literature on health sciences (Lilacs) and in the international literature on health sciences (Medline); Scientific Electronic Library Online (SciELO) and on the website of the National Center for Biotechnology Information (NCBI), in the PubMed database, with only articles published from 2019 onwards, composing original research, being used for literature review. Results: It was found that MV personalization and extracorporeal carbon dioxide removal did not reduce mortality in patients, but the study that used Low Tidal Volume (VCB) may present beneficial results. In addition, the efficacy of Limited Driving Pressure (LDP) and Low Tidal Volume (LTV) were not found to be significantly different. In addition, the level of electrical impedance tomography (PEEPIT) and positive end-expiratory transpulmonary pressure (LPEP) are associated with improvement in patients with ARDS. Conclusion: In this article, it was found that MV plays a crucial role, especially in cases of respiratory failure, and can reduce the mortality rate, determine a more homogeneous distribution of ventilation, and minimize dorsal hypoventilated units, and lower dynamic stress.
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ARDS DEFINITION TASK FORCE et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA, v. 307, n. 23, p. 2526–33, jun. 2012. DOI: https://doi.org/10.1001/jama.2012.5669
ARDS NETWORK et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The New England journal of medicine, v. 342, n. 18, p. 1301–8, maio 2000. DOI: https://doi.org/10.1056/NEJM200005043421801
BACHMANN, M. C. et al. Electrical impedance tomography in acute respiratory distress syndrome. Critical care (London, England), v. 22, n. 1, p. 263, out. 2018. DOI: https://doi.org/10.1186/s13054-018-2195-6
BARBAS, C. S. V. et al. Ventilação mecânica na crise de asma aguda. J Bras Pneumol., v. 33, Supl 2, p. S 106-S 110, 2007. DOI: https://doi.org/10.1590/S1806-37132007000800005
CARTEAUX, G. et al. Patient-Self Inflicted Lung Injury: A Practical Review. Journal of Clinical Medicine, v. 10, n. 12, p. 2738, jun. 2021. DOI: https://doi.org/10.3390/jcm10122738
CONSTANTIN, J.-M. et al. Personalised mechanical ventilation tailored to lung morphology versus low positive end-expiratory pressure for patients with acute respiratory distress syndrome in France (the LIVE study): a multicentre, single-blind, randomised controlled trial. The Lancet Respiratory Medicine, v. 7, n. 10, p. 870–80, out. 2019.
DELUCCHI, K. et al. Stability of ARDS subphenotypes over time in two randomised controlled trials. Thorax, v. 73, n. 5, p. 439–45, maio 2018. DOI: https://doi.org/10.1136/thoraxjnl-2017-211090
DOUGLAS, W. W. et al. Improved oxygenation in patients with acute respiratory failure: the prone position. The American review of respiratory disease, v. 115, n. 4, p. 559–66, abr. 1977.
ERCOLE, F. F.; MELO, L. S. de; ALCOFORADO, C. L. G. C. Revisão integrativa versus revisão sistemática. REME-Revista Mineira de Enfermagem, [S. l.], v. 18, n. 1, 2014. DOI: https://doi.org/10.5935/1415-2762.20140001
GATES, B. Responding to Covid-19 - A Once-in-a-Century Pandemic? New England Journal of Medicine, v. sn, p. 1–3, abr, 2020. DOI: https://doi.org/10.1056/NEJMp2003762
GATTINONI, L. et al. Lung Recruitment in Patients with the Acute Respiratory Distress Syndrome. New England Journal of Medicine, v. 354, n. 17, p. 1775–86, abr. 2006. DOI: https://doi.org/10.1056/NEJMoa052052
GRIECO, D. L.; CHEN, L.; BROCHARD, L. Transpulmonary pressure: importance and limits. Annals of Translational Medicine, v. 5, n. 14, p. 285–6, jul. 2017. DOI: https://doi.org/10.21037/atm.2017.07.22
HICKLING, K. G. et al. Low mortality rate in adult respiratory distress syndrome using low-volume, pressure-limited ventilation with permissive hypercapnia: A prospective study. Critical Care Medicine, v. 22, n. 10, p. 1568–78, out. 1994. DOI: https://doi.org/10.1097/00003246-199422100-00011
LOSCALZO, Joseph. Pneumologia e Medicina Intensiva de Harrison. Porto Alegre: AMGH Editora, 2014.
MANCEBO, J. et al. A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. American journal of respiratory and critical care medicine, v. 173, n. 11, p. 1233–9, jun. 2006. DOI: https://doi.org/10.1164/rccm.200503-353OC
MCNAMEE, J. J. et al. Effect of Lower Tidal Volume Ventilation Facilitated by Extracorporeal Carbon Dioxide Removal vs Standard Care Ventilation on 90-Day Mortality in Patients With Acute Hypoxemic Respiratory Failure: The REST Randomized Clinical Trial. JAMA, v. 326, n. 11, p. 1013–23, set. 2021. DOI: https://doi.org/10.1001/jama.2021.21005
ORNICO, S. R. et al. Noninvasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure: A randomized controlled trial. Critical Care, v. 17, n. 2, p. R39, 2013. DOI: https://doi.org/10.1186/cc12549
PÉREZ-CALATAYUD, Ángel Augusto et al. Hallazgos histopatológicos en síndrome de dificultad respiratoria aguda. Med. crít. (Col. Mex. Med. Crít.), Ciudad de México, v. 31, n. 4, p. 218-223, ago. 2017.
PUYBASSET, L. et al. Regional distribution of gas and tissue in acute respiratory distress syndrome. III. Consequences for the effects of positive end-expiratory pressure. CT Scan ARDS Study Group. Adult Respiratory Distress Syndrome. Intensive care medicine, v. 26, n. 9, p. 1215–27, set. 2000. DOI: https://doi.org/10.1007/s001340051340
RICHTER, T. et al. Effect of prone position on regional shunt, aeration, and perfusion in experimental acute lung injury. American journal of respiratory and critical care medicine, v. 172, n. 4, p. 480–7, ago. 2005. DOI: https://doi.org/10.1164/rccm.200501-004OC
SCARAMUZZO, G. et al. Personalized Positive End-Expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison Between Optimal Distribution of Regional Ventilation and Positive Transpulmonary Pressure. Critical care medicine, v. 48, n. 8, p. 1148–56, ago. 2020. DOI: https://doi.org/10.1097/CCM.0000000000004439
SHEN, Y. et al. Interaction between low tidal volume ventilation strategy and severity of acute respiratory distress syndrome: a retrospective cohort study. Critical care (London, England), v. 23, n. 1, p. 254, jul. 2019. DOI: https://doi.org/10.1186/s13054-019-2530-6
TASAKA, S. et al. ARDS Clinical Practice Guideline 2021. Journal of Intensive Care, v. 10, n. 1, p. 32, jul. 2022.
TONGYOO, S. et al. Comparison of limited driving pressure ventilation and low tidal volume strategies in adults with acute respiratory failure on mechanical ventilation: a randomized controlled trial. Therapeutic advances in respiratory disease, v. 18, jan. 2024. DOI: https://doi.org/10.1177/17534666241249152
WRITING GROUP FOR THE PREVENT INVESTIGATORS et al. Effect of a Low vs Intermediate Tidal Volume Strategy on Ventilator-Free Days in Intensive Care Unit Patients Without ARDS: A Randomized Clinical Trial. JAMA, v. 320, n. 18, p. 1872–80, nov. 2018. DOI: https://doi.org/10.1001/jama.2018.14280
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