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Brazilian recommendations of mechanical ventilation 2013. Part 2.

- J Bras Pneumol (2014)

Bottom Line: Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil.The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest.The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic.

View Article: PubMed Central - PubMed

ABSTRACT
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members. The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest. The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil. The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic. All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in São Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document.

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Utilização da ventilação não invasiva para retirada da ventilaçãomecânica. TRE - teste de respiração espontânea; VNI - ventilação nãoinvasiva; DPOC - doença pulmonar obstrutiva crônica; IResp -insuficiência respiratória aguda ou agudizada.
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f21: Utilização da ventilação não invasiva para retirada da ventilaçãomecânica. TRE - teste de respiração espontânea; VNI - ventilação nãoinvasiva; DPOC - doença pulmonar obstrutiva crônica; IResp -insuficiência respiratória aguda ou agudizada.

Mentions: Recomendação - Recomenda-se o uso da VNI como facilitadora deretirada da VM de forma precoce em pacientes portadores de doença pulmonarobstrutiva crônica (DPOC), mesmo naqueles que não passaram no TRE, desde que sobadequada condição clínica. O paciente deve ser conduzido em centros comexperiência no uso de VNI (Figura1).(106)


Brazilian recommendations of mechanical ventilation 2013. Part 2.

- J Bras Pneumol (2014)

Utilização da ventilação não invasiva para retirada da ventilaçãomecânica. TRE - teste de respiração espontânea; VNI - ventilação nãoinvasiva; DPOC - doença pulmonar obstrutiva crônica; IResp -insuficiência respiratória aguda ou agudizada.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263328&req=5

f21: Utilização da ventilação não invasiva para retirada da ventilaçãomecânica. TRE - teste de respiração espontânea; VNI - ventilação nãoinvasiva; DPOC - doença pulmonar obstrutiva crônica; IResp -insuficiência respiratória aguda ou agudizada.
Mentions: Recomendação - Recomenda-se o uso da VNI como facilitadora deretirada da VM de forma precoce em pacientes portadores de doença pulmonarobstrutiva crônica (DPOC), mesmo naqueles que não passaram no TRE, desde que sobadequada condição clínica. O paciente deve ser conduzido em centros comexperiência no uso de VNI (Figura1).(106)

Bottom Line: Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil.The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest.The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic.

View Article: PubMed Central - PubMed

ABSTRACT
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members. The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest. The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil. The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic. All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in São Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document.

Show MeSH
Related in: MedlinePlus