A atuação fisioterapêutica na equipe multidiscipliar da uti no recrutamento alveolar da sdra: revisão de literatura.
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Data
2021-12
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
BARBOSA, Igor Henrique Hortencio
FARIAS, Ynajara Santos Nóbrega
Orientador
OLIVEIRA, Marcella Cabral de
Coorientador
Resumo
A Síndrome do Desconforto Respiratório Agudo (SDRA) é descrita como
um tipo de insuficiência respiratória aguda, que tem como fisiopatologia um edema
pulmonar não cardiogênico e inflamação difusa. As manobras de recrutamento
alveolar podem ser realizadas no tratamento dessa síndrome, com diferentes métodos
de aplicação, afim de promover uma troca gasosa com mais qualidade e adequada
oferta de oxigênio ao paciente, reduzindo o tempo de permanência na UTI e o risco
de complicações. Objetivo: Reunir evidências sobre a atuação fisioterapêutica na
equipe multidisciplinar da UTI, nos efeitos do recrutamento alveolar da Síndrome do
Desconforto Respiratório Agudo. Metodologia: Trata-se de uma revisão de literatura,
realizada em meios eletrônicos durante o segundo semestre de 2021, em cinco bases
de dados: PubMed, Scientific Eletronic Library Online (SciELO), Literatura Latino
Americana e do Caribe em Ciências e Saúde (LILACS), Physiotherapy Evidence
Database (PEDro) e Biblioteca Regional de Medicina (BIREME). Foram utilizadas as
palavras-chaves: “recrutamento alveolar” e “síndrome do desconforto respiratório
agudo” também buscados em inglês: “alveolar recruitment” e “ acute respiratory
distress syndrome’’, e em espanhol: “reclutamiento alveolar” e “síndrome de distrés
respiratorio agudo”. Do mesmo modo foi aplicado os descritores: “síndrome do
desconforto respiratório agudo” e “ventilação mecânica”, em inglês: “acute respiratory
distress syndrome” e “ventilation artificial”, e em espanhol: “síndrome de dificultad
respiratória”, “respiración artificial”, todos combinados pelo operador booleano ‘’and’’,
sendo considerados para esta revisão apenas estudos publicados entre 2016 a 2021.
Resultados: De um total de 1322 artigos encontrados, 6 estudos preencheram os
critérios de inclusão. De acordo com as bases de evidências disponíveis, foi
observado que a manobra de recrutamento alveolar melhora a ventilação, oxigenação
e auxilia na redução do tempo de internação do paciente crítico, através dos diversos
métodos de avaliação fisiológica e dos sinais clínicos. Conclusão: As manobras de
recrutamento podem ser apontadas como estratégia benéfica para melhora da
oxigenação de pacientes nas unidades de terapia intensiva. Entretanto, são
necessários mais estudos que comprovem os demais desfechos clínicos das
manobras.
Acute Respiratory Distress Syndrome (ARDS) is described as a type of acute respiratory failure, which has as pathophysiology a noncardiogenic pulmonary edema and diffuse inflammation. Alveolar recruitment maneuvers can be performed in the treatment of this syndrome, with different methods of application, in order to promote a gas exchange with more quality and adequate oxygen supply to the patient, reducing the length of stay in the ICU and the risk of complications. Objective: Gather evidence on the physiotherapeutic role in the multidisciplinary team of the ICU, on the effects of alveolar recruitment of Acute Respiratory Distress Syndrome. Methodology: This is a literature review, carried out in electronic media during the second half of 2021, in five databases: PubMed, Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature on Science and Health (LILACS), Physiotherapy Evidence Database (PEDro) and Regional Library of Medicine (BIREME). The key words: “alveolar recruitment” and “acute respiratory distress syndrome” were also searched in English: “alveolar recruitment” and “acute respiratory distress syndrome'', and in Spanish: “alveolar recruitment” and “respiratory distress syndrome acute". The following descriptors were applied: “acute respiratory distress syndrome” and “mechanical ventilation”, in English: “acute respiratory distress syndrome” and “artificial ventilation”, and in Spanish: “respiratory difficulty syndrome”, “artificial respiration”, all combined by the Boolean operator ''and'', being considered for this review only studies published between 2016 to 2021. Results: From a total of 1322 articles found, 6 studies met the inclusion criteria. According to the available evidence bases, it was observed that the alveolar recruitment maneuver improves ventilation, oxygenation and helps to reduce the hospitalization time of critically ill patients, through different methods of physiological assessment and clinical signs. Conclusion: Recruitment maneuvers can be identified as a beneficial strategy to improve oxygenation of patients in intensive care units. However, further studies are needed to prove the other clinical outcomes of the maneuvers.
Acute Respiratory Distress Syndrome (ARDS) is described as a type of acute respiratory failure, which has as pathophysiology a noncardiogenic pulmonary edema and diffuse inflammation. Alveolar recruitment maneuvers can be performed in the treatment of this syndrome, with different methods of application, in order to promote a gas exchange with more quality and adequate oxygen supply to the patient, reducing the length of stay in the ICU and the risk of complications. Objective: Gather evidence on the physiotherapeutic role in the multidisciplinary team of the ICU, on the effects of alveolar recruitment of Acute Respiratory Distress Syndrome. Methodology: This is a literature review, carried out in electronic media during the second half of 2021, in five databases: PubMed, Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature on Science and Health (LILACS), Physiotherapy Evidence Database (PEDro) and Regional Library of Medicine (BIREME). The key words: “alveolar recruitment” and “acute respiratory distress syndrome” were also searched in English: “alveolar recruitment” and “acute respiratory distress syndrome'', and in Spanish: “alveolar recruitment” and “respiratory distress syndrome acute". The following descriptors were applied: “acute respiratory distress syndrome” and “mechanical ventilation”, in English: “acute respiratory distress syndrome” and “artificial ventilation”, and in Spanish: “respiratory difficulty syndrome”, “artificial respiration”, all combined by the Boolean operator ''and'', being considered for this review only studies published between 2016 to 2021. Results: From a total of 1322 articles found, 6 studies met the inclusion criteria. According to the available evidence bases, it was observed that the alveolar recruitment maneuver improves ventilation, oxygenation and helps to reduce the hospitalization time of critically ill patients, through different methods of physiological assessment and clinical signs. Conclusion: Recruitment maneuvers can be identified as a beneficial strategy to improve oxygenation of patients in intensive care units. However, further studies are needed to prove the other clinical outcomes of the maneuvers.
Palavras-chave
recrutamento alveolar, síndrome do desconforto respiratório agudo, ventilação mecânica