desmame da ventilação mecânica: promova uma estratégia weaning from mechanical ventilation: let's perform a strategy

Clicks: 391
ID: 196163
2007
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Abstract
JUSTIFICATIVA E OBJETIVOS: O desmame da ventilação mecânica ainda é um desafio na Unidade de Terapia Intensiva (UTI) e está relacionado a complicações e a mortalidade. A visita diária aos pacientes internados pela equipe de saúde faz parte das boas práticas e pode identificar aqueles capazes de serem submetidos a um teste em ventilação espontânea. O objetivo deste estudo foi sugerir uma técnica de memorização com o termo "Estratégia" considerando alguns aspectos chave que podem ser aplicados por qualquer pessoa da equipe multidisciplinar, durante a ronda à beira do leito, a fim de abreviar o desmame. CONTEÚDO: Introduzir a palavra "Estratégia" como um método de memorização, baseado nos estudos relacionados ao desmame da ventilação mecânica e sua aplicabilidade, como um checklist em qualquer UTI pela equipe multidisciplinar, em que cada letra lembra alguns aspectos chave relacionados ao assunto. CONCLUSÕES: A aplicação de mecanismos de memorização como checklist para o desmame de pacientes da ventilação mecânica, pode ser facilmente praticada durante a ronda diária para identificar aqueles aptos a realizar um teste de ventilação espontânea.
BACKGROUND AND OBJECTIVES: Weaning patients from mechanical ventilation is still a challenge in Intensive Care Units (ICU) and is related to complications and mortality. Daily rounds at the bedside, which are part of good care, can identify patients able to undergo to spontaneous breathing trials. The authors suggest one mnemonic technique with the term "ESTRATEGIA" (strategy) considering some key aspects, as a checklist, which can be applied by any person of the multidisciplinary team, during the bedside rounds, in order to shorten the weaning time. CONTENTS: To introduce the word Strategy as a mnemonic method based on the studies related to weaning from mechanical ventilation and its applicability as a checklist in any intensive care unit by the multidisciplinary team where each letter reminds some key aspects related to the subject. CONCLUSIONS: The applicability of a mnemonic mechanism as a checklist for weaning patients from mechanical ventilation easily practiced during the daily round to identify those who are able to undergo to spontaneous breathing trials.
Reference Key
goldwasser2007revistadesmame Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Rosane S. Goldwasser;Cid Marcos David
Journal Database : the journal of biological databases and curation
Year 2007
DOI
10.1590/S0103-507X2007000100014
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2007000100014
Keywords
safety protocol tracheostomy mechanical ventilation strategy spontaneous breathing test critical care first aid intensive care weaningmedical emergencies teste de ventilação espontânea

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