Avaliação do perfil das assincronias ventilatórias e demonstrativos de ocorrências em indivíduos neurocríticos na Unidade de Terapia Intensiva adulto em um Hospital referência

Autores

DOI:

https://doi.org/10.33448/rsd-v13i1.44638

Palavras-chave:

Fisioterapia; Ventilação mecânica; Unidade de Terapia Intensiva.

Resumo

Introdução: As assincronias ventilatórias são um desequilíbrio na coordenação entre o paciente e o ventilador mecânico durante a ventilação assistida e controlada. Essa falta de sincronia ocorre quando os esforços respiratórios do paciente não estão em harmonia com o funcionamento do ventilador ou quando os ajustes dos parâmetros estão equivocados. Objetivo: Traçar o perfil das assincronias ventilatórias com maior ocorrência em neurocríticos em uma unidade de terapia intensiva adulto. Método: Estudo piloto e observacional, mediante gerenciamento de coleta do programa TASY e resultados on time via software B.I. Analisados 47 casos adversos, havendo maior ocorrência nas assincronias de fluxo insuficiente e duplos disparos. Resultados: Ciclagem precoce e fluxo excessivo 1%, disparo ineficaz e ciclagem tardia aproximadamente 3%, disparo reverso 7%, auto disparo 8%, fluxo insuficiente 28% e duplos disparos 48%. Conclusão: Conclui-se que as alterações mecânicas com maior ocorrência, são as assincronias de fluxo insuficiente e duplos disparos, havendo necessidade futura prévia, propor medidas de controle e treinamento, como o aperfeiçoamento de monitorização ventilatória ativa, já que ambas possuem padrão de classificação relaciona a atividade participativa do paciente. Desta forma o gerenciamento de software de tecnologia inteligência foi eficaz para traçar o perfil das assincronias aqui avaliadas.

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11/01/2024

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VIEIRA FILHO, W. de A. .; FERREIRA, M. J. S. .; NUNES, J. S.; LOPES, N. L. S. .; MACIEL , F. L. .; CONCEIÇÃO, M. V. da .; KAYBERS, T. Avaliação do perfil das assincronias ventilatórias e demonstrativos de ocorrências em indivíduos neurocríticos na Unidade de Terapia Intensiva adulto em um Hospital referência. Research, Society and Development, [S. l.], v. 13, n. 1, p. e4813144638, 2024. DOI: 10.33448/rsd-v13i1.44638. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44638. Acesso em: 30 jun. 2024.

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v. 13 n. 1

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Copyright (c) 2024 Walter de Aquino Vieira Filho; Marden Junio Sousa Ferreira; Jhonhy Sheldom Nunes; Nayan Leonardo Sousa Lopes; Flávia Lobato Maciel ; Marcos Vinícius da Conceição; Tais Kaybers

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