Mechanical ventilation as a protective strategy for patients with ARDS: An integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v13i1.44839

Keywords:

Respiratory distress syndrome; Lung injury; Respiratory insufficiency; Mechanical ventilation.

Abstract

Introduction: The term “mechanical ventilation” (MV) refers to a series of techniques that replace the ventilatory function of the lungs, with the main objective of providing support in the treatment of patients suffering from acute or chronic respiratory failure, totally or partially replacing spontaneous ventilation. , configuring one of the ways of approaching the patient with ARDS, however, when governed in the conventional way, it can affect the lung, enhancing an inflammatory process in it, and as prevention, the protective strategy is used. Objective: to describe the main current scientific evidence on protective MV in patients with ARDS. Methodology: This is an integrative review of the literature. The search for primary studies took place in the databases: PubMed and Scielo. Results: 35 articles were found within the search strategy established using the descriptors Respiratory Distress Syndrome, Lung Injury, and Protection. Of these, 5 fit with the research theme. Conclusion: ∆P is the main predictor of mortality in ARDS.

References

Amato, M. B. P. et al. (2015). Driving Pressure and Survival in the Acute Respiratory Distress Syndrome. New England Journal of Medicine, 372(8), 747–755

Amato, M. B. P. et al. (1998). Effect of a protective ventilation strategy on mortality in the acute respiratory distress syndrome. Pneumologie, 52(5), 285,

AMIB., & SBPT (2013). Diretrizes Brasileiras De Ventilação Mecânica. (Vol. 109, 1 ed) S.L.

Brower, R. G. et al. (2001). Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress Syndrome. Survey of Anesthesiology, 45(1), 19–20

Chang, H. C. et al. (2021). Maintenance of low driving pressure in patients with early acute respiratory distress syndrome significantly affects outcomes. Respiratory Research, 22(1), 1–7

Calatayud, P. Á. A. et al. (2017). Hallazgos Patologios De Sira. Medicina crítica (Colegio Mexicano de Medicina Crítica), 31(4), 218–223

De Carvalho, C. R. R., Toufen, C., & Franca, S. A. (2007). Ventilação mecânica protetora em pacientes com fator de risco para SDRA: estudo de coorte prospectiva. Jornal Brasileiro de Pneumologia, 33

Fan, E. et al. (2017) An official American Thoracic Society/European Society of intensive care medicine/society of critical care medicine clinical practice guideline: Mechanical ventilation in adult patients with acute respiratory distress syndrome. American Journal of Respiratory and Critical Care Medicine, 195(9), 1253–1263

Fioretto, José R. et al. Temporal evolution of acute respiratory distress syndrome definitions. Jornal de Pediatria, 89(6), 523-530, nov. 2013.

Griffiths, M. J. D. et al. (2019) Guidelines on the management of acute respiratory distress syndrome. BMJ Open Respiratory Research, 6(1)

González, J. J. E., Martínez, O. Z. E., & Reyna, R. G. (2017) Desenlaces radiológicos del síndrome de insuficiencia respiratoria progresiva aguda (SIRPA). Med Crit, 31 (4), 255–257

Guérin, C. et al. (2016) Effect of driving pressure on mortality in ARDS patients during lung protective mechanical ventilationin two randomized controlled trials. Critical Care, 20(1), 1–9,

Matthay MA, et al. (2024) Uma nova definição global de síndrome do desconforto respiratório agudo. Am J Respir Crit Care Med, 209, 37-47.

Mendes, k. D. S. et al (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto – Enfermagem, 17(4), 758-764.

Netto, C. B. et al. (2021) Protective mechanical ventilation in patients with risk factors for ARDS: Prospective cohort study. Jornal Brasileiro de Pneumologia, 47(1), 1–8

Pinheiro, B. V. et al. (2019) Ventilação mecânica protetora: revisão de ensaios clínicos randomizados. HU Revista, 45(3), 334–340

Ranieri, V. M. et al. (2012) Acute respiratory distress syndrome: The Berlin definition. JAMA - Journal of the American Medical Association, 307(23), 2526–2533

Sklar, M. C. et al. (2019) Optimal Ventilator Strategies in Acute Respiratory Distress Syndrome. Seminars in Respiratory and Critical Care Medicine, 40(1), 81–93

Sahetya, S. K. et al. (2017) Fifty years of research in ARDS VT selection in acute respiratory distress syndrome. American Journal of Respiratory and Critical Care Medicine, 196 (12), 1519–1525

Seiberlich, E. et al. (2011) Ventilação Mecânica Protetora, Por Que Utilizar? Revista Brasileira de Anestesiologia, 61(5), 659–667

Souza, M. T. de. et al. (2010). Revisão integrativa: o que é e como fazer. Einstein. 8(1), 102-106.

Ursi, E. S., & Galvão, C. M. (2006) Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Revista Latino-Americana de Enfermagem, 14(1), 124–131

Valiatti, J. L. dos S. et al. (2016) Ventilação Mecânica: fundamentos e prática clínica. Roca

Published

28/01/2024

How to Cite

LIMA, C. R. da R. .; SANTOS, E. A. dos . Mechanical ventilation as a protective strategy for patients with ARDS: An integrative review. Research, Society and Development, [S. l.], v. 13, n. 1, p. e13013144839, 2024. DOI: 10.33448/rsd-v13i1.44839. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44839. Acesso em: 27 may. 2024.

Issue

Section

Review Article