Voltamos a UTI para falar de SDRA - Síndrome do Desconforto Respiratório Agudo. Para esse episódio dividimos em duas partes, e essa primeira falamos de Diagnóstico, Etiologia, e abordagem inicial! Na parte 2 está a parte do manejo avançado como Prona e Bloqueador Neuromuscular. Ficou de fora alguma coisa? Compartilha com a gente nas redes sociais @tadeclinicagem
Minutagem - Parte 1
(2:35) Início do caso
(4:40) Definição de SDRA
(7:00) Diagnóstico
(12:17) Etiologias mais comuns
(16:40) Resumo dos critérios de Berlim
(17:20) Critérios de Kigali
(19:36) Hipoxemia da SARA
(21:35) VNI e Cateter nasal de alto fluxo
(22:28) Índice de ROX
(24:20) Ventilação mecânica na SARA - Parâmetros iniciais
Referências 1. MATTHAY, Michael A. et al. Acute respiratory distress syndrome. Nature reviews Disease primers, v. 5, n. 1, p. 1-22, 2019. 2. BELLANI, Giacomo et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. Jama, v. 315, n. 8, p. 788-800, 2016. 3. JANZ, David R.; WARE, Lorraine B. Approach to the patient with the acute respiratory distress syndrome. Clinics in chest medicine, v. 35, n. 4, p. 685-696, 2014. 4. HILL, Nicholas S.; GARPESTAD, Erik. The bumpy road for noninvasive ventilation in acute respiratory distress syndrome. Coming to an end?. 2017. 5. FRAT, Jean-Pierre et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. New England Journal of Medicine, v. 372, n. 23, p. 2185-2196, 2015. 6. Peek GJ, et al. "Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): A multicentre randomised controlled trial.". The Lancet. 2009. 374(9698):1351-1363. 7. Combes. Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome. N Engl J Med 2018; 378:1965-1975 8. Papazian L, et al. "Neuromuscular blockers in early acute respiratory distress syndrome". The New England Journal of Medicine. 2010. 363(12):1107-1116. 9. National Heart, Lung, and Blood Institute PETAL Clinical Trials Network. "Early neuromuscular blockade in the acute respiratory distress syndrome". The New England Journal of Medicine. 2019. 380(21):1997-2008. 10. Guérin C, et al. "Prone positioning in severe acute respiratory distress syndrome". The New England Journal of Medicine. 2013. 368(23):2159-2168. 11. Munshi L, Del Sorbo L, Adhikari NKJ, Hodgson CL, Wunsch H, Meade MO, Uleryk E, Mancebo J, Pesenti A, Ranieri VM, Fan E. Prone Position for Acute Respiratory Distress Syndrome. A Systematic Review and Meta-Analysis. Ann Am Thorac Soc. 2017 Oct;14(Supplement_4):S280-S288. doi: 10.1513/AnnalsATS.201704-343OT. PMID: 29068269.
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