Ventilação mecânica e complicações pulmonares pós-operatórias: uma revisão de literatura
DOI:
https://doi.org/10.29237/2358-9868.2019v7i2.p155-160Palavras-chave:
Saúde do idoso, Boca edêntula, Envelhecimento, AutoimagemResumo
RESUMO
As complicações pulmonares pós-operatórias influenciam diretamente no aumento da morbidade, tempo de permanência hospitalar e mortalidade de pacientes pós-cirúrgicos. Esta revisão apresenta conceitos e métodos preditivos de ocorrências de complicações pulmonares pós-operatórias, estratégias ventilatórias e medidas para prevenção destas complicações e o objetivo deste estudo foi identificar estes fatores facilitando assim a avaliação pré e/ou intraoperatórias. As complicações pulmonares estão associadas a outras complicações clínicas e a identificação prévia de seus fatores de risco podem provocar benefícios como diminuição da mortalidade e incidências destas complicações.
Referências
1. Ladha K, Melo MFV, Duncan JM, Wanderer JP, Grabitz SD, Kurth T, Eikermann M. Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study. BMJ, 2015;101h;363.
2. Severgnini P, Selmo G, Lanza C, Chiesa A, Frigerio A, Bacuzzi A, Dionigi G, Novario R, Gregoretti C, Abreu MG, Schultz MJ, Jaber S, Futier E, Chiaranda M, Pelosi P. Anesthesiology 2013; 118:1307-21
3. Guldner A, Kiss T, Serpa Neto A, Hemmes SNT, Canet J, Spieth PM, Rocco PRM, Schultz MJ, Pelosi P, Abreu MG. Intraoperative Protective Mechanial Ventilation for Prevention of Postoperative Pulmonary Complications. Anesthesiology 2015; 123:692-713.
4. Sundar S, Novack V, Jervis K, Bender SP, Lerner A, Panzica P, Mahmood F, Malhotra A, Talmor D: Influence of low tidal volume ventilation on time to extubation in cardiac surgical patients. Anesthesiology 2011; 114:1102–10
5. Cabral GDB, Faria e Silva R, Borges ZDO. Complicações pulmonares no pós-operatório: preditores. Rev Med Minas Gerais 2014; 24(Supl 8): S73-S80.
6. Canet J, Gallart L, Gomar C, Paluzie G, Vallès J, Castillo J, Sabaté S, Mazo V, Briones Z, Sanchis J; ARISCAT Group. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology. 2010;113(6):1338-50.
7. Briel M, Meade M, Mercat A, Brower RG, Talmor D, Walter SD, et al. Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis. JAMA. 2010;303(9):865-73. 11.
8. Ladha K, Melo MFV, Mclean DJ, Wanderer JP, Grabitz SD, Kurth T, Eikermann M. Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study. BMJ.2015;351:h3646.
8. Serpa Neto A, Hemmes SN, Barbas CS, Beiderlinden M, Biehl M, Binnekade JM, Canet J, Fernandez-Bustamante A, Futier E, Gajic O, Hedenstierna G, Hollmann MW, Jaber S, Kozian A, Licker M, Lin WQ, Maslow AD, Memtsoudis SG, Reis Miranda D, Moine P, Ng T, Paparella D, Putensen C, Ranieri M, Scavonetto F, Schilling T, Schmid W, Selmo G, Severgnini P, Sprung J, Sundar S, Talmor D, Treschan T, Unzueta C, Weingarten TN, Wolthuis EK, Wrigge H, Gama de Abreu M, Pelosi P, Schultz MJ; PROVE Network Investigators. Protective versus conventional ventilation for surgery: a systematic review and individual patient data meta-analysis. Anesthesiology. 2015;123(1):66-78.
9. Canet J, Sabaté S, Mazo V, Gallart L, de Abreu MG, Belda J, Langeron O, Hoeft A, Pelosi P; PERISCOPE group. Development and validation of a score to predict postoperative respiratory failure in a multicentre European cohort: A prospective, observational study. Eur J Anaesthesiol. 2015;32(7):458-70.
10. Girardis M, Busani S, Damiani E, Donati A, Rinaldi L, Marudi A, et al. Effect of conservative vs conventional oxygen therapy on mortality among patients in an intensive care unit: the oxygen-ICU randomized clinical trial. JAMA. 2016;316(15):1583-9.
11. PROVE Network Investigators for the Clinical Trial Network of the European Society of Anaesthesiology, Hemmes SN, Gama de Abreu M, Pelosi P, Schultz MJ. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Lancet. 2014;384(9942):495-503.
12. Brueckmann B, Villa-Uribe JL, Bateman BT, Grosse-Sundrup M, Hess DR, Schlett CL. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology:2013 Jun;118(6):1276-85.
13. Cabral GDB, Silva RF, Borges ZDO. Complicações pulmonares no pós-operatório: preditores. Rev Med Minas Gerais 2014;24(Supl 8):S73-S80.
14. Brueckmann B, Villa-Uribe JL, BatemanBT, Grosse-Sundrup M, Hess DR, Schlett CL, et al. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology. 2013 Jun; 118(6):1276-85.
2. Severgnini P, Selmo G, Lanza C, Chiesa A, Frigerio A, Bacuzzi A, Dionigi G, Novario R, Gregoretti C, Abreu MG, Schultz MJ, Jaber S, Futier E, Chiaranda M, Pelosi P. Anesthesiology 2013; 118:1307-21
3. Guldner A, Kiss T, Serpa Neto A, Hemmes SNT, Canet J, Spieth PM, Rocco PRM, Schultz MJ, Pelosi P, Abreu MG. Intraoperative Protective Mechanial Ventilation for Prevention of Postoperative Pulmonary Complications. Anesthesiology 2015; 123:692-713.
4. Sundar S, Novack V, Jervis K, Bender SP, Lerner A, Panzica P, Mahmood F, Malhotra A, Talmor D: Influence of low tidal volume ventilation on time to extubation in cardiac surgical patients. Anesthesiology 2011; 114:1102–10
5. Cabral GDB, Faria e Silva R, Borges ZDO. Complicações pulmonares no pós-operatório: preditores. Rev Med Minas Gerais 2014; 24(Supl 8): S73-S80.
6. Canet J, Gallart L, Gomar C, Paluzie G, Vallès J, Castillo J, Sabaté S, Mazo V, Briones Z, Sanchis J; ARISCAT Group. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology. 2010;113(6):1338-50.
7. Briel M, Meade M, Mercat A, Brower RG, Talmor D, Walter SD, et al. Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis. JAMA. 2010;303(9):865-73. 11.
8. Ladha K, Melo MFV, Mclean DJ, Wanderer JP, Grabitz SD, Kurth T, Eikermann M. Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study. BMJ.2015;351:h3646.
8. Serpa Neto A, Hemmes SN, Barbas CS, Beiderlinden M, Biehl M, Binnekade JM, Canet J, Fernandez-Bustamante A, Futier E, Gajic O, Hedenstierna G, Hollmann MW, Jaber S, Kozian A, Licker M, Lin WQ, Maslow AD, Memtsoudis SG, Reis Miranda D, Moine P, Ng T, Paparella D, Putensen C, Ranieri M, Scavonetto F, Schilling T, Schmid W, Selmo G, Severgnini P, Sprung J, Sundar S, Talmor D, Treschan T, Unzueta C, Weingarten TN, Wolthuis EK, Wrigge H, Gama de Abreu M, Pelosi P, Schultz MJ; PROVE Network Investigators. Protective versus conventional ventilation for surgery: a systematic review and individual patient data meta-analysis. Anesthesiology. 2015;123(1):66-78.
9. Canet J, Sabaté S, Mazo V, Gallart L, de Abreu MG, Belda J, Langeron O, Hoeft A, Pelosi P; PERISCOPE group. Development and validation of a score to predict postoperative respiratory failure in a multicentre European cohort: A prospective, observational study. Eur J Anaesthesiol. 2015;32(7):458-70.
10. Girardis M, Busani S, Damiani E, Donati A, Rinaldi L, Marudi A, et al. Effect of conservative vs conventional oxygen therapy on mortality among patients in an intensive care unit: the oxygen-ICU randomized clinical trial. JAMA. 2016;316(15):1583-9.
11. PROVE Network Investigators for the Clinical Trial Network of the European Society of Anaesthesiology, Hemmes SN, Gama de Abreu M, Pelosi P, Schultz MJ. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Lancet. 2014;384(9942):495-503.
12. Brueckmann B, Villa-Uribe JL, Bateman BT, Grosse-Sundrup M, Hess DR, Schlett CL. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology:2013 Jun;118(6):1276-85.
13. Cabral GDB, Silva RF, Borges ZDO. Complicações pulmonares no pós-operatório: preditores. Rev Med Minas Gerais 2014;24(Supl 8):S73-S80.
14. Brueckmann B, Villa-Uribe JL, BatemanBT, Grosse-Sundrup M, Hess DR, Schlett CL, et al. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology. 2013 Jun; 118(6):1276-85.
