Estratégias de ventilação mecânica e ajustes dos parâmetros ventilatórios utilizados em pacientes com COVID-19 hospitalizados: revisão de literatura

Abstract

Currently, the world is living a pandemic caused by the new type of Coronavírus, that causes the COVID-19, the symptoms are variable in each case, but the lungs seem to be the most affected. In the most serious cases, it can be required the hospitalization and intubation; the use of mechanical ventilators has its benefits and risks, and because of that it’s required to know how to put the right parameters. Objective: Review the most used parameters on the treatment of hospitalizes patients with COVID-19. Methods: A research was made on the databases PUBMED and Scielo with de Keywords “mechanical ventilator” AND “COVID-19”. Results: 186 papers were found, and 3 of them were included on this review, authors like Khan, Akhtar, 2020 found that the tidal volume should be around 4-6 ml/kg and the PEEP kept high (like 15 cmH2O). Sheikh, Baig, 2020 said the tidal volume should be 4-8 ml/kg and the PEEP 20 cmH2O. Robba et al., used 4-8 ml/kg of tidal volume and 10 cmH2O of PEEP. Conclusion: In the treatment for severe cases of COVID-19 the mechanical ventilator is especially important, but it’s required to know understand how to configurate correctly on each case. A pattern was found but more studies must happens about this theme.