Ventilação mecânica na doença pulmonar obstrutiva crônica (DPOC) descompensada

Jezler, Sérgio; Holanda, Marcelo Alcântara; José, Anderson; Franca, Suelene Aires

doi:10.1590/s1806-37132007000800006

Cited by 15 publications

(37 citation statements)

References 34 publications

(8 reference statements)

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“…In such cases, the use of NIV is considered the treatment of choice and is supported by extensive data in the literature, which suggests the following: a lower rate of tracheal intubation; a lower risk of infection; shorter ICU stays; and, consequently, lower mortality. (4,9,(22)(23)(24) In our population, NIV was widely used. In cases of NIV failure or in patients requiring a ventilatory prosthesis, IMV was used.…”

Section: Discussionmentioning

confidence: 99%

“…In cases of NIV failure or in patients requiring a ventilatory prosthesis, IMV was used. In accordance with guidelines on the administration of IMV in patients with COPD, (9) low PEEP and low PIP were used, which was probably responsible for the low incidence of barotrauma.…”

Section: Discussionmentioning

confidence: 99%

“…(3)(4)(5) The gradual deterioration typical of the disease can be interspersed with periods of acute worsening of the clinical and functional status of patients, known as episodes of COPD exacerbation, which can manifest as increased respiratory effort and respiratory failure, requiring ICU admission and ventilatory support. (6)(7)(8)(9) In the Brazilian literature, we found no reports of ICU admissions of COPD patients. Therefore, we studied a population of COPD patients admitted to the ICU of a tertiary referral hospital for respiratory diseases in the state of Santa Catarina, Brazil, in order to evaluate their characteristics and clinical course.…”

Section: Introductionmentioning

confidence: 98%

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Características de pacientes com DPOC internados em UTI de um hospital de referência para doenças respiratórias no Brasil

et al. 2011

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Objective: To report data regarding COPD patients admitted to the ICU of a referral hospital for respiratory diseases, including outcomes and treatment evaluation. Methods: Study of a series of patients with respiratory failure and COPD admitted to the ICU of Nereu Ramos Hospital, located in the city of Florianópolis, Brazil, between October of 2006 and October of 2007. Data related to demographics, causes of hospitalization, pharmacological treatment, ventilatory support, length of hospital stay, in-hospital complications, ICU mortality, and 28-day mortality were obtained from the medical charts of the patients. Acute Physiology and Chronic Health Evaluation II (APACHE II) scores were calculated. Mortality at 18 months was assessed by subsequent telephone calls. Results: During the study period, 192 patients were admitted to the ICU, 24 (12.5%) of whom were diagnosed with respiratory failure and COPD. The mean length of ICU stay was 12.0 ± 11.1 days. Noninvasive ventilation was used in 10 of the 24 patients (41.66%) and failed in 5 of those 10. Invasive mechanical ventilation (IMV) was used in a total of 15 patients (62.5%). Overall ICU mortality and 28-day mortality were 20.83% and 33.33%, respectively. However, 18-month mortality was 62.5%. Conclusions: Respiratory failure associated with COPD was responsible for 12.5% of the ICU admissions. Orotracheal intubation and IMV were necessary in 62.5% of the cases. The ICU mortality rate was in accordance with that predicted by the APACHE II scores. However, late mortality was high.Keywords: Epidemiology; Respiration, artificial; Respiratory insufficiency; Pulmonary disease, chronic obstructive; Intensive care units; Mortality. ResumoObjetivo: Relatar dados referentes às internações de pacientes com DPOC na UTI de um hospital de referência para doenças respiratórias, incluindo desfechos e avaliando seu atendimento. Métodos: Estudo de uma série de pacientes internados por insuficiência respiratória e DPOC na UTI do Hospital Nereu Ramos, localizado na cidade de Florianópolis (SC) no período entre outubro de 2006 e outubro de 2007. Dados demográficos, causas da internação, tratamento farmacológico, suporte ventilatório, duração e complicações da internação, mortalidade em UTI e mortalidade em 28 dias foram obtidos através de consulta aos prontuários médicos. O índice Acute Physiology and Chronic Health Evaluation II (APACHE II) foi calculado. A mortalidade em 18 meses foi avaliada através de posterior contato telefônico. Resultados: No período, foram internados 192 pacientes na UTI, 24 dos quais (12,5%) com insuficiência respiratória e DPOC. O tempo médio de internação na UTI foi de 12,0 ± 11,1 dias. A ventilação não invasiva foi utilizada em 10 dos 24 pacientes (41,66%) e falhou em 5/10. A ventilação mecânica invasiva (VMI) foi utilizada em 15 pacientes (62,5%). As taxas de mortalidade na UTI e aquela em 28 dias foram de 20,83% e 33,33%, respectivamente. Entretanto, decorridos 18 meses, a mortalidade foi de 62,5%. Conclusões: A insuficiência respiratória rela...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Características de pacientes com DPOC internados em UTI de um hospital de referência para doenças respiratórias no Brasil

et al. 2011

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“…Recomenda-se pressão de platô máxima de 30 cmH 2 O para pacientes com síndrome de angústia respiratória aguda. 6 A relação entre tempo inspiratório e tempo expiratório (relação i:e) deve ser de pelo menos 1:2. Para os pacientes com resistência de vias aéreas aumentada utiliza-se relação i:e menor (1:3, 1:4, 1:5, 1:6, 1:7, 1:8).…”

Section: Ventilação Com Volume Controladounclassified

Ventilação mecânica: métodos convencionais

Cunha

2013

Revista Hospital Universitário Pedro Ernesto

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“…COPD is characterized as a preventable disease with some significant extra pulmonary effects, associated with persistent, progressive, and not totally reversible airflow limitation [9][10][11]. According to the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD, 2006), the spirometric diagnostic criteria for this disease is the ratio of forced expiratory volume in the first second / forced vital capacity (FEV1 / FVC) of less than 0.7 after the bronchodilator and, depending on the degree of bronchial obstruction, patients were classified into four groups according to established spirometric criteria [12]. Therefore, different groups of COPD patients have systemic manifestations that may compromise functional capacity and cognitive behavior more severely than others and thus reduce quality of life and increase mortality among these individuals [13].…”

Section: Introductionmentioning

confidence: 99%

An Ophthalmic Changes in Patients with Chronic Obstructive Pulmonary Disease: Case-Control Study

Brandt¹,

Souza²,

Gadelha³

et al. 2019

CTOY

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Purpose: To evaluate the prevalence of ophthalmological changes in patients with Chronic Obstructive Pulmonary Disease (COPD) cared for at the Pneumology and Ophthalmology Departments at Medical School Unifacisa-Campina Grande-Paraiba-Brazil.Materials and Methods: Twenty-two smoker patients with COPD (study group) and 22 healthy controls that underwent routine ophthalmological examination (control group) were enrolled in the investigation. They were homogeneous regarding age, gender, presence of Systemic Arterial Hypertension (SAH) and Diabetes Mellitus (DM). They were examined for the presence of cataract and Age Related Macular Disease (AMD).Results: The prevalence of ophthalmologic changes was significantly different in the two groups. Eight (36.4%)patients presented with cataract requiring surgical intervention, while one (4.5%) person in the control group had cataract (p = 0.0212). Regarding AMD, 10 (45.5%) smoker COPD patients had this disease, whereas in the control group, one (4.5%) person had this disease (p = 0.0039).Conclusion: From the results one can conclude that there is strong association between smokers diagnosed with COPD with cataract and AMD patients, reinforcing the need for a protocol for referral of these patients to the ophthalmologist.

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Ventilação mecânica na doença pulmonar obstrutiva crônica (DPOC) descompensada

Cited by 15 publications

References 34 publications

Características de pacientes com DPOC internados em UTI de um hospital de referência para doenças respiratórias no Brasil

Características de pacientes com DPOC internados em UTI de um hospital de referência para doenças respiratórias no Brasil

Ventilação mecânica: métodos convencionais

An Ophthalmic Changes in Patients with Chronic Obstructive Pulmonary Disease: Case-Control Study

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