2014
DOI: 10.5935/0103-507x.20140017
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Abstract: Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical V… Show more

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Cited by 59 publications
(69 citation statements)
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References 170 publications
(103 reference statements)
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“…47,48 Guidelines Guidelines on the ventilatory management of ARDS have been issued by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine 136 and the Brazilian Association of Intensive Care Medicine and the Brazilian Thoracic Society. 137,138 Guidelines from the American Thoracic Society on mechanical ventilation in adults with ARDS and the UK Intensive Care Society on the management of ARDS are in development.…”
Section: Controversies and Uncertaintiesmentioning
confidence: 99%
“…47,48 Guidelines Guidelines on the ventilatory management of ARDS have been issued by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine 136 and the Brazilian Association of Intensive Care Medicine and the Brazilian Thoracic Society. 137,138 Guidelines from the American Thoracic Society on mechanical ventilation in adults with ARDS and the UK Intensive Care Society on the management of ARDS are in development.…”
Section: Controversies and Uncertaintiesmentioning
confidence: 99%
“…(1) The main objectives of MV include maintaining adequate levels of gas exchange and decreasing respiratory effort, until the clinical condition that was the indication for MV is resolved or compensated. (2) To that end, the goal should be optimal patient-ventilator interaction, with a balance between patient inspiratory effort and ventilator triggering, between ventilatory demand and delivery of fl ow and tidal volume, and between interruption of patient inspiration and cycling of the device. Patient-ventilator asynchrony can be defi ned as a mismatch between the patient, regarding time, fl ow, volume, or pressure demands of the patient respiratory system, and the ventilator, which supplies such demands, during MV.…”
Section: Defi Nition and Epidemiologymentioning
confidence: 99%
“…Acute respiratory distress syndrome (ARDS) has a high mortality burden [1], especially in low and middleincome countries [2,3]. Protective mechanical ventilation (MV)-consisting of the use of tidal volume (V T ) equal or less than 6 mL/kg of predicted body weight (PBW) and plateau pressure (Pplat) limited to 30 cmH 2 O-reduces mortality and is recommended for ARDS [4][5][6][7][8]. In the initial phase of ARDS, patients are often ventilated with controlled modes for rigorous control of V T and Pplat, requiring sedation and sometimes, neuromuscular blockade [6,[9][10][11][12], which are associated with diaphragmatic weakness [13][14][15].…”
Section: Introductionmentioning
confidence: 99%