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Eficácia da ventilação não invasiva nos grandes prematuros com síndrome de dificuldade respiratória: uma revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_30779 | 106.71 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Objetivo: Averiguar o papel da ventilação não invasiva (VNI) nos grandes prematuros (idade
gestacional <34 semanas) com síndrome de dificuldade respiratória (SDR). Metodologia:
Pesquisa computorizada nas bases de dados PubMed e PEDro para identificar estudos
randomizados controlados que avaliam a eficácia da VNI nos grandes prematuros com SDR.
Resultados: Nesta revisão foram incluídos 10 estudos envolvendo 840 lactentes, com
classificação metodológica media de 6.2 em 10 na escala de Physiotherapy Evidence
Database (PEDro), dos quais 1 compara o Continuous Positive Airway Pressure (CPAP) com
a ventilação convencional contínua, 3 comparam o CPAP com o Nasal Intermittent Positive
Pressure Ventilation (NIPPV), 2 comparam o CPAP com o Bi-level Positive Airway Pressure
(BiPAP) e 4 comparam a eficácia do CPAP segundo os fluxos aplicados. Conclusão: Os
estudos incluídos nesta revisão sugerem que o CPAP é eficaz, mas existem outras técnicas de
VNI como a NIPPV que podem ser mais eficazes, mas que não são muito aplicadas porque
ainda não são bem conhecidas. Sugere-se mais estudos sobre estas modalidades para provar a
eficácia das outras técnicas de VNI.
Objective: To determine the role of non-invasive ventilation (NIV) in very preterm (gestational age <34 weeks) with respiratory distress syndrome (RDS). Methodology: Research computerized on databases PubMed and PEDro to identify randomized controlled studies that evaluate the effectiveness of NIV in very preterm with RDS. Results: In this review were included 10 studies involving 840 babies, with methodology classification of 6.2 on the Physiotherapy Evidence Database Scale (PEDro). From that, 1 study compares the Continuous Positive Airway Pressure (CPAP) with the conventional mechanical ventilation, 3 studies compare the CPAP with the Nasal Intermittent Positive Pressure Ventilation (NIPPV), 2 studies compare CPAP with the Bi-level Positive Airway Pressure (BiPAP) and 4 compare the effectiveness of CPAP according to the flows applicated. Conclusion: The reviews suggest that the CPAP is effective, but there are other more NIV techniques like a NIPPV that can be more effective, but are not very used because they are not yet well known. To provide a better proof of effectiveness of the other NIV techniques, more studies are needed on the modalities.
Objective: To determine the role of non-invasive ventilation (NIV) in very preterm (gestational age <34 weeks) with respiratory distress syndrome (RDS). Methodology: Research computerized on databases PubMed and PEDro to identify randomized controlled studies that evaluate the effectiveness of NIV in very preterm with RDS. Results: In this review were included 10 studies involving 840 babies, with methodology classification of 6.2 on the Physiotherapy Evidence Database Scale (PEDro). From that, 1 study compares the Continuous Positive Airway Pressure (CPAP) with the conventional mechanical ventilation, 3 studies compare the CPAP with the Nasal Intermittent Positive Pressure Ventilation (NIPPV), 2 studies compare CPAP with the Bi-level Positive Airway Pressure (BiPAP) and 4 compare the effectiveness of CPAP according to the flows applicated. Conclusion: The reviews suggest that the CPAP is effective, but there are other more NIV techniques like a NIPPV that can be more effective, but are not very used because they are not yet well known. To provide a better proof of effectiveness of the other NIV techniques, more studies are needed on the modalities.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
CPAP RDS Preterm NIPPV Nasal CPAP