MANEJO CLÍNICO DE PRONAÇÃO NOS PACIENTES COM COVID19 E SEUS BENEFÍCIOS

Juliana Minervina de Souza  Freire; Bárbara Monique De Freitas  Vasconcelo; Caio Marques Da  Silva; Fernanda Fonsêca Monteiro  Freire; Luisy Karen Lemos  Costa

doi:10.51161/rems/1502

MANEJO CLÍNICO DE PRONAÇÃO NOS PACIENTES COM COVID19 E SEUS BENEFÍCIOS

Autores

Juliana Minervina de Souza Freire
Bárbara Monique De Freitas Vasconcelo
Caio Marques Da Silva
Fernanda Fonsêca Monteiro Freire
Luisy Karen Lemos Costa

DOI:

https://doi.org/10.51161/rems/1502

Palavras-chave:

COVID-19, SARS-COV-2, PRONAÇÃO, SÍNDROME RESPIRATÓRIA AGUDA GRAVE

Resumo

Introdução: Pronação é uma técnica baseada em posicionar o paciente em decúbito ventral em caso de síndrome do desconforto respiratório agudo, facilitando a troca gasosa no pulmão, e diminuindo a tensão pulmonar. Ela está sendo amplamente usada no tratamento e o causando bom prognóstico de pacientes internados com COVID-19. Objetivos: Compreender a importância do manejo correto de pacientes diagnosticados com COVID-19 e os benefícios na adoção da posição prona. Material e métodos: Foi realizada uma revisão de literatura integrativa usando os bancos de dados MSD manuais e Pubmed, aplicando os descritores “COVID-19”; “SARS-CoV-2” e “Síndrome respiratória aguda grave”. Usou-se como critério de inclusão os artigos em inglês e português que estivessem no período entre os anos de 2015 a 2021. Resultados: A pronação causa um aumento da depuração secretora mucociliar, por desobstrução das vias aéreas, facilitando assim a ventilação e trocas gasosas. Ela também é responsável pelo recrutamento posterior de áreas com atelectasia, aumento do volume pulmonar nessas áreas, uma vez que ocorreu um colapso do tecido pulmonar ocasionando quadros de insuficiência respiratória e dispneia. Além disso, é importante para aprimorar a relação ventilação/perfusão, sendo a adequação entre a ventilação alveolar e a perfusão, constituindo benefícios para as trocas gasosas que ocorrem nos alvéolos, diminuindo o espaço morto que pode ser encontrado em pacientes com algum distúrbio respiratório. Conclusão: A utilização da técnica de pronação tem se apresentado bastante eficiente e importante nos pacientes que apresentam síndrome do desconforto agudo devido ao COVID-19, devido ao fato dela aliviar os sintomas respiratórios. Além da síndrome do desconforto agudo poder se desenvolver em até 40% dos pacientes internados.

Publicado

2021-07-28

Como Citar

Freire, J. M. de S. ., Vasconcelo, B. M. D. F. ., Silva, C. M. D. ., Freire, F. F. M. ., & Costa, L. K. L. . (2021). MANEJO CLÍNICO DE PRONAÇÃO NOS PACIENTES COM COVID19 E SEUS BENEFÍCIOS. Revista Multidisciplinar Em Saúde, 2(3), 90. https://doi.org/10.51161/rems/1502

Baixar Citação

Edição

v. 2 n. 3 (2021)

Seção

II Congresso Brasileiro de Saúde On-line

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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