CÂNULA NASAL DE ALTO FLUXO EM RECEM NASCIDOS PREMATUROS COM SÍNDROME DO DESCONFORTO RESPIRATÓRIO – REVISÃO SISTEMÁTICA
Autores
Victor Emannuel Araujo Leal
Laura Monique de Souza Andrade
Patrícia Franção
Palavras-chave:
Cânula Nasal de Alto Fluxo, Prematuro, Síndrome do Desconforto Respiratório do Recém Nascido
Resumo
Introdução: A Síndrome do Desconforto Respiratório (SDR) neonatal é causada principalmente por uma deficiência qualitativa e quantitativa de surfactante ao nascimento, sendo uma das principais causas de morbidade mortalidade nesses pacientes, acometendo principalmente prematuros abaixo de 35 semanas gestacionais. A Cânula Nasal de Alto Fluxo (CNAF) é o modo mais recente introduzido como suporte respiratório não invasivo e está ganhando popularidade na prática clínica, por oferecer um gás aquecido e umidificado permitindo que os pacientes tolerem maiores taxas de fluxos (>1L/min). Entretanto, evidências que sustentam sua eficácia e segurança como suporte respiratório primário ainda não foram estabelecidas. Objetivo: Avaliar a eficácia e a segurança da CNAF como tratamento respiratório inicial em recém-nascidos prematuros com SDR. Método: Foi realizada uma revisão sistemática nas seguintes bases de dados: Scielo, LILACS, PubMed, PEDro, Cochrane Library, BVS, REDIB e ClinicalTrials.gov, sendo consideradas publicações de 2015 a 2020, nos idiomas inglês, português e espanhol. Resultados: Foram encontrados um total de 1489 registros, após a aplicação dos critérios estabelecidos de elegibilidade e avaliação de qualidade usando a escala PEDro, sendo necessário um escore de qualidade mínimo de 6 pontos, permaneceram, portanto, um total de 7 artigos para a presente estudo, onde os resultados passaram por uma revisão crítica dos conteúdos. Os resultados demonstraram em evidência que a CNAF apresentou resultados positivos em relação a falha do suporte respiratório, lesão nasal, tempo de alimentação e vazamento de ar. Conclusões: A CNAF é tão eficaz e segura quanto as outras modalidades de suporte respiratório para prematuros com SDR leve e moderada.
Publicado
2020-07-01
Como Citar
Araujo Leal, V. E. ., de Souza Andrade, L. M. ., & Franção, P. (2020). CÂNULA NASAL DE ALTO FLUXO EM RECEM NASCIDOS PREMATUROS COM SÍNDROME DO DESCONFORTO RESPIRATÓRIO – REVISÃO SISTEMÁTICA. Revista Multidisciplinar Em Saúde, 1(2), 58. Recuperado de http://editoraime.com.br/revistas/rems/article/view/245
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