Início
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Arquivos
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v. 2 n. 4 (2021)
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I Congresso Brasileiro de Doenças Infectocontagiosas On-line
EFEITOS DA POSIÇÃO PRONA VS POSIÇÃO SUPINA EM PACIENTES INTERNADOS COM COVID-19: REVISÃO SISTEMÁTICA
Autores
Julia Rocha Freitas
Igor Bugos Freire Raposo
Luiz Eduardo Barreto de Andrade
Gabriel Freitas Ceu
Maria Clara Maia Pinheiro
Palavras-chave:
POSIÇÃO PRONA, POSIÇÃO SUPINA, COVID-19
Resumo
Introdução: Diante da pandemia provocada pelo SARS-CoV-2, o número de internações aumentou junto ao número de leitos ocupados. O agravamento dos casos pode levar à Síndrome do Desconforto Respiratório Agudo (SDRA), sendo a principal causa de internamento e óbitos pela Covid-19. Diante disso, a equipe multidisciplinar de saúde tem buscado alternativas de baixo custo e rápida execução para limitar a necessidade de ventilação mecânica, sendo a posição prona a principal estratégia. A eficiência da posição prona associada à terapêutica dos pacientes acometidos pela SDRA foi comprovada por diversos estudos antes do surgimento do Covid-19. Logo, desde o início da pandemia, iniciou-se essa medida, acreditando que seria eficiente também para os pacientes com a SDRA causados pelo Covid-19. Entretanto, essa eficiência ainda não foi totalmente esclarecida pelos estudos já realizados. Dessa forma, destaca-se a importância de novas pesquisas e criação de um protocolo acerca do tema. Objetivos: Descrever os efeitos da posição prona e da posição supina, com padrão comparativo visando apresentar os benefícios e as nuances da posição prona em pacientes com a doença SARS-CoV-2 (COVID-19). Material e métodos: Esta presente revisão foi realizada de acordo com as diretrizes de realização de revisões sistemáticas Systematic Reviews and Meta-Analyses (PRISMA). A amostra foi composta por ensaios clínicos randomizados de intervenções como posição prona em um braço do estudo e posição supina e outros ensaios clínicos que comparavam autopronação com ventilação espontânea. Resultados: A busca nas bases de dados da MedLine identificou 65 artigos. Retirando as 2 duplicatas, restaram 63. Desses, 33 foram excluídos por não preencher os critérios de inclusão. Foram lidos os resumos de 30 estudos, dentre os quais 25 foram considerados elegíveis para a análise do artigo na íntegra e, desses, apenas 13 foram incluídos na presente revisão. Conclusão: Como conclusão, foi observado que a medida não invasiva não traz riscos adicionais aos pacientes e melhora os parâmetros respiratórios, além de diminuir a taxa de mortalidade quando comparado à tratamentos semelhantes em posição supina. Porém, torna-se necessário estudos mais detalhados para melhor delimitação dos pacientes que aproveitariam, de melhor forma, essa terapêutica.
Como Citar
Freitas, J. R. ., Raposo, I. B. F. ., Andrade, L. E. B. de ., Ceu, G. F. ., & Pinheiro, M. C. M. . (2021). EFEITOS DA POSIÇÃO PRONA VS POSIÇÃO SUPINA EM PACIENTES INTERNADOS COM COVID-19: REVISÃO SISTEMÁTICA. Revista Multidisciplinar Em Saúde , 2 (4), 112. https://doi.org/10.51161/rems/2737
Seção
I Congresso Brasileiro de Doenças Infectocontagiosas On-line
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