Ventilação Mecânica, Desmame Ventilatório e Qualidade do Sono em UTI: Revisão Sistemática

  • Bruna Marchezini Universidade Federal do Espirito Santo
Palavras-chave: Ventilação mecânica, polissonografia, qualidade do sono, cuidados críticos

Resumo

Introdução. As anormalidades do sono durante a internação em unidade de terapia intensiva são bem estabelecidas. Pacientes críticos apresentam deterioração do sono. A ventilação mecânica também pode causar interrupção do sono nesta população, causando a redução das fases restauradoras do sono. Acredita-se que as assincronias paciente-ventilador são responsáveis pela deterioração da qualidade do sono, gerando apneias centrais e despertares. Estratégias não farmacológicas para a melhoria da qualidade do sono nesta população incluem ajustes ventilatórios bem como do próprio modo ventilatório. Objetivo. avaliar as estratégias não farmacológicos, que propiciem uma melhor qualidade de sono em pacientes críticos. Método. Foram utilizadas as bases de dados: Pubmed, Lilacs e Medline. Resultados. Nove ensaios clínicos foram selecionados segundo os critérios de inclusão e exclusão, publicados entre 2007 a 2017.  Conclusão. A monitorização do sono na UTI é dispendiosa e trabalhosa. Os distúrbios do sono trazem prejuízos fisiológicos importantes, a seleção do modo ventilatório e ajuste pormenorizado personalizado dos parâmetros ventilatórios utilizados durante o período de sono são essências para melhora do sono. Os novos modos ventilatórios como NAVA e PAV+ auxiliam nesses ajustes. Além disso a adequação do ambiente também é uma estratégia não farmacológica a ser considerada.

Métricas

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Publicado
2020-04-03
Como Citar
Marchezini, B. (2020). Ventilação Mecânica, Desmame Ventilatório e Qualidade do Sono em UTI: Revisão Sistemática. Revista Neurociências, 28, 1-17. https://doi.org/10.34024/rnc.2020.v28.10184
Seção
Revisão Sistemática