Ventilação Mecânica, Desmame Ventilatório e Qualidade do Sono em UTI: Revisão Sistemática
DOI:
https://doi.org/10.34024/rnc.2020.v28.10184Palavras-chave:
Ventilação mecânica, polissonografia, qualidade do sono, cuidados críticosResumo
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.
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Aceito: 2020-03-12
Publicado: 2020-04-03
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