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Protective mechanical ventilation in suspected influenza infection

Abstract

INTRODUCTION:

Patients with acute respiratory failure due to influenza require ventilatory support. However, mechanical ventilation itself can exacerbate lung damage and increase mortality.

METHODS:

The aim of this study was to describe a feasible and protective ventilation protocol, with limitation of the tidal volume to ≤6 mL/kg of the predicted weight and a driving pressure ≤15 cmH2O after application of the alveolar recruitment maneuver and PEEP titration.

RESULTS:

Initial improvement in oxygenation and respiratory mechanics were observed in the four cases submitted to the proposed protocol.

CONCLUSIONS:

Our results indicate that the mechanical ventilation strategy applied could be optimized.

Keywords:
Acute respiratory distress syndrome; Influenza virus; Mechanical ventilation

Sociedade Brasileira de Medicina Tropical - SBMT Sociedade Brasileira de Medicina Tropical - SBMT, Núcleo de Medicina Tropical – UnB, Sala 43C – 70904-970, E-mails: rsbmt@uftm.edu.br | artes.rsbmt@gmail.com | sbmt@sbmt.org.br , WhatsApp: SBMT (61) 9.9192-6496, WhatsApp: RSBMT (34) 9.9996-5807 - Brasília - DF - Brazil
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