Posição prona no tratamento da insuficiência respiratória aguda na COVID-19*
Prone position in the treatment of acute respiratory failure due to COVID-19*
Daniel Lago Borges, Gabriel Victor Guimarães Rapello, Gracieli Nadalon Deponti, Flávio Maciel Dias de Andrade
Resumo
Este documento tem por objetivo trazer informações sobre a utilização da posição prona no tratamento da insuficiência respiratória aguda (IRpA) secundária à COVID-19, bem como alertar para contraindicações e possíveis complicações do seu uso no ambiente da terapia intensiva. Embora a posição prona seja um recurso terapêutico que pode melhorar o processo de oxigenação de pacientes com SDRA, sugerimos cautela na indicação deste posicionamento durante a pandemia do COVID-19, especialmente em UTIs improvisadas, com time reduzido e não treinado. Nesse sentido, reforçamos a necessidade de treinamento dos fisioterapeutas e colegas das equipes multiprofissionais que atuam nas UTIs para que possam empregar com segurança esse recurso, sempre que houver necessidade e condições de segurança para sua realização.
Palavras-chave
Abstract
This document aims to provide information on the use of prone position in the treatment of Acute Respiratory Failure (ARF) secondary to COVID-19, as well as to highlight contraindications and possible complications of its use in the intensive care unit. Although prone position has been shown to be an effective therapeutic strategy to improve oxygenation in patients with Acute Respiratory Distress Syndrome (ARDS), we recommend caution when indicating this intervention for COVID-19 patients, especially in improvised ICUs with reduced and untrained staff. In this sense, we reinforce the need for a proper training of physiotherapists and colleagues from the multidisciplinary team working in ICUs so that they can safely employ this intervention, whenever there is a need and the patient’s health condition allows.
Keywords
Referências
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