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https://assobrafirciencia.org/article/doi/10.47066/2177-9333.AC20.covid19.021
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Recomendações do uso da ventilação mecânica para crianças em suspeita ou confirmação de COVID-19*

Recommendations for the use of mechanical ventilation in children with suspected or confirmed COVID-19*

Simone Nascimento Santos Ribeiro, Lívia Barboza de Andrade, Mayson Láercio de Araújo Sousa, Guilherme Cherene Barros de Souza, Fernanda Cordoba Lanza

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Resumo

Este documento tem por objetivo abordar os principais dados de suporte ventilatório, da ventilação mecânica em pacientes pediátricos com COVID-19. As manifestações clínicas da doença grave de COVID-19 em crianças ainda não foram completamente elucidadas, mas não se pode descartar que uma proporção de pacientes possa apresentar características clínicas muito parecidas com a bronquiolite, broncopneumonia, asma, pneumonite que são observadas em outras doenças respiratórias virais da infância. As informações dos casos que necessitam de cuidados intensivos e uso de ventilação mecânica são muito escassos e limitados, de maneira geral, os dados são compatíveis com uma infecção viral respiratória semelhante a outras. O consenso de especialistas Paediatric Mechanical Ventilation Consensus Conference (PEMVECC) e Pediatric Acute Lung Injury Consensus Conference (PALICC), apontam a adesão às recomendações sobre ventilação mecânica em crianças publicadas anteriormente e às recomendações práticas nas questões específicas relacionadas à doença de COVID-19 em crianças.

Palavras-chave

Fisioterapia; ventilação mecânica pediátrica; ventilação não invasiva; COVID-19.

Abstract

This document aims to address the available data on ventilatory support and mechanical ventilation in pediatric patients with COVID-19. The clinical manifestations of severe COVID-19 disease in children have not yet been fully elucidated, but it cannot be ruled out that a proportion of patients may present with clinical characteristics very similar to bronchiolitis, bronchopneumonia, asthma or pneumonitis, conditions which are frequently observed in other childhood respiratory virus diseases. Information on cases requiring intensive care and about the use of mechanical ventilation is very scarce and limited. In general, these pieces of information seem to be similar to those used in other respiratory virus infections. The expert consensus documents from the Pediatric Mechanical Ventilation Consensus Conference (PEMVECC) and Pediatric Acute Lung Injury Consensus Conference (PALICC) recommend to follow previously published recommendations on mechanical ventilation in children and practical recommendations on specific issues related to COVID-19 in children.

Keywords

Physiotherapy; Mechanical Ventilation; Non invasive ventilation; Pediatric; COVID-19.

Referências

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