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Colombian Journal of Anestesiology
versão impressa ISSN 0120-3347versão On-line ISSN 2256-2087
Resumo
AVILA-REYES, Diana et al. Mechanical ventilation in SARS-CoV-2 patients: state of art. Rev. colomb. anestesiol. [online]. 2022, vol.50, n.2, e300. Epub 24-Maio-2022. ISSN 0120-3347. https://doi.org/10.5554/22562087.e971.
CoVID-19-associated infection leads to a pathology of yet unknown clinical behavior, confronting the clinician with various challenges. An extensive search was conducted based on review articles on SARS-CoV-2 infection and studies including mechanical ventilation management strategies in order to complete this narrative review. Evidenced-based treatment for SARS-CoV2 infection is still in the works. We have some tools from our knowledge from past experiences indicating that a step-wise management approach should be used, without neglecting other joint therapeutic measures for improved clinical outcomes of a condition with a high mortality. The current recommendations indicate that patients with severe acute respiratory failure due to SARS-CoV-2 should be managed with protective mechanical ventilation measures. No strong evidence is yet available on the individualization of mechanical ventilation therapy according to phenotypes.
Palavras-chave : SARS-CoV-2; Coronavirus; Acute respiratory distress syndrome; Critical care; Mechanical ventilation; SARS.