Utilização da Intubação de Sequência Atrasada na Síndrome Respiratória Aguda Grave (SRAG) causada pelo novo Coronavírus / Use of Delayed Sequence Intubation in Severe Acute Respiratory Syndrome (SARS) caused by the novel Coronavirus
DOI:
https://doi.org/10.34119/bjhrv4n5-355Keywords:
Intubação, Indução de Sequência Rápida, Coronavirus Associado a SARS, COVID-19.Abstract
Em dezembro de 2019, na cidade de Wuhan, China, surgiram os primeiros casos da COVID-19, doença infectocontagiosa provocada pelo novo coronavírus (nCoV-19). A Síndrome Respiratória Aguda Grave (SRAG) é uma das consequências da infecção pelo nCoV-19 que resulta em hipóxia nos indivíduos doentes. Nesse cenário, alguns pacientes são refratários à propedêutica conservadora minimamente invasiva para tratar a hipóxia e necessitam de suporte ventilatório avançado, sendo utilizado para tal a técnica de Intubação de Sequência Rápida. Tendo em vista que uma parcela dos enfermos permanecem conscientes e independentes, dificultando o início da ventilação mecânica, foi sugerido a introdução da técnica de Intubação de Sequência Atrasada para pacientes que recusam a intubação orotraqueal (IOT) ou que sofrem de delirium. Este trabalho tem por objetivo descrever o uso da Intubação de Sequência Atrasada no tratamento da Insuficiência Respiratória Aguda causada pelo COVID-19, em pacientes em delirium, ou que não permitem o procedimento, enfocando seus efeitos favoráveis e desfavoráveis, e seu perfil dissociativo.
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