Mecanismos de estabilização do paciente neurocrítico
DOI:
https://doi.org/10.34119/bjhrv7n2-219Keywords:
ventilação mecânica, doenças do sistema nervoso central, lesão cerebral, terapia intensivaAbstract
O paciente neurocrítico é aquele que apresenta comprometimento de diversos sistemas, principalmente o sistema nervoso, consequentemente, manifestando disfunção neurológica. Uma das principais características que esse paciente demonstra é a alteração da pressão intracraniana, sendo imprescindível o uso da ventilação mecânica com a finalidade de neuro proteção, uma vez que ajuda na estabilidade desse enfermo. Analisar o impacto das medidas de estabilização no desfecho do paciente neurocrítico. Trata-se de um estudo de revisão sistemática com base de busca pela estratégia PICO, nas bases de dados PubMed, Scielo e Cochrane através dos descritores do DECs e MeSH, publicados entre 2019 e 2023. Foram encontrados 33 estudos, sendo 27 excluídos por não apresentarem perfil de abordagem adequado de acordo com os critérios de inclusão, totalizando 6 estudos selecionados para a pesquisa. A ventilação mecânica neuro protetora, solução hiper osmolar e hipertônica, bem como sedação e bloqueadores neuromusculares são de suma importância para o paciente neuro crítico, pois apresenta um mecanismo adequado para garantir a estabilidade hemodinâmica e diminuir os riscos de mortalidade.
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