ELMOCPAP E A TERAPIA DE ALTO FLUXO DE OXIGÊNIO EM PACIENTES COM COINFECÇÃO HIV / COVID-19
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DOI:
https://doi.org/10.54620/cadesp.v15i2.646Palavras-chave:
COVID-19, HIV, Ventilação Não InvasivaResumo
O objetivo deste estudo foi relatar dois casos de pacientes com coinfecção HIV/COVID-19 que utilizaram o ELMOcpap e a Terapia de Alto Fluxo no tratamento da Síndrome Respiratória Aguda Grave (SRAG). Os relatos de casos ocorreram através da coleta de dados em prontuários. Dados clínicos, epidemiológicos e a performance dos efeitos da terapia combinada foram coletados. Os pacientes que utilizaram a terapia de ventilação mecânica não invasiva (VMNI) evoluíram com melhora da hipoxemia e dos parâmetros ventilatórios, nas primeiras 24 horas de tratamento. Este é o primeiro relato de dois pacientes coinfectados por COVID-19 e HIV no Brasil, que tiveram êxito no uso da terapia ELMOCpap e TAF. Portanto, terapias combinadas de VMNI são importantes para o manejo da SRAG, e podem contribuir para um menor tempo de internação hospitalar, bem como, prevenir complicações do uso da ventilação mecânica invasiva nestes pacientes.
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Guo, Wei and Ming, Fangzhao and Dong, et. al. A Survey for COVID-19 Among HIV/AIDS Patients in Two Districts of Wuhan, China (3/4/2020). Disponível em: http://dx.doi.org/10.2139/ssrn.3550029.
Tesoriero JM, Swain CE, Pierce JL, et al. COVID-19 Outcomes Among Persons Living With or Without Diagnosed HIV Infection in New York State. JAMA Netw Open. 2021;4(2):e2037069. doi:10.1001/jamanetworkopen.2020.37069.
Jiao Huang, Nianhua Xie, Xuejiao Hu, et al. Epidemiological, Virological and Serological Features of Coronavirus Disease 2019 (COVID-19) Cases in People Living With Human Immunodeficiency Virus in Wuhan: A Population-based Cohort Study, Clinical Infectious Diseases, 2020;, ciaa1186, https://doi.org/10.1093/cid/ciaa1186.
Cabrini L, Landoni G, Zangrillo A. Minimise nosocomial spread of 2019-nCoV when treating acute respiratory failure. Lancet. 2020; 395 (10225): 685.
Patel BK, Wolfe KS, Pohlman AS, Hall JB, Kress JP. Effect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial. JAMA. 2016; 315(22): 2435-2441.
Holanda MA, Tomaza BS, Menezesa DGA, Linoa JA, Gomesa GC. ELMO 1.0: a helmet interface for CPAP and high-flow oxygen delivery. J Bras Pneumol. 2021;47(3):e20200590
Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. 2020;323(20):2052-2059. https://doi.org/10.1001/jama.2020.6775
Guan WJ, Ni ZY, Hu Y, et al. Clinical features of 2019 coronavirus disease in China. N Engl J Med. 2020; 382 ( 18 ): 1708 - 1720.
Alhazzani W, Moller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med. 2020; 46:854–87.
Gattinoni L, Chiumello D, Caironi P, Busana M, Romitti F, Brazzi L, et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes? Intensive Care Med. 2020; 46:1099–102.
Gattinoni L, Coppola S, Cressoni M, Busana M, Rossi S, Chiumello D. COVID-19 Does not lead to a “typical” acute respiratory distress syndrome. Am J Respir Crit Care Med. 2020; 201:1299–300.
Wu J, Wu X, Zeng W, et al. Chest CT findings in patients with 2019 coronavirus disease and their relationship to clinical features. Invest Radiol. 2020; 55 (5): 257 - 261.
Cosentini, Roberto et al. “Helmet continuous positive airway pressure vs oxygen therapy to improve oxygenation in community-acquired pneumonia: a randomized, controlled trial.” Chest 2010;138(1):114-120. doi:10.1378/chest.09-2290.
Tomaz, B. S. Eficácia de um novo tipo de capacete para oferta de CPAP, o elmo, no tratamento da insuficiência respiratória aguda hipoxêmica secundária à Covid-19. 2021. 94 f. Dissertação (Mestrado em Ciências Médicas) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2021.
Coppadoro, A., Benini, A., Fruscio, R. et al. CPAP helmet to treat hypoxic pneumonia outside the ICU: an observational study during the COVID-19 outbreak.Crit Care. 2021; 25(1):80.
Taccone P, Hess D, Caironi P, Bigatello LM. Continuous positive airway pressure provided with a “helmet”: effects on carbon dioxide rebreathing. Crit Care Med 2004; 32: 2090 - 2096.
Patel BK, Wolfe KS, Pohlman AS, Hall JB, Kress JP. Effect of non-invasive ventilation administered by helmet vs face mask on the rate of endotracheal intubation in patients with Acute Respiratory Distress Syndrome: a randomized clinical trial. JAMA 2016; 315: 2435 - 2441.
Frat JP, Thille AW, Mercat A, Girault C, Ragot S, Perbet S, et al.: FLORALI Study Group; REVA Network. High-flow oxygen through the nasal cannula in acute hypoxemic respiratory failure. N Engl J Med 2015; 372: 2185 – 2196.
Barbosa de Freitas J, Quintino Farias M do S, Matos Rocha EM, et al. high flow oxygen therapy in patients with acquired immunodeficiency syndrome. Cadernos ESP [Internet]. 30 de dezembro de 2020;14(2):10-4. Disponível em: //cadernos.esp.ce.gov.br/index.php/cadernos/article/view/278
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Copyright (c) 2021 Cadernos ESP
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Accepted 2021-09-26
Published 2021-12-07
