Lesões nas vias aéreas causadas por dispositivos de aspiração supraglótica em adultos em estado crítico: uma revisão da literatura

Publicado 2024-02-19


https://doi.org/10.30554/archmed.23.2.4807.2023
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v. 23 n. 2 (2023): .
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Torres Hernández, J. I. (2024). Lesões nas vias aéreas causadas por dispositivos de aspiração supraglótica em adultos em estado crítico: uma revisão da literatura. Archivos De Medicina (Manizales), 23(2). https://doi.org/10.30554/archmed.23.2.4807.2023
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https://doi.org/10.30554/archmed.23.2.4807.2023
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Torres Hernández, J. I. (2024). Lesões nas vias aéreas causadas por dispositivos de aspiração supraglótica em adultos em estado crítico: uma revisão da literatura. Archivos De Medicina (Manizales), 23(2). https://doi.org/10.30554/archmed.23.2.4807.2023

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Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Jose Ignacio Torres Hernández
Mg. en Gestión en Ciencia, Tecnología e Innovación; especialista en rehabilitación cardiopulmonar; fisioterapeuta. Facultad de Ciencias del Movimiento, Programa de Fisioterapia de la Fundación Universitaria de Ciencias de la Salud (FUCS). Carrera 51 N.° 67a-70, Bogotá, Colombia
https://orcid.org/0000-0001-8570-9059 ORCID
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O uso de dispositivos de aspiração supraglótica é uma estratégia eficaz na redução da pneumonia associada à ventilação mecânica (PAVM); no entanto, esses dispositivos podem causar lesões na mucosa das vias aéreas. O objetivo desta revisão foi identificar as lesões relatadas na literatura, relacionadas ao uso de dispositivos de aspiração supraglótica em modo contínuo e intermitente em pacientes adultos na unidade de terapia intensiva. Foi realizada uma pesquisa bibliográfica no PubMed, Medline, Google Scholar e SciELO, utilizando palavras-chave como “subglottic secretion”, “subglottic aspiration”, “subglottic drainage”, “device supraglottic aspiration”, “endotracheal intubation”, “endotracheal tube”, “airway”, “injury”, no período de 2002 a 2021, em inglês, espanhol e português. A modalidade contínua apresentou maior número de relatos de alterações quando comparada à aspiração intermitente, e as lesões mais frequentes foram eritema, edema e úlcera. Poucos estudos que avaliam a eficácia dos dispositivos de aspiração contemplam a avaliação da mucosa das vias aéreas em sua metodologia; no entanto, não há padronização nos métodos de avaliação clínica para determinar as alterações.

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