{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Ta de Clinicagem","title":"TdC 92: SDRA Parte 2 - Tratamento","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/da649a1e\"></iframe>","width":"100%","height":180,"duration":1832,"description":"Segunda parte do episódio de SDRA - Síndrome do Desconforto Respiratório Agudo, dessa vez falando após o manejo inicial, e o paciente continua hipoxemico. O que fazer? Titular PEEP? Bloqueador neuromuscular? Prona? ECMO? Falamos disso tudo! \r\n\r\nMinutagem\r\n(0:40) Parâmetros iniciais\r\n(2:08) Retomada do caso\r\n(3:55) Hipercapnia permissiva\r\n(6:45) Reposição de bicarbonato\r\n(8:00) PEEP ideal\r\n(11:15) Driving pressure\r\n(13:00) Manobra de recrutamento\r\n(14:28) Bloqueador neuromuscular\r\n(18:04) Prona\r\n(23:26) ECMO\r\n(26:50) Desafio da semana anterior\r\n(27:40) Desafio da semana\r\n(28:08) Salves\r\nContinuação das referências: 1. Fan E, Del Sorbo L, Goligher EC, et al. An official American thoracic Society/European Society of intensive care Medicine/Society of critical care medicine clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 017;195:1253–63. 2. Fan E, Del Sorbo L, Goligher EC, et al. An official American thoracic Society/European Society of intensive care Medicine/Society of critical care medicine clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 017;195:1253–63. 3. Petrucci N, De Feo C, Cochrane Emergency and Critical Care Group. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev 2013;338.","thumbnail_url":"https://img.transistorcdn.com/lqcQlEC1m6aWV5CJqKTqNKKWbLXziZKK97FisF4ZuuE/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lODM1/ZmI0ODIxZjAxM2U1/ZGUwMjhkYTYwNzZi/MGNmNi5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}