Suporte respiratório no manejo da Covid-19: experiência de uma capacitação para profissionais de saúde em um município da Amazônia Legal

Abstract

From the rapid geographic spread of Covid-19 as a pandemic in March 2020, the world began to live with a complex pathology, which caused numerous complications and deaths, with pulmonary involvement responsible for most hospitalizations. For the adequate respiratory management of these patients, it is necessary that professionals are trained. The objective was to present the process of building the training course in ventilatory support in the management of Covid-19 to higher-level health professionals. The experience report model was used, in a descriptive approach, in the municipality of Palmas, Tocantins, to develop the sequence of didactic actions used in the construction of training. Topics such as oxygen therapy, prone position, non-invasive ventilation, invasive mechanical ventilation, protective filters, closed suction system, as well as cardiopulmonary resuscitation in patients on invasive mechanical ventilation were addressed. The training was divided into theoretical and practical taught in lectures with the use of audiovisual resources and realistic simulation. Flowcharts were created and distributed to participants on the safe management of oxygen therapy, prone position and non-invasive ventilation, as well as initial adjustments in invasive mechanical ventilation and filter care, closed suction system and cardiorespiratory arrest in patients on invasive mechanical ventilation. This training can help health professionals in their work actions, as it brought robust evidence for adequate respiratory support for Covid-19 patients, which generates greater safety in the conduct and favorable outcomes for patients.