RT Journal Article
SR Electronic
T1 Health care professionals' perceptions regarding the challenges of mechanical ventilation in the context of the COVID-19 pandemic
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA3771
DO 10.1183/13993003.congress-2021.PA3771
VO 58
IS suppl 65
A1 Fábio Ferreira Amorim
A1 Fábio Henrique Monteiro Oliveira
A1 Carlos Humberto Llanos
A1 Guillermo Alvarez Bestard
A1 Sérgio Henrique Evangelista
A1 Rodrigo Rocha
A1 Lumie Sabanai Shintaku
A1 Julia De Sá Kanbay
A1 Alessandra Maia Freire
A1 Lícia Zanol Lorencini Stanzani
A1 Fernando Viegas Do Monte
A1 Sanderson Cesar Macedo Barbalho
YR 2021
UL http://erj.ersjournals.com/content/58/suppl_65/PA3771.abstract
AB Background: The COVID-19 pandemic brought further evidence for the limited capacity of health systems to respond to demands. One of the critical factors is the demand for mechanical ventilation in the context of the COVID-19 pandemic.Objective: To evaluate health care professionals' perceptions regarding the challenges faced in mechanical ventilation management during the COVID-19 pandemic in Federal District, Brazil.Results: 45 responses were received: 19 from the physicians (42.2%) and 26 from respiratory physiotherapists (57.8%). The mean age was 35±8 years and 62.2% female (n=28). The main challenges reported were having a team with adequate knowledge of mechanical ventilation (n=26, 57.8%), difficulty maintaining adequate sedation (n=25, 55.6%), and minimizing asynchrony (n=22, 48.9%). It is worth noting that factors that were of great concern at the beginning of the pandemic in Brazil were little reported by the health professionals, such as lack of mechanical ventilators (n=2, 4.4%) and excess of mechanically ventilated patients (n=10, 22.2%). Another aspect was the greater use of the prone position, with only five professionals reporting difficulties with its use (11.1%)Conclusion: The biggest challenges reported by professionals in mechanical ventilation in the context of the COVID-19 pandemic were having a team with adequate mechanical ventilation knowledge, maintaining adequate sedation, and asynchrony. The excess of patients in mechanical ventilation and the lack of mechanical ventilators were aspects less mentioned by the professionals in the Federal District, Brazil.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3771.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).