Proposta de Definição e Classificação de Insuficiência Respiratória

Autores

DOI:

https://doi.org/10.24950/rspmi.1359

Palavras-chave:

Insuficiência Respiratória/classificação, Síndrome do Desconforto Respiratório/classificação

Resumo

A insuficiência respiratória (IR) não é reconhecida como uma síndrome clínica, com sintomas e sinais característicos, com diferentes estádios de evolução e níveis de gravidade, e com alterações fisiopatológicas dependentes da etiologia, mas apenas como algumas alterações laboratoriais que só se tornam evidentes depois de realizada a gasometria do sangue arterial (GSA). Isto dificulta o seu diagnóstico clínico, sobretudo em fases precoces, impede o seu estudo e compreensão, e não permite que o tratamento adequado seja efetuado no tempo certo, numa elevada percentagem de situações. Além disso dificulta a investigação clínica em diferentes grupos homogéneos de doentes com IR, para melhor compreensão da síndrome e do seu tratamento. A prática clínica demonstra- -nos que temos um conhecimento incompleto sobre IR, sobre a sua abordagem diagnóstica e sobre a sua gestão e tratamento. A IR tem influência direta na qualidade de vida e no prognóstico dos doentes e deve ser considerada uma entidade nosológica, com características clínicas e fisiopatológicas evolutivas próprias, que exigem investigação dedicada visando a sua melhor compreensão e tratamento com o objetivo de alterar o seu curso e melhorar os resultados clínicos.

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Publicado

19-12-2022

Como Citar

1.
Martins A, Fernandes M, Maia JM, Cortesão N, Ferrão C, Neves J, Leuschner P. Proposta de Definição e Classificação de Insuficiência Respiratória. RPMI [Internet]. 19 de Dezembro de 2022 [citado 27 de Maio de 2024];29(4):248-55. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/1359

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