CNAF, Densidad Pulmonar Obstructiva Crónica, CNAF y EPOC exacerbada, Urgencia y Emergencia.
DOI:
https://doi.org/10.66104/tv919k44Palabras clave:
CNAF, Enfermedad Pulmonar Obstructiva Crónica, CNAF y EPOC exacerbada, Urgencia y Emergencia.Resumen
Objetivo: Identificar los beneficios, efectividad y limitaciones del uso de presión positiva mediante cánula nasal de alta presión (CNAP) en pacientes ingresados al servicio de urgencias hospitalarias durante exacerbaciones de EPOC. Metodología: Se trata de una revisión bibliográfica integradora. La muestra consistió en personas con EPOC en exacerbación que se benefician o no se benefician de la CNAP. Esta investigación se realizó utilizando las bases de datos SciELO, PEDro, BVS y PubMed. Se incluyeron artículos publicados en revistas, completos, desde 2020 hasta 2025. Resultados: La CNAP es más cómoda y tolerable que la ventilación no invasiva (VNI), reduce el trabajo muscular, reduce las áreas de colapso alveolar, permite una saturación de oxígeno normal, previene el edema pulmonar agudo y reduce las tasas de intubación y mortalidad. Conclusión: Se concluye a partir de esta evidencia que la CNAP, al igual que la VNI, tiene sus particularidades. Sin embargo, al evaluar sus efectos durante la exacerbación de la EPOC, en casos de insuficiencia renal aguda, casos posteriores a la intubación y otros, no existen suficientes hallazgos para asegurar que el uso de una de estas terapias sea superior a otra, especialmente en casos de EPOC exacerbada.
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10 de dezembro de 2024; 333(10):875–890. doi: 10.1001/jama.2024.26244
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Derechos de autor 2026 Anderson Rodolfo da Silva Oliveira , Cristina Ingrid Aguiar Cardozo, Francisca Tamiris Pereira de Souza, Helenicy Nogueira Holanda Veras, Ivo Saturno Bonfin, Monica de Sousa Oliveira, Nádia de Melo Alves Portela, Noêmia Maria Sousa Oliveira
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