{"id":11176,"date":"2023-08-24T17:01:24","date_gmt":"2023-08-24T20:01:24","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=11176"},"modified":"2023-08-24T17:01:24","modified_gmt":"2023-08-24T20:01:24","slug":"cateter-nasal-de-alto-fluxo","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/cateter-nasal-de-alto-fluxo\/","title":{"rendered":"Cateter Nasal de Alto Fluxo"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/cateter-nasal-de-alto-fluxo\/#Cateter_Nasal_de_Alto_Fluxo\" >Cateter Nasal de Alto Fluxo<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/cateter-nasal-de-alto-fluxo\/#Atualizacoes_sobre_o_uso_do_CNAF\" >Atualiza\u00e7\u00f5es sobre o uso do CNAF<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/cateter-nasal-de-alto-fluxo\/#Dica_do_especialista\" >Dica do especialista<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/cateter-nasal-de-alto-fluxo\/#Conquiste_a_aprovacao\" >Conquiste a aprova\u00e7\u00e3o!<\/a><\/li><\/ul><\/nav><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Blog-MedCof-2023-08-24T165131.506-1024x576.png\" alt=\"cateter nasal de alto fluxo, cnaf, c\u00e2nula nasal de alto fluxo, canula nasal de alto fluxo\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Blog-MedCof-2023-08-24T165131.506-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Blog-MedCof-2023-08-24T165131.506-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Blog-MedCof-2023-08-24T165131.506-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Blog-MedCof-2023-08-24T165131.506-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Blog-MedCof-2023-08-24T165131.506-2048x1152.png 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>O<strong> Cateter Nasal de Alto Fluxo <\/strong>(CNAF) se popularizou no servi\u00e7o de sa\u00fade durante a pandemia de Covid-19. Mas voc\u00ea est\u00e1 por dentro das <strong>controv\u00e9rsias e atualiza\u00e7\u00f5es<\/strong>? Ent\u00e3o confira os estudos mais recentes!<\/p>\n<h4>\n\t\t\t\tResumo\t\t\t<\/h4>\n<h3><span class=\"ez-toc-section\" id=\"Cateter_Nasal_de_Alto_Fluxo\"><\/span><strong>Cateter Nasal de Alto Fluxo<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>O Cateter Nasal de Alto Fluxo ou c\u00e2nula nasal de alto fluxo \u00e9 uma terapia de suporte respirat\u00f3rio que ganhou destaque nos \u00faltimos anos como uma alternativa eficaz para pacientes com insufici\u00eancia respirat\u00f3ria aguda ou cr\u00f4nica. O dispositivo consiste em um sistema que fornece um fluxo cont\u00ednuo de oxig\u00eanio aquecido e umidificado atrav\u00e9s de c\u00e2nulas nasais.<\/p>\n<p>\u00a0<\/p>\n<p>Estudos recentes sobre o CNAF t\u00eam fornecido evid\u00eancias significativas de sua efic\u00e1cia em <b>diversas situa\u00e7\u00f5es cl\u00ednicas<\/b>, um exemplo \u00e9 seu papel no tratamento de s\u00edndromes respirat\u00f3rias agudas graves.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"640\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/02486551-a744-4537-9c7c-5d95350550bb_ok-01-1-1024x819.png\" alt=\"cateter nasal de alto fluxo, cnaf, c\u00e2nula nasal de alto fluxo, canula nasal de alto fluxo\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/02486551-a744-4537-9c7c-5d95350550bb_ok-01-1-1024x819.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/02486551-a744-4537-9c7c-5d95350550bb_ok-01-1-300x240.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/02486551-a744-4537-9c7c-5d95350550bb_ok-01-1-768x614.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/02486551-a744-4537-9c7c-5d95350550bb_ok-01-1-1536x1229.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/02486551-a744-4537-9c7c-5d95350550bb_ok-01-1-2048x1638.png 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"640\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/cb84d948-9462-474f-8c0b-c756bb28cfc4_ok-01-1-1024x819.png\" alt=\"cateter nasal de alto fluxo, cnaf, c\u00e2nula nasal de alto fluxo, canula nasal de alto fluxo\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/cb84d948-9462-474f-8c0b-c756bb28cfc4_ok-01-1-1024x819.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/cb84d948-9462-474f-8c0b-c756bb28cfc4_ok-01-1-300x240.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/cb84d948-9462-474f-8c0b-c756bb28cfc4_ok-01-1-768x614.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/cb84d948-9462-474f-8c0b-c756bb28cfc4_ok-01-1-1536x1229.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/cb84d948-9462-474f-8c0b-c756bb28cfc4_ok-01-1-2048x1638.png 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>[Ilustra\u00e7\u00f5es\/Grupo MedCof]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Atualizacoes_sobre_o_uso_do_CNAF\"><\/span><strong>Atualiza\u00e7\u00f5es sobre o uso do CNAF<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Contrapondo a oxigenoterapia convencial e aprensetando um m\u00e9todo que possa proporcionar mais conforto para os pacientes, psquisas publicadas no <strong><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMc1508390\" target=\"_blank\" rel=\"noopener\">New England Journal of Medicine<\/a><\/strong> e no <strong><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2786830\" target=\"_blank\" rel=\"noopener\">Journal of the American Medical Association<\/a><\/strong> destacam a capacidade do CNAF de reduzir a necessidade de ventila\u00e7\u00e3o mec\u00e2nica invasiva em pacientes com insufici\u00eancia respirat\u00f3ria hipox\u00eamica.<\/p>\n<p>Al\u00e9m disso, o\u00a0uso do cateter nasal de alto fluxo em pacientes pedi\u00e1tricos com bronquiolite demonstrou a redu\u00e7\u00e3o na necessidade de interna\u00e7\u00e3o hospitalar e melhora na oxigena\u00e7\u00e3o em compara\u00e7\u00e3o com outras terapias.<\/p>\n<p>Pensando nisso, o <i>guideline <\/i>mais recente de SARA (ESICM,\u00a02023) recomenda uso de CNAF nos pacientes com insufici\u00eancia respirat\u00f3ria hipox\u00eamica para evitar intuba\u00e7\u00e3o. Entretanto, o benef\u00edcio em termos de mortalidade ainda \u00e9 question\u00e1vel.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dica_do_especialista\"><\/span><strong>Dica do especialista<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\t\t\t\t\t\t\tO efeito fisiol\u00f3gico do CNAF \u00e9 uma <b>poss\u00edvel previs\u00e3o<\/b>. Provavelmente o CNAF diminui o espa\u00e7o morto, porque o fluxo de ar alto e constante vai &#8220;empurrando&#8221; o ar rico em CO2 e trocando por um ar rico em O2, isso <b>pode diminuir o desconforto respirat\u00f3rio <\/b>do paciente. Al\u00e9m disso, existe o efeito de gerar uma pequena PEEP (cerca de 3 cmH2O), o que pode melhorar um pouco a oxigena\u00e7\u00e3o.<br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tDr. Douglas Toledo<br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tM\u00e9dico pela UFES,  Cl\u00ednico Geral pela USP-SP, Intensivista pela USP-SP, al\u00e9m de Preceptor da resid\u00eancia de Medicina Intensiva da USP-SP<\/p>\n<p>E a\u00ed, conseguiu entender as possibilidades do cateter nasal de alto fluxo? Portanto, n\u00e3o perca nossos posts e se prepare para as provas resid\u00eancia m\u00e9dica!<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao\"><\/span><strong>Conquiste a aprova\u00e7\u00e3o!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As provas de resid\u00eancia est\u00e3o cada vez mais perto! Se voc\u00ea quer<a style=\"font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); background-color: #ffffff;\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noopener\">\u00a0<strong>ser mais\u00a0um aprovado\u00a0<\/strong><\/a>nas melhores resid\u00eancias m\u00e9dicas do pa\u00eds, ent\u00e3o conhe\u00e7a o<a style=\"font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); background-color: #ffffff;\" href=\"https:\/\/www.grupomedcof.com.br\/\" target=\"_blank\" rel=\"noopener\">\u00a0<strong>Grupo\u00a0MedCof<\/strong><\/a>! Temos um cat\u00e1logo repleto de cursos que te guiar\u00e3o na jornada para as provas de Resid\u00eancia M\u00e9dica que ocorrer\u00e3o em 2023\/2024!<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.grupomedcof.com.br\/\" target=\"_blank\" rel=\"noopener\"><br \/>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"378\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Captura-de-tela-2023-08-16-103405-e1692192957450-1024x484.png\" alt=\"medcof residencia medica, curso Intensivo para Resid\u00eancia M\u00e9dica, curso para resid\u00eancia m\u00e9dica, medcof hiit, aulas medcof,\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Captura-de-tela-2023-08-16-103405-e1692192957450-1024x484.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Captura-de-tela-2023-08-16-103405-e1692192957450-300x142.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Captura-de-tela-2023-08-16-103405-e1692192957450-768x363.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/08\/Captura-de-tela-2023-08-16-103405-e1692192957450.png 1145w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cateter nasal de alto fluxo ou c\u00e2nula nasal de alto fluxo \u00e9 uma terapia de suporte respirat\u00f3rio que ganhou destaque nos \u00faltimos anos como uma alternativa eficaz para pacientes com insufici\u00eancia respirat\u00f3ria aguda ou cr\u00f4nica.<\/p>\n","protected":false},"author":10,"featured_media":11236,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[240,173],"tags":[158,159],"ppma_author":[3613],"class_list":{"0":"post-11176","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-noticias","8":"category-novidades","9":"tag-medicina-de-emergencia","10":"tag-residencia-em-emergencia"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - 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