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. 2025 Feb 3:37:e20250242en.
doi: 10.62675/2965-2774.20250242-en. eCollection 2025.

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies

Juliana Carvalho Ferreira  1 , Arthur Oswaldo de Abreu Vianna  2 , Bruno Valle Pinheiro  3 , Israel Silva Maia  4   5 , Sérgio Vasconcellos Baldisserotto  6 , Alexandre Marini Isola  7 , Alexandre Biasi Cavalcanti  8 , Ana Maria Casati Nogueira da Gama  9 , Angelo Roncalli Miranda Rocha  10 , Antonio Gonçalves de Oliveira  11 , Ary Serpa Neto  12 , Augusto Manoel de Carvalho Farias  13 , Bianca Rodrigues Orlando  14 , Bruno da Costa Esteves  15 , Bruno Franco Mazza  16 , Camila de Freitas Martins Soares Silveira  17 , Carlos Roberto Ribeiro de Carvalho  1 , Carlos Toufen Junior  1 , Carmen Silvia Valente Barbas  1 , Cassiano Teixeira  18 , Débora Dutra da Silveira  19 , Denise Machado Medeiros  20 , Edino Parolo  21 , Eduardo Leite Vieira Costa  1 , Eliana Bernadete Caser  9 , Ellen Pierre de Oliveira  1 , Eric Grieger Banholzer  22 , Erich Vidal Carvalho  3 , Fabio Ferreira Amorim  23 , Felipe Saddy  24 , Fernanda Alves Ferreira Gonçalves  25 , Filomena Regina Barbosa Gomes Galas  26 , Giovanna Carolina Gardini Zanatta  27 , Gisele Sampaio Silva  19 , Glauco Adrieno Westphal  28 , Gustavo Faissol Janot de Matos  16 , João Claudio Emmerich de Souza  29 , João Manoel Silva Junior  30 , Jorge Luis Dos Santos Valiatti  31 , José Ribamar do Nascimento Junior  32 , Jose Rodolfo Rocco  33 , Ludhmila Abrahão Hajjar  30 , Luiz Alberto Forgiarini Junior  34 , Luiz Marcelo Sá Malbuisson  35 , Marcelo Alcantara Holanda  36 , Marcelo Britto Passos Amato  1 , Marcelo Park  35 , Marco Antonio da Rosa E Oliveira  7 , Marco Antonio Soares Reis  37 , Marcos Soares Tavares  38 , Mario Henrique Dutra de Souza  27 , Marta Cristina Pauleti Damasceno  39 , Marta Maria da Silva Lira-Batista  40 , Max Morais Pattacini  41 , Murillo Santucci Cesar de Assunção  16 , Neymar Elias de Oliveira  42 , Oellen Stuani Franzosi  21 , Patricia Rieken Macedo Rocco  43 , Pedro Caruso  44 , Pedro Leme Silva  43 , Pedro Vitale Mendes  35 , Pericles Almeida Delfino Duarte  45 , Renato Fabio Alberto Della Santa Neto  46 , Ricardo Goulart Rodrigues  47 , Ricardo Luiz Cordioli  16 , Roberta Fittipaldi Palazzo  26 , Rosane Goldwasser  48 , Sabrina Dos Santos Pinheiro  49 , Sandra Regina Justino  50 , Sergio Nogueira Nemer  51 , Vanessa Martins de Oliveira  21 , Vinicius Zacarias Maldaner da Silva  52 , Wagner Luis Nedel  53 , Wanessa Teixeira Bellissimo-Rodrigues  54 , Wilson de Oliveira Filho  55
Affiliations

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies

Juliana Carvalho Ferreira et al. Crit Care Sci. .

Abstract

Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions. The Associação de Medicina Intensiva Brasileira and the Sociedade Brasileira de Pneumologia e Tisiologia sponsored the development of a joint statement addressing all aspects of mechanical ventilation, which was divided into 38 topics. Seventy-five experts from all regions of Brazil worked in pairs to perform scoping reviews, searching for publications on their specific topic of mechanical ventilation in the last 20 years in the highest impact factor journals in the areas of intensive care, pulmonology, and anesthesiology. Each pair produced suggestions and considerations on their topics, which were presented to the entire group in a plenary session for modification when necessary and approval. The result was a comprehensive document encompassing all aspects of mechanical ventilation to provide guidance at the bedside. In this article, we report the methodology used to produce the document and highlight the most important suggestions and considerations of the document, which has been made available to the public in Portuguese.

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Conflict of interest statement

Conflicts of interest: None.

Figures

Figure 1
Figure 1. Number of suggestions (blue) and considerations (orange) by topic.
See this image and copyright information in PMC

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