Eficácia e segurança do heat moisture exchangers e adesivo de fixação para o tratamento de pacientes submetidos à ventilação mecânica invasiva: revisão rápida de evidências

Abstract

This rapid evidence review aimed to evaluate the effectiveness and safety of Heat Moisture Exchangers (HME) and fixing adhesives in the treatment of patients undergoing invasive mechanical ventilation, with a focus on tracheostomized and/or laryngectomized patients. The analysis was based on a high-quality systematic review (SR) assessed by the AMSTAR-2 tool and clinical trials that addressed the use of these devices in different clinical contexts. The results indicated that HME filters are a viable alterna tive for humidifying and heating inspired gases, with efficacy comparable to heated humidification (HH) in outcomes such as airway obstruction, pneumonia, and mortality. However, the overall quality of the evidence was considered low, highlighting the need for further research, especially in pediatric and neonatal populations. The safety of the devices was confirmed, with a low incidence of serious adverse events. It is concluded that HME filters and fixing adhesives are safe and effective, but treatment individualization and further studies are essential to guide clinical practice.