{"id":60676,"date":"2020-03-26T13:00:40","date_gmt":"2020-03-26T18:00:40","guid":{"rendered":"https:\/\/www.apsf.org\/?p=60676"},"modified":"2020-05-08T01:05:00","modified_gmt":"2020-05-08T06:05:00","slug":"declaracao-conjunta-sobre-varios-pacientes-por-ventilador","status":"publish","type":"post","link":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/","title":{"rendered":"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador"},"content":{"rendered":"

\"Logotipos<\/p>\n<\/div>Anesthesia Patient Safety Foundation (ASPF), Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), American Association of Critical-Care Nurses (AACN), e American College of Chest Physicians (CHEST) se uniram para abordar a quest\u00e3o de colocar v\u00e1rios pacientes com insufici\u00eancia respirat\u00f3ria em um \u00fanico respirador. As m\u00eddias impressa e digital, bem como alguns grupos do setor de sa\u00fade, promoveram recentemente a ideia de que o problema da escassez de ventiladores poderia ser resolvido colocando mais de um paciente com insufici\u00eancia respirat\u00f3ria em um \u00fanico ventilador. A APSF e outras organiza\u00e7\u00f5es acreditam que essa abordagem pode prejudicar os pacientes e que h\u00e1 m\u00e9todos alternativos para aumentar a capacidade de ventiladores com menos riscos para os pacientes.<\/p>\n

[PDF Version]<\/strong><\/a><\/p>\n

Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador<\/h3>\n

26 de mar\u00e7o de 2020: A Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), Anesthesia Patient Safety Foundation (ASPF), American Association of Critical-Care Nurses (AACN) e American College of Chest Physicians (CHEST) emitem esta declara\u00e7\u00e3o consensual sobre o conceito de colocar v\u00e1rios pacientes em um \u00fanico ventilador mec\u00e2nico.<\/p>\n

As organiza\u00e7\u00f5es supracitadas aconselham cl\u00ednicos que o compartilhamento de ventiladores mec\u00e2nicos n\u00e3o deve ser tentado porque ele n\u00e3o pode ser feito com seguran\u00e7a com os equipamentos atuais. A fisiologia dos pacientes com s\u00edndrome da ang\u00fastia respirat\u00f3ria aguda (SARA) da COVID-19 \u00e9 complexa. Mesmo em circunst\u00e2ncias ideais, a ventila\u00e7\u00e3o de um \u00fanico paciente com SARA e doen\u00e7a pulmonar n\u00e3o homog\u00eanea \u00e9 dif\u00edcil e est\u00e1 associada a uma taxa de mortalidade de 40% a 60%. Tentar ventilar v\u00e1rios pacientes com COVID\u201019, devido aos problemas aqui descritos, pode levar gerar maus resultados e altas taxas de mortalidade para todos os pacientes da coorte. De acordo com as decis\u00f5es de triagem extremamente dif\u00edceis, mas n\u00e3o incomuns, frequentemente tomadas em crises m\u00e9dicas, \u00e9 melhor dedicar o ventilador ao paciente com mais probabilidade de se beneficiar do que n\u00e3o evitar, ou at\u00e9 causar, o falecimento de v\u00e1rios pacientes.<\/p>\n

Fundamentos:<\/strong> A possibilidade de ventilar v\u00e1rios pacientes com um ventilador foi cogitada por quem gostaria de expandir o acesso a ventiladores mec\u00e2nicos durante a pandemia de COVID-19. As primeiras descri\u00e7\u00f5es modernas de v\u00e1rios pacientes por ventilador foram feitas por Neyman et al em 20061<\/sup> e Paladino et al em 2013.2<\/sup> No entanto, em cada caso, Branson, Rubinson e outros alertaram contra o uso dessa t\u00e9cnica.3-5<\/sup> Com os equipamentos atuais projetados para um \u00fanico paciente, recomendamos que cl\u00ednicos n\u00e3o tentem ventilar mais de um paciente com um \u00fanico ventilador enquanto alguma terapia clinicamente comprovada, segura e confi\u00e1vel permane\u00e7a dispon\u00edvel (isto \u00e9, em uma emerg\u00eancia grave e tempor\u00e1ria).<\/p>\n

Tentar ventilar v\u00e1rios pacientes provavelmente exigiria que os pacientes fossem dispostos radialmente em torno do ventilador como o ponto central. Esse posicionamento afasta os pacientes dos suprimentos de oxig\u00eanio, ar e v\u00e1cuo na cabeceira do leito. E tamb\u00e9m aproxima os pacientes uns dos outros, permitindo a transfer\u00eancia de organismos. Aumentar o espa\u00e7amento entre os pacientes provavelmente causaria hipercarbia.<\/p>\n

A respira\u00e7\u00e3o espont\u00e2nea de um \u00fanico paciente detectada pelo ventilador definiria a frequ\u00eancia respirat\u00f3ria para todos os outros pacientes. O volume adicional no circuito pode impedir o acionamento. Os pacientes tamb\u00e9m podem compartilhar g\u00e1s entre circuitos na aus\u00eancia de v\u00e1lvulas unidirecionais. Tamb\u00e9m pode ocorrer \u201cpendelluft\u201d entre os pacientes, resultando em infec\u00e7\u00e3o cruzada e hiperinsufla\u00e7\u00e3o. Os alarmes definidos podem monitorar apenas a resposta total dos sistemas respirat\u00f3rios dos pacientes como um todo. Isso oculta altera\u00e7\u00f5es ocorridas em apenas um paciente. Os motivos para evitar a ventila\u00e7\u00e3o de v\u00e1rios pacientes com um \u00fanico ventilador s\u00e3o in\u00fameros.<\/p>\n

Eles incluem:<\/p>\n

    \n
  • Os volumes iriam para os segmentos pulmonares mais compat\u00edveis.<\/li>\n
  • A press\u00e3o expirat\u00f3ria final positiva, que \u00e9 crucial nesses pacientes, seria imposs\u00edvel de controlar.<\/li>\n
  • O monitoramento dos pacientes e a medi\u00e7\u00e3o da mec\u00e2nica pulmonar seriam um desafio, se n\u00e3o imposs\u00edveis.<\/li>\n
  • O monitoramento e a gest\u00e3o de alarmes n\u00e3o seria vi\u00e1vel.<\/li>\n
  • A gest\u00e3o individualizada da melhoria ou deteriora\u00e7\u00e3o cl\u00ednica seria imposs\u00edvel.<\/li>\n
  • No caso de uma parada card\u00edaca, a ventila\u00e7\u00e3o de todos os pacientes precisaria ser interrompida para permitir a troca para ventila\u00e7\u00e3o com bal\u00e3o sem aerossoliza\u00e7\u00e3o do v\u00edrus e exposi\u00e7\u00e3o dos profissionais de sa\u00fade. Essa circunst\u00e2ncia tamb\u00e9m pode alterar a din\u00e2mica de respira\u00e7\u00e3o dos outros pacientes.<\/li>\n
  • O volume adicional no circuito anula o autoteste operacional (h\u00e1 falha no teste). O cl\u00ednico seria obrigado a operar o ventilador sem um teste bem-sucedido, aumentando os erros de medi\u00e7\u00e3o.<\/li>\n
  • Seria necess\u00e1rio monitoramento externo adicional. O ventilador monitora as press\u00f5es e os volumes m\u00e9dios.<\/li>\n
  • Mesmo se todos os pacientes conectados a um \u00fanico ventilador tiverem as mesmas condi\u00e7\u00f5es cl\u00ednicas no in\u00edcio, eles podem piorar e recuperar-se em taxas diferentes, e a distribui\u00e7\u00e3o de g\u00e1s para cada paciente seria desigual e n\u00e3o monitorada. O paciente mais doente obteria o menor volume corrente e o paciente que est\u00e1 melhorando obteria o maior volume corrente.<\/li>\n
  • Os maiores riscos ocorrem com a deteriora\u00e7\u00e3o repentina de um \u00fanico paciente (por exemplo, pneumot\u00f3rax, tubo endotraqueal torcido), com o equil\u00edbrio da ventila\u00e7\u00e3o distribu\u00edda para os demais pacientes.<\/li>\n
  • Por fim, h\u00e1 quest\u00f5es \u00e9ticas. Se o ventilador puder salvar a vida de um \u00fanico indiv\u00edduo, utiliz\u00e1-lo em mais de um paciente por vez pode fazer com um tratamento inadequado seja um risco para a vida de todos eles.<\/li>\n<\/ul>\n

    Refer\u00eancias<\/strong><\/p>\n

      \n
    1. Neyman G, Irvin CB. A single ventilator for multiple simulated patients to meet disaster surge. (Um \u00fanico ventilador para v\u00e1rios pacientes simulados para enfrentar picos em desastres.) Acad Emerg Med.<\/em> 2006 Nov;13(11):1246\u20101249.<\/li>\n
    2. Paladino L, Silverberg M, Charcaflieh JG, et al. Increasing ventilator surge capacity in disasters: ventilation of four adult-human-sized sheep on a single ventilator with a modified circuit (Aumento da capacidade de pico de ventiladores em desastres: ventila\u00e7\u00e3o de quatro ovelhas do tamanho de adultos humanos em um \u00fanico ventilador com um circuito modificado). Resuscitation.<\/em> 2008 Abr;77(1):121\u2010126.<\/li>\n
    3. Branson RD, Rubinson L. One ventilator, multiple patients: what the data really supports (Um ventilador, v\u00e1rios pacientes: o que os dados realmente dizem). Resuscitation.<\/em> 2008 Out;79(1):171-172; resposta do autor 172-173.<\/li>\n
    4. Branson RD, Rubinson L. A single ventilator for multiple simulated patients to meet disaster surge. (Um \u00fanico ventilador para v\u00e1rios pacientes simulados para enfrentar picos em desastres.) Acad Emerg Med.<\/em> 2006 Dez;13(12):1352-1353; resposta do autor 1353-1354.<\/li>\n
    5. Branson RD, Blakeman TC, Robinson BR, Johannigman JA. Use of a single ventilator to support 4 patients: laboratory evaluation of a limited concept (Uso de um \u00fanico ventilador para suporte a 4 pacientes: avalia\u00e7\u00e3o laboratorial de um conceito limitado). Respir Care.<\/em> 2012 Mar;57(3):399\u2010403.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      The Anesthesia Patient Safety Foundation (APSF), Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), American Association of Critical\u2010Care Nurses (AACN) e…<\/p>\n","protected":false},"author":1,"featured_media":60678,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[6738,1330],"tags":[],"class_list":["post-60676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","category-news-updates"],"acf":[],"yoast_head":"\nDeclara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador - Anesthesia Patient Safety Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador\" \/>\n<meta property=\"og:description\" content=\"The Anesthesia Patient Safety Foundation (APSF), Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), American Association of Critical\u2010Care Nurses (AACN) e...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/\" \/>\n<meta property=\"og:site_name\" content=\"Anesthesia Patient Safety Foundation\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/APSForg\/\" \/>\n<meta property=\"article:author\" content=\"#\" \/>\n<meta property=\"article:published_time\" content=\"2020-03-26T18:00:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-05-08T06:05:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.apsf.org\/wp-content\/uploads\/featured-images\/apsf-logos\/ventilator-with-logos-featured.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"936\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@#\" \/>\n<meta name=\"twitter:site\" content=\"@APSForg\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/\"},\"author\":{\"name\":\"admin admin\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#\\\/schema\\\/person\\\/55ae256b76baa86d444aeba111724b86\"},\"headline\":\"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador\",\"datePublished\":\"2020-03-26T18:00:40+00:00\",\"dateModified\":\"2020-05-08T06:05:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/\"},\"wordCount\":1182,\"publisher\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.apsf.org\\\/wp-content\\\/uploads\\\/featured-images\\\/apsf-logos\\\/ventilator-with-logos-featured.jpg\",\"articleSection\":[\"COVID-19\",\"News & Updates\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/\",\"url\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/\",\"name\":\"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador - Anesthesia Patient Safety Foundation\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.apsf.org\\\/wp-content\\\/uploads\\\/featured-images\\\/apsf-logos\\\/ventilator-with-logos-featured.jpg\",\"datePublished\":\"2020-03-26T18:00:40+00:00\",\"dateModified\":\"2020-05-08T06:05:00+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.apsf.org\\\/wp-content\\\/uploads\\\/featured-images\\\/apsf-logos\\\/ventilator-with-logos-featured.jpg\",\"contentUrl\":\"https:\\\/\\\/www.apsf.org\\\/wp-content\\\/uploads\\\/featured-images\\\/apsf-logos\\\/ventilator-with-logos-featured.jpg\",\"width\":1200,\"height\":936},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/news-updates\\\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.apsf.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#website\",\"url\":\"https:\\\/\\\/www.apsf.org\\\/\",\"name\":\"Anesthesia Patient Safety Foundation\",\"description\":\"That no one shall be harmed by anesthesia care.\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.apsf.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#organization\",\"name\":\"Anesthesia Patient Safety Foundation\",\"url\":\"https:\\\/\\\/www.apsf.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.apsf.org\\\/wp-content\\\/uploads\\\/collateral\\\/apsf-logos\\\/APSF-Logo-Full.png\",\"contentUrl\":\"https:\\\/\\\/www.apsf.org\\\/wp-content\\\/uploads\\\/collateral\\\/apsf-logos\\\/APSF-Logo-Full.png\",\"width\":1280,\"height\":431,\"caption\":\"Anesthesia Patient Safety Foundation\"},\"image\":{\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/APSForg\\\/\",\"https:\\\/\\\/x.com\\\/APSForg\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/anesthesia-patient-safety-foundation-apsf-\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCrXZCfeGh7aaINJUf8T8ciA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.apsf.org\\\/#\\\/schema\\\/person\\\/55ae256b76baa86d444aeba111724b86\",\"name\":\"admin admin\",\"sameAs\":[\"#\",\"https:\\\/\\\/x.com\\\/#\"],\"url\":\"https:\\\/\\\/www.apsf.org\\\/pt-br\\\/profile\\\/admin-admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador - Anesthesia Patient Safety Foundation","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/","og_locale":"pt_BR","og_type":"article","og_title":"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador","og_description":"The Anesthesia Patient Safety Foundation (APSF), Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), American Association of Critical\u2010Care Nurses (AACN) e...","og_url":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/","og_site_name":"Anesthesia Patient Safety Foundation","article_publisher":"https:\/\/www.facebook.com\/APSForg\/","article_author":"#","article_published_time":"2020-03-26T18:00:40+00:00","article_modified_time":"2020-05-08T06:05:00+00:00","og_image":[{"width":1200,"height":936,"url":"https:\/\/www.apsf.org\/wp-content\/uploads\/featured-images\/apsf-logos\/ventilator-with-logos-featured.jpg","type":"image\/jpeg"}],"author":"admin admin","twitter_card":"summary_large_image","twitter_creator":"@#","twitter_site":"@APSForg","twitter_misc":{"Escrito por":"admin admin","Est. tempo de leitura":"6 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#article","isPartOf":{"@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/"},"author":{"name":"admin admin","@id":"https:\/\/www.apsf.org\/#\/schema\/person\/55ae256b76baa86d444aeba111724b86"},"headline":"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador","datePublished":"2020-03-26T18:00:40+00:00","dateModified":"2020-05-08T06:05:00+00:00","mainEntityOfPage":{"@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/"},"wordCount":1182,"publisher":{"@id":"https:\/\/www.apsf.org\/#organization"},"image":{"@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#primaryimage"},"thumbnailUrl":"https:\/\/www.apsf.org\/wp-content\/uploads\/featured-images\/apsf-logos\/ventilator-with-logos-featured.jpg","articleSection":["COVID-19","News & Updates"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/","url":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/","name":"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador - Anesthesia Patient Safety Foundation","isPartOf":{"@id":"https:\/\/www.apsf.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#primaryimage"},"image":{"@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#primaryimage"},"thumbnailUrl":"https:\/\/www.apsf.org\/wp-content\/uploads\/featured-images\/apsf-logos\/ventilator-with-logos-featured.jpg","datePublished":"2020-03-26T18:00:40+00:00","dateModified":"2020-05-08T06:05:00+00:00","breadcrumb":{"@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#primaryimage","url":"https:\/\/www.apsf.org\/wp-content\/uploads\/featured-images\/apsf-logos\/ventilator-with-logos-featured.jpg","contentUrl":"https:\/\/www.apsf.org\/wp-content\/uploads\/featured-images\/apsf-logos\/ventilator-with-logos-featured.jpg","width":1200,"height":936},{"@type":"BreadcrumbList","@id":"https:\/\/www.apsf.org\/pt-br\/news-updates\/declaracao-conjunta-sobre-varios-pacientes-por-ventilador\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.apsf.org\/"},{"@type":"ListItem","position":2,"name":"Declara\u00e7\u00e3o conjunta sobre v\u00e1rios pacientes por ventilador"}]},{"@type":"WebSite","@id":"https:\/\/www.apsf.org\/#website","url":"https:\/\/www.apsf.org\/","name":"Anesthesia Patient Safety Foundation","description":"That no one shall be harmed by anesthesia care.","publisher":{"@id":"https:\/\/www.apsf.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.apsf.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.apsf.org\/#organization","name":"Anesthesia Patient Safety Foundation","url":"https:\/\/www.apsf.org\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.apsf.org\/#\/schema\/logo\/image\/","url":"https:\/\/www.apsf.org\/wp-content\/uploads\/collateral\/apsf-logos\/APSF-Logo-Full.png","contentUrl":"https:\/\/www.apsf.org\/wp-content\/uploads\/collateral\/apsf-logos\/APSF-Logo-Full.png","width":1280,"height":431,"caption":"Anesthesia Patient Safety Foundation"},"image":{"@id":"https:\/\/www.apsf.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/APSForg\/","https:\/\/x.com\/APSForg","https:\/\/www.linkedin.com\/company\/anesthesia-patient-safety-foundation-apsf-","https:\/\/www.youtube.com\/channel\/UCrXZCfeGh7aaINJUf8T8ciA"]},{"@type":"Person","@id":"https:\/\/www.apsf.org\/#\/schema\/person\/55ae256b76baa86d444aeba111724b86","name":"admin admin","sameAs":["#","https:\/\/x.com\/#"],"url":"https:\/\/www.apsf.org\/pt-br\/profile\/admin-admin\/"}]}},"_links":{"self":[{"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/posts\/60676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/comments?post=60676"}],"version-history":[{"count":1,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/posts\/60676\/revisions"}],"predecessor-version":[{"id":60677,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/posts\/60676\/revisions\/60677"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/media\/60678"}],"wp:attachment":[{"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/media?parent=60676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/categories?post=60676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.apsf.org\/pt-br\/wp-json\/wp\/v2\/tags?post=60676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}