Ciência & Saúde Coletiva
On-line version ISSN 1678-4561Print version ISSN 1413-8123
COSTA, Maria Tereza Fonseca da; GOMES, Maria Auxiliadora and PINTO, Márcia. Chronic dependence on mechanical pulmonary ventilation in pediatric care: a necessary debate for Brazil's Unified Health System. Ciênc. saúde coletiva [online]. 2011, vol.16, n.10, pp.4147-4159. ISSN 1678-4561. http://dx.doi.org/10.1590/S1413-81232011001100020.
People with prolonged dependence on mechanical ventilation require permanent care and the use of equipment that can result in longer term hospital internment. This can lead to difficulty of access for patients with acute injuries, as well as personal difficulties and stress with reduced quality of life for their families or caregivers due to such longer hospital internment. This critical review of publications dealing with dependence on mechanical ventilation among children and adolescents aimed at making information organized in a systematic manner available in order to support discussion on the subject. It should be borne in mind that changes in epidemiological profile and growing technological access determine needs such as intensive therapy hospital beds and complex home care for chronic patients, which still have limits of supply and regulatory restrictions in the Brazilian public health system
Keywords : Mechanical ventilation; Biomedical technology; Dependence on technology; Chronic mechanical ventilation; Pediatric care.