A HIPOXEMIA SILENCIOSA EM PACIENTES COM COVID-19: UMA REVISÃO NARRATIVA

Ana Paula Amaral de Brito; Andreza Caroline Oliveira Cunha; Bruno Mota de Almeida; Carolina Santos Gondim Nascimento; Clara Rêgo Sales Freitas; Lázaro Schettini Curvêlo de Magalhães; Luana Kelly Marques Villafuerte; Pabla Fagna de Sousa Barros

Authors

Ana Paula Amaral de Brito Docente na Universidade Salvador. https://orcid.org/0000-0002-7509-203X http://lattes.cnpq.br/0261453862789566
Andreza Caroline Oliveira Cunha Graduanda em Medicina pela Universidade Salvador https://orcid.org/0000-0001-9503-5385 http://lattes.cnpq.br/7136392018218564
Bruno Mota de Almeida Graduando em Medicina pela Universidade Salvador https://orcid.org/0000-0003-2769-8819 http://lattes.cnpq.br/2253320431130072
Carolina Santos Gondim Nascimento Graduanda em Medicina pela Universidade Salvador https://orcid.org/0000-0001-7244-387X http://lattes.cnpq.br/5017055760284011
Clara Rêgo Sales Freitas Graduanda em Medicina pela Universidade Salvador https://orcid.org/0000-0002-3602-1335 http://lattes.cnpq.br/0225540202723927
Lázaro Schettini Curvêlo de Magalhães Graduanda em Medicina pela Universidade Salvador https://orcid.org/0000-0003-1937-2181 http://lattes.cnpq.br/0252633427851040
Luana Kelly Marques Villafuerte Graduanda em Medicina pela Universidade Salvador https://orcid.org/0000-0001-5704-0853 http://lattes.cnpq.br/2844338888751128
Pabla Fagna de Sousa Barros Graduanda em Medicina pela Universidade Salvador https://orcid.org/0000-0001-5929-4419 http://lattes.cnpq.br/0155076915140437

Keywords:

Covid-19, Hypoxia, Dyspnea, Sars-Cov-2, Respiratory System

Abstract

Introduction: In severe cases of respiratory diseases, low saturation and hypoxemia are expected, which should result in discomfort in breathing, altered level of consciousness or organ failure. However, it was identified several patients with COVID-19 talking normally, using their cell phones and not feeling breath difficulties. This event has been named by doctors as “silent hypoxemia”, and it has become a great mystery to Science. Objetives: Report the existence of silent hypoxemia in COVID-19. Methods: Searches were carried out in the following electronic databases: Scielo, Virtual Health Library, Pubmed, ScienceDirect and Cochrane Library. The descriptors used in the research were COVID-19, silent hypoxemia, happy hypoxia, asymptomatic hypoxemia, apathetic and temporary hypoxemia. Results: The research findings include the entry of SARS-CoV-2 by the Angiotensin-Converting Enzyme 2; damage caused by the virus to central and peripheral chemoreceptors; and inflammation of the Solitary Tract Core. Conclusion: Silent hypoxemia is an important characteristic of COVID-19 that should be observed by healthcare professionals. Its early identification can prevent severe forms of the disease and help the patient's clinical evolution. However, further research is necessary to deepen the knowledge on this topic, establishing its pathophysiology and better conduct for a good prognosis.

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Author Biographies

Ana Paula Amaral de Brito, Docente na Universidade Salvador.

Doutora em Patologia Humana pela Universidade Federal da Bahia. Integrante do Grupo Interdisciplinar de Estudos em Saúde Coletiva. Docente na Universidade do Estado da Bahia.

Lázaro Schettini Curvêlo de Magalhães, Graduanda em Medicina pela Universidade Salvador

Membro acadêmico da Sociedade Brasileira de Clínica Médica.

Luana Kelly Marques Villafuerte, Graduanda em Medicina pela Universidade Salvador

Membro da International Federation of Medical Students Association. Membro do Grupo de Estudos Acadêmico de Terapêutica. Membro acadêmico da Sociedade Brasileira de Clínica Médica.

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SILENT HYPOXEMIA IN PATIENTS WITH COVID-19: NARRATIVE REVIEW

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Author Biographies

Ana Paula Amaral de Brito, Docente na Universidade Salvador.

Lázaro Schettini Curvêlo de Magalhães, Graduanda em Medicina pela Universidade Salvador

Luana Kelly Marques Villafuerte, Graduanda em Medicina pela Universidade Salvador

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