title: [Physiotherapy on the mechanically ventilated patients].
abstract: OBJECTIVE
  The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based. This explicit approach has broadened the understanding and adoption of clinical recommendations. For these reasons, AMIB - Associação de Medicina Intensiva Brasileira and SBPT - Sociedade Brasileira de Pneumologia e Tisiologia - decided to update the recommendations of the II Brazilian Consensus. Physical therapy during mechanical ventilation has been one of the updated topics. This objective was described the most important topics on the physical therapy during mechanical ventilation.
  
  
  METHODS
  Systematic review of the published literature and gradation of the studies in levels of evidence, using the key words: mechanical ventilation and physical therapy.
  
  
  RESULTS
  Recommendations on the most important techniques applied during mechanical ventilation.
  
  
  CONCLUSIONS
  Physical therapy has a central role at the Intensive Care environment, mainly in patients submitted to a mechanical ventilatory support invasive or non invasive.
authors.affiliation: Universidade de Santo Amaro.
authors.forename: George
authors.initials: G
authors.lastname: Jerre
authors.affiliation: Hospital Nossa Senhora de Lourdes, SP.
authors.forename: Marcelo A
authors.initials: MA
authors.lastname: Beraldo
authors.affiliation: UCB, BA.
authors.forename: Thelso de Jesus
authors.initials: Tde J
authors.lastname: Silva
authors.affiliation: Universidade de São Paulo, Ribeirão Preto, SP.
authors.forename: Ada
authors.initials: A
authors.lastname: Gastaldi
authors.affiliation: UTI Geral, Hospital Sírio Libanês, SP.
authors.forename: Claudia
authors.initials: C
authors.lastname: Kondo
authors.affiliation: Centro Universitário São Camilo, SP.
authors.forename: Fábia
authors.initials: F
authors.lastname: Leme
authors.affiliation: Universidade Federal do Rio de Janeiro, RJ.
authors.forename: Fernando
authors.initials: F
authors.lastname: Guimarães
authors.affiliation: Universidade Metodista de São Bernado, SP.
authors.forename: Germano
authors.initials: G
authors.lastname: Forti Junior
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
authors.forename: Jeanette J J
authors.initials: JJ
authors.lastname: Lucato
authors.affiliation: Universidade Metodista de São Bernado, SP.
authors.forename: Joaquim M
authors.initials: JM
authors.lastname: Veja
authors.affiliation: Centro Universitário São Camilo, SP.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Luque
authors.affiliation: Hospital AC Camargo.
authors.forename: Mauro R
authors.initials: MR
authors.lastname: Tucci
authors.affiliation: Hospital AC Camargo.
authors.forename: Valdelis N
authors.initials: VN
authors.lastname: Okamoto