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Mechanically-ventilated patients with TBI developed NED in addition to changes in muscle structure during their stay in the ICU.

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ObjectiveThe aim of the present study was to translate and cross-culturally adapt the Functional Status Score for the intensive care unit (FSS-ICU) into Brazilian Portuguese.MethodsThis study consisted of the following steps: translation (performed by two independent translators), synthesis of the initial translation, back-translation (by two independent translators who were unaware of the original FSS-ICU), and testing to evaluate the target audience's understanding. An Expert Committee supervised all steps and was responsible for the modifications made throughout the process and the final translated version.ResultsThe testing phase included two experienced physiotherapists who assessed a total of 30 critical care patients (mean FSS-ICU score = 25 ± 6). As the physiotherapists did not report any uncertainties or problems with interpretation affecting their performance, no additional adjustments were made to the Brazilian Portuguese version after the testing phase. Good interobserver reliability between the two assessors was obtained for each of the 5 FSS-ICU tasks and for the total FSS-ICU score (intraclass correlation coefficients ranged from 0.88 to 0.91).ConclusionThe adapted version of the FSS-ICU in Brazilian Portuguese was easy to understand and apply in an intensive care unit environment.

Eight maneuvers were necessary to reach maximum and reliable values of the S-Index preceding inspiratory muscle warm-up or sham. Moreover, inspiratory muscle warm-up preceding S-Index assessment improved inspiratory muscle performance.

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Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíacaRelationship of postoperative walk test and lung function with the length of heart surgery hospital stay Abstract Objective: The lung function is identified as a predictor of time of hospital stay in heart surgery. Meanwhile six-minute walk test has been used to establish functional capacity of cardiac patients, however there are few studies that correlate it with the length of hospital stay. The aim of this study was to determine whether there is correlation of preoperative and postoperative lung function and the postoperative deambulation ability with postoperative hospital stay.Methods: A prospective cohort with 18 patients was performed, being 8 males and 10 females, with age above 40 years (mean 64.89 ± 6.95 years). Patients where admitted for coronary artery bypass graft surgery and/or valve replacement. To characterize the pulmonary function, patients had undergone spirometry in preoperative and at 5th postoperative day. In the latter period was also performed a test for 6 minutes walk (6MWT) to characterize the deambulation ability.Results: There was not significant correlation of preoperative and postoperative lung function with length of postoperative hospital stay. Only the distance covered in 6MWT showed a significant negative correlation (rho=-0.62) with length postoperative hospital of stay. The distance in 6MWT obtained a significant positive correlation with forced vital capacity (r=0.59) and first second of a maximal forced expiratory maneuver (r=0.52). Conclusion:These results suggest that patients with increased postoperative deambulation capacity have a shorter time of hospital stay and it also suggests that the distance in the 6MWT can better represent the functional capacity of these patients than lung function alone. Descriptors: Respiratory function tests. Early ambulation. Length of stay. Cardiovascular surgical procedures.Resumo Objetivo: A função pulmonar é apontada como preditora do tempo de hospitalização na cirurgia cardíaca. E o teste de caminhada de seis minutos (TC6') tem sido utilizado para caracterizar a capacidade funcional em pacientes cardiopatas, porém há poucos estudos que o correlacione com tempo de internação hospitalar. O objetivo desta pesquisa foi verificar se há correlação da função pulmonar pré e pós-operatória e da capacidade da deambulação pós-operatória com tempo de internação pós-operatória.Métodos: Foi realizada uma coorte prospectiva com 18 pacientes, sendo 8 do gênero masculino e 10 do gênero feminino, com idade acima de 40 anos (média 64,89 ± 6,95 anos), internados para a submissão de cirurgias de revascularização do miocárdio e/ou troca valvar. Para caracterizar a função pulmonar, os pacientes foram submetidos a uma espirometria no pré-operatório e ao 5°C orrespondence address: Vinicius Zacarias Maldaner da Silva

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