Cuidados imediatos no pós-operatório de cirurgia cardíaca

João, Paulo Ramos David; Faria, Fernando

doi:10.1590/s0021-75572003000800011

Cited by 15 publications

(28 citation statements)

References 26 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Postoperative respiratory changes may be related to previous heart and lung function, the use of CPB, the degree of sedation [11], the intensity of the surgery, and the number of pleural drains [12]. Events during surgery are most commonly responsible for changing respiratory mechanics in the immediate postoperative period [5.13].…”

Section: Changes Resulting From Heart Surgerymentioning

confidence: 99%

Cuidados pré e pós-operatórios em cirurgia cardiotorácica: uma abordagem fisioterapêutica

Arcêncio¹,

Souza²,

Bortolin³

et al. 2008

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

It is well known that anesthesia and certain surgeries predispose patients to changes in respiratory function, pulmonary volumes, and gas exchange. Cardiac surgery, which is considered a major surgery, may trigger respiratory complications in the postoperative period. These complications have various causes, such as heart and lung functions in the pre-operative, the use of cardiopulmonary bypass (CPB), and the level of sedation. In these extensive thoracic procedures, respiratory dysfunction may be significant, persisting in the postoperative period. Physiotherapy is offered to patients in the ICU as part of a multidisciplinary treatment plan. It is a time-consuming treatment, and is possible at various times during the patient's stay in the ICU. However, it is particularly valuable in postoperative recovery in order to avoid respiratory and motor complications. Thus, a literature review was performed, aiming to arrange current and relevant information on available resources for respiratory monitoring, as well as its importance in evaluating and treating lung function impairment, as this complication is a frequent cause of death in surgical patients. Bras Cir Cardiovasc 2008; 23(3): 400-410 For acquisition data in this study, scientific articles and an electronic research strategy was used for bibliographic reviews, mainly aiming to identify studies and guidelines that relate to physiotherapeutic performance and cardiothoracic surgery. The study was carried out based on articles that were published in the last 20 years, were available in the MEDLINE database, and used the terms "Physiotherapy", "cardiac surgery", "respiratory monitoring" and/or "respiratory complications". Relevant studies from Brazilian authors were also considered, particularly those published by the Brazilian Journal of Cardiovascular Surgery and the Brazilian Archives of Cardiology (official journals of dissemination of Brazilian cardiology) if the articles contained the key words "physiotherapy" and "monitoring". In addition to this research, additional data from postgraduate studies was found at the Division of Thoracic and Cardiovascular Surgery, FMRP-USP.ARCÊNCIO, L ET AL -Pre-and postoperative care in cardiothoracic surgery: a physiotherapeutic approach RevThe findings included randomized clinical trials, metaanalysis, review articles and consensus guidelines, and were related to physiotherapy, respiratory monitoring, and cardiac surgery and its complications. As the diagram of Figure 1 shows, 623 potentially relevant publications in MEDLINE were found, of which 55 fulfilled all of the scientific criteria.

show abstract

Section: Changes Resulting From Heart Surgerymentioning

confidence: 99%

Cuidados pré e pós-operatórios em cirurgia cardiotorácica: uma abordagem fisioterapêutica

Arcêncio¹,

Souza²,

Bortolin³

et al. 2008

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

show abstract

“…Alterações respiratórias no PO podem ocorrer devido à manutenção de circulação extra-corpórea intra-operatória e do nível de sedação no PO (1) .…”

Section: Discussionunclassified

“…Mantinham cateterização arterial, 23 (76,6%) RN, necessária para a monitorização invasiva das pressões arteriais, sistólica, diastólica e média, no PO de cirurgia cardíaca (1,10) e, também, é útil na coleta de amostras sangüíneas arteriais.…”

Section: Discussionunclassified

“…Além disso, houve avanços no conhecimento da fisiopatologia cardíaca e de suas repercussões, o que contribuiu para afastar as complicações PO, reduzindo as taxas de morbidade e aumentando as taxas de sobrevida, em longo prazo, de pacientes neonatais e pediátricos portadores de anomalias cardíacas congênitas (1)(2)(3)(4) . Desse modo, percebe-se que as cardiopatias congênitas acometem entre oito e dez neonatos em 1.000 nascidos vivos (5)(6)(7)(8) .…”

Section: Introductionunclassified

“…As ações necessárias ao adequado cuidado PO incluem moni-torização dos parâmetros hemodinâmicos, ventilatórios, manutenção de equilíbrio hidroeletrolítico e balanço hídrico, cuidado com sondas, drenos e cateteres, administração de drogas vasoativas, antibióticos, hemoderivados, analgésicos e sedativos dentre outros (1,4,10) .…”

Section: Introductionunclassified

See 2 more Smart Citations

Perfil de recém-nascidos submetidos à cirurgia cardíaca em hospital privado do Município de São Paulo

Bueno

Kimura²

2008

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMENEl objetivo en este estudio transversal fue caracterizar a los recién nacidos sometidos a cirugía cardiaca en un hospital privado del municipio de Sao Paulo. Los dados fueron obtenidos de las historias clínicas de los recién nacidos sometidos a cirugía entre julio de 2001 y diciembre del 2005. Los recién nacidos con 35 semanas o más de gestación fueron incluidos y excluidos los recién nacidos con óbito en el 1er dia de post-operatorio (PO) y con otras malformaciones sistémicas. La mayoría de los RNs nació a término, con peso ³ a 2.500g e sometidos a la cirugía en la primera semana de vida. Fueron identificados 24 diferentes diagnósticos de cardiopatías y 14 diferentes intervenciones quirúrgicas. En el 1er dia de PO, todos los neonatos estaban con dispositivos para monitorear los pará-metros vitales o como vía de acceso para el tratamiento y soporte de vida, mostrando no sólo la complejidad del tratamiento, sino también la necesidad de planificación y organización del servicio en la implementación de la asistencia a estos pacientes. DESCRIPTORESRecién nacido. Cardiopatias congénitas. Cirugía torácica. Atención de enfermería. ABSTRACTThe aim of this cross-sectional study was to characterize newborns that underwent cardiac surgery in a private hospital, a reference center in neonatal cardiac surgery, in the city of São Paulo. Data were collected from medical reports from July, 2001 to December, 2005. Newborns with gestational age of more than 35 weeks were included in the study. Newborns that died on the first 48 postoperative hours and with other malformations were excluded. Most of the neonates were term, weighted 2,500 grams or more, and underwent surgery in the first week of life. There were 24 different diagnoses identified and 14 different types of surgery performed. In the first post-operative day, all newborns had invasive devices for vital signs monitoring or for treatment and life support, which shows not only the complexity of the treatment but the need for planning and organizing health services in order to provide adequate care for these patients.

show abstract

Peri-operative chest physiotherapy for paediatric cardiac patients: a systematic review and meta-analysis

Beningfield

Jones

2018

Physiotherapy

View full text Add to dashboard Cite

Cuidados imediatos no pós-operatório de cirurgia cardíaca

Cited by 15 publications

References 26 publications

Cuidados pré e pós-operatórios em cirurgia cardiotorácica: uma abordagem fisioterapêutica

Cuidados pré e pós-operatórios em cirurgia cardiotorácica: uma abordagem fisioterapêutica

Perfil de recém-nascidos submetidos à cirurgia cardíaca em hospital privado do Município de São Paulo

Peri-operative chest physiotherapy for paediatric cardiac patients: a systematic review and meta-analysis

Contact Info

Product

Resources

About