Manobra de recrutamento alveolar na reversão da hipoxemia no pós-operatório imediato em cirurgia cardíaca

Auler, José Otávio Costa; Nozawa, Emı́lia; Toma, Eliane Kobayashi; Degaki, Karin Lika; Feltrim, Maria Ignêz Z.; Malbouisson, Luíz Marcelo Sá

doi:10.1590/s0034-70942007000500003

Cited by 9 publications

(6 citation statements)

References 23 publications

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“…(1-4) The Third Brazilian Consensus on Mechanical Ventilation complements these findings by stating that atelectasis occurs in dependent areas immediately after the establishment of general anesthesia. (11) These complications are mainly related to decreased mucociliary clearance, (14) decreased lung volume and alveolar collapse.…”

Section: Discussionmentioning

confidence: 99%

“…(1) Complications occur due to decreased mucociliary clearance and reduction of lung capacity and volumes. (4) …”

Section: Introductionmentioning

confidence: 99%

“…(4,8-10) ARM can be performed using different techniques, which consist of increasing the lung volume or pressure and inverting the inspiration-expiration ratio (I:E). (4,8-11) Bittencourt (8) has reported greater effectiveness in increasing the lung volume or pressure when using extrinsic PEEP.…”

Section: Introductionmentioning

confidence: 99%

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Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Pôrto¹,

Tavolaro²,

Kümpel³

et al. 2014

Revista Brasileira De Terapia Intensiva

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Objective To compare the effectiveness of the alveolar recruitment maneuver and the breath stacking technique with respect to lung mechanics and gas exchange in patients with acute lung injury. Methods Thirty patients were distributed into two groups: Group 1 - breath stacking; and Group 2 - alveolar recruitment maneuver. After undergoing conventional physical therapy, all patients received both treatments with an interval of 1 day between them. In the first group, the breath stacking technique was used initially, and subsequently, the alveolar recruitment maneuver was applied. Group 2 patients were initially subjected to alveolar recruitment, followed by the breath stacking technique. Measurements of lung compliance and airway resistance were evaluated before and after the use of both techniques. Gas analyses were collected before and after the techniques were used to evaluate oxygenation and gas exchange. Results Both groups had a significant increase in static compliance after breath stacking (p=0.021) and alveolar recruitment (p=0.03), but with no significant differences between the groups (p=0.95). The dynamic compliance did not increase for the breath stacking (p=0.22) and alveolar recruitment (p=0.074) groups, with no significant difference between the groups (p=0.11). The airway resistance did not decrease for either groups, i.e., breath stacking (p=0.91) and alveolar recruitment (p=0.82), with no significant difference between the groups (p=0.39). The partial pressure of oxygen increased significantly after breath stacking (p=0.013) and alveolar recruitment (p=0.04), but there was no significant difference between the groups (p=0.073). The alveolar-arterial O2 difference decreased for both groups after the breath stacking (p=0.025) and alveolar recruitment (p=0.03) interventions, and there was no significant difference between the groups (p=0.81). Conclusion Our data suggest that the breath stacking and alveolar recruitment techniques are effective in improving the lung mechanics and gas exchange in patients with acute lung injury.

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Section: Discussionmentioning

confidence: 99%

“…(1) Complications occur due to decreased mucociliary clearance and reduction of lung capacity and volumes. (4) …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Pôrto¹,

Tavolaro²,

Kümpel³

et al. 2014

Revista Brasileira De Terapia Intensiva

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“…According to the first blood gas analysis in the intensive care unit (PaO 2 \FiO 2 < 200), the patient was included in the hospital protocol for alveolar recruitment maneuver [3]. In addition, patient’s X-Ray showed an unusual atelectasis in upper right lobe (Figure 2).…”

Section: Case Reportmentioning

confidence: 99%

Alveolar recruitment maneuver in refractory hypoxemia and lobar atelectasis after cardiac surgery: A case report

Herbst-Rodrigues,

Carvalho,

Abrahao

et al. 2012

J Cardiothorac Surg

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Objective: This case report describes an unusual presentation of right upper lobe atelectasis associated with refractory hypoxemia to conventional alveolar recruitment maneuvers in a patient soon after coronary artery bypass grafting surgery. Method: Case-report.Results: The alveolar recruitment with PEEP = 40cmH 2 O improved the patient's atelectasis and hypoxemia. Conclusion: In the present report, the unusual alveolar recruitment maneuver with PEEP 40cmH 2 O showed to be safe and efficient to reverse refractory hypoxemia and uncommon atelectasis in a patient after cardiac surgery.

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“…Inclusion criteria were articles published in Portuguese, English and Spanish from 2007 to 2017, text with availability in its full version, that addressed the physiotherapeutic intervention in the patient with lung cancer, excluding articles that addressed other neoplasms and studies that did not physical therapy. Both Brasil estimam-se 18.740 casos novos de câncer de pulmão entre homens e de 12.530 nas mulheres para cada ano do biênio[2018][2019]. Sem considerar os tumores de pele não melanoma, o câncer de pulmão em homens é o terceiro mais frequente na Região Nordeste (10,37/100 mil)(INCA, 2017).…”

mentioning

confidence: 99%

Levantamento Etnofarmacológico Das Plantas Medicinais Vendidas Em Feiras, Estabelecimentos Comerciais E Mercados, Com Finalidades Para O Sistema Digestivo E Antiinflamátorio Realizado Na Cidade De São Luís – Ma

Motta¹,

Furtado²,

Cardoso³

et al. 2019

Saberes E Competências Em Fisioterapia 3

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Manobra de recrutamento alveolar na reversão da hipoxemia no pós-operatório imediato em cirurgia cardíaca

Cited by 9 publications

References 23 publications

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Alveolar recruitment maneuver in refractory hypoxemia and lobar atelectasis after cardiac surgery: A case report

Levantamento Etnofarmacológico Das Plantas Medicinais Vendidas Em Feiras, Estabelecimentos Comerciais E Mercados, Com Finalidades Para O Sistema Digestivo E Antiinflamátorio Realizado Na Cidade De São Luís – Ma

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