O escore de risco ajustado para cirurgia em cardiopatias congênitas (RACHS-1) pode ser aplicado em nosso meio?

Nina, Rachel Vilela de Abreu Haickel; Gama, Mônica Elinor Alves; Santos, Alcione Miranda dos; Nina, Vinicius José da Silva; Neto, José Albuquerque de Figueiredo; Mendes, Vinícius Giuliano Gonçalves; Lamy, Zeni Carvalho; Brito, Luciane Maria de Oliveira

doi:10.1590/s0102-76382007000400008

Cited by 25 publications

(24 citation statements)

References 15 publications

(23 reference statements)

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“…Most patients included in this study were in school age (> 5 to 10 years old), different from the work performed by Nina et al [10], in the same Institution, with 145 patients under the age of 18 years old, with congenital heart diseases and subjected to cardiac surgery in the years of 2001 to 2004, where there was a predominance of lower aged patients, and most of them were between 1 to 5 years old. A study performed by Boethig et al [11] in a developed country showed a significant percentage for neonates and sucking infants (<1 year old) subjected to cardiac surgery.…”

Section: Discussionmentioning

confidence: 62%

Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Borges

Sousa²,

Silva³

et al. 2010

Rev Bras Cir Cardiovasc

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Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitárioPulmonary complications in pediatric cardiac surgery at a university hospital Federal Abstract Objective: To identify the prevalence of pulmonary complications in children subjected to cardiac surgery, as well as demographic and clinical characteristics of the studied population.Methods: The sample comprised 37 children of both genders, subjected to cardiac surgery at the Hospital Universitário Presidente Dutra, São Luis (MA), during the year of 2007. Patients who had pre-operative pulmonary disease, patients with neurological disorders, intra-operative death besides lack of data in medical records were not included. The data were obtained from data collection of medical and nursing developments of the respective medical records.Results: The population of the study was predominantly composed by female children, from the countryside and at school age. Pathologies considered as low risk were the majority, highlighting the patent ductus arteriosus, ventricular septal defect and interatrial septal defect. It was observed that most children used cardiopulmonary bypass for over 30 minutes, with a median of 80 minutes, suffered a median sternotomy, using only the mediastinal drain and made use of postoperative mechanical ventilation, with the median of about 6.6 hours. Only 8.1%, in other words, three patients developed pulmonary complications, and of those, two died.Conclusion: Most of the sample children was female, school aged and from the countryside. The low time of cardiopulmonary bypass and mechanical ventilation, in addition to congenital heart diseases with low risk, may have been factors that contributed to the low rate of postoperative pulmonary complications.Descriptors: Congenital Heart Diseases. Surgery. Postoperative Complications.

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Section: Discussionmentioning

confidence: 62%

Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Borges

Sousa²,

Silva³

et al. 2010

Rev Bras Cir Cardiovasc

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“…It is important therefore to identify the preoperative period, patients with higher risk of postoperative complications, because it is high the number of variables that can interfere with a surgical procedure [19]. Several scales and scores can be used in the evaluation processes involved in cardiorrhespiratory rehabilitation in cardiac surgery.…”

Section: Reviewmentioning

confidence: 99%

Fisioterapia respiratória e sua aplicabilidade no período pré-operatório de cirurgia cardíaca

Miranda¹,

Padulla²,

Bortolatto³

2011

Rev Bras Cir Cardiovasc

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ResumoProcedimentos cirúrgicos torácicos podem alterar a mecânica respiratória, repercutindo na função pulmonar. A presença de profissionais fisioterapeutas é fundamental no preparo e na reabilitação dos indivíduos que são submetidos à cirurgia cardíaca, visto que dispõem de um grande arsenal de técnicas. O objetivo foi verificar a efetividade de exercícios respiratórios, com e sem a utilização de dispositivos, e o treinamento muscular respiratório pré-cirurgia cardíaca na redução das complicações pulmonares pós-operatórias. Mesmo existindo controvérsias a respeito de qual técnica utilizar, estudos demonstram a eficácia da fisioterapia respiratória pré-cirúrgica na prevenção e na redução de complicações pulmonares pós-operatórias. Descritores

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“…Heart surgeries associated with CPB have as adverse effect the increased capillary permeability that causes edema, which results in decreased lung compliance and gas exchange [9], in addition to lead to airway obstruction, atelectasis, decreased functional residual capacity and, therefore, hypoxemia [4].…”

Section: Pulmonary Complications In Pediatric Cardiac Surgerymentioning

confidence: 99%

Importância da fisioterapia no pré e pós-operatório de cirurgia cardíaca pediátrica

Cavenaghi

Moura

Silva

et al. 2009

Rev Bras Cir Cardiovasc

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O escore de risco ajustado para cirurgia em cardiopatias congênitas (RACHS-1) pode ser aplicado em nosso meio?

Abstract: Although the RACHS-1 is easily applicable, it can not be applicable in our scenario because it takes into account only the surgical procedure as a categorized variable, not considering others factors presented in our scenario that could interfere in the final surgical result.

Cited by 25 publications

References 15 publications

Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Fisioterapia respiratória e sua aplicabilidade no período pré-operatório de cirurgia cardíaca

Importância da fisioterapia no pré e pós-operatório de cirurgia cardíaca pediátrica

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