Fatores associados ao insucesso no desmame ventilatório de crianças submetidas a cirurgia cardíaca pediátrica

Silva, Zuleica Menezes; Pérez, A Usarralde; Pinzon, Anelise Dentzien; Ricachinewsky, Claudia Pires; Rech, Daniele Ruzzante; Lukrafka, Janice Luísa; Rovedder, Paula Maria Eidt

doi:10.1590/s0102-76382008000400008

Cited by 14 publications

(21 citation statements)

References 20 publications

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“…Felcar et al [19], in an already mentioned study, found a 34% incidence of pulmonary complications in children subjected to cardiac surgery, and pneumonia was the most common one with 14.8%. Linhua et al [21], in a survey with 311 children aged up to 1 year old, subjected to congenital heart disease surgical correction, found an incidence of 21.5% for pneumonia.…”

Section: Discussionmentioning

confidence: 90%

“…Felcar et al [19], in a study with 135 children subjected cardiac surgery , divided into two groups, one subjected to pre and postoperative physiotherapy and the other one only to postoperative, had a median duration of mechanical ventilation equal to 36 hours (8 -288) and 35.8 hours (7 -204). In turn, Silva et al [20], working with 29 children subjected to cardiac surgery found a mechanical ventilation average time of 3.43 days in those who did not require ventilator support after 48 hours of extubation.…”

Section: Discussionmentioning

confidence: 99%

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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: 90%

Section: Discussionmentioning

confidence: 99%

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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“…Despite the modernization of the procedures used in cardiac surgery, pulmonary function is still affected and postoperative pulmonary complications are still a significant cause of mortality and morbidity in the postoperative period [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Avaliação da ventilação não-invasiva com dois níveis de pressão positiva nas vias aéreas após cirurgia cardíaca

Franco¹,

Torres²,

Simon³

et al. 2011

Rev Bras Cir Cardiovasc

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“…It is estimated that every year in Brazil, there is the appearance of approximately 28 000 new cases of heart diseases, which are needed for the same period, an estimated 23,000 surgical procedures to repair congenital defects only [1]. Records show that 50% of cases require further surgery in the 1st year of life [2][3][4]. Tetralogy of Fallot, pulmonary valve stenosis, transposition of great vessels or of the great arteries (TGA), patent ductus arteriosus (PDA), aortic coarctation and interauricular (IAC) or interventricular communication (IVC) are among the most common need corrections [5,6].…”

Section: Introductionmentioning

confidence: 99%

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

Silva¹,

Feuser²,

Silva³

et al. 2011

Rev Bras Cir Cardiovasc

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This study aims to gather and present scientific evidence on the role of a physiotherapist in the pre, peri and postoperative of pediatric cardiac surgery. This professional is able to prevent, minimize or reverse possible respiratory dysfunction and motor sequelae resulting from these interventions. Studies discuss the involvement of respiratory system, specifically the clearance of bronchial secretions and ventilatory adequacy, as a result of surgical procedure. Scientific evidences suggest the effectiveness of physiotherapy in reducing indices of: pneumonia, atelectasis, hospitalization, sequelae deleterious, and length of bed restriction, beyond clinical improvement. These data confirm positive contribution of physiotherapeutic intervention in these surgeries.Descriptors: Physical Therapy Modalities. Cardiac Surgical Procedures. Heart Defects, Congenital. ResumoO objetivo deste estudo é reunir e apresentar evidências científicas sobre a atuação do fisioterapeuta nos períodos pré, peri e pós-operatório da cirurgia cardíaca pediátrica. Esse profissional está habilitado a prevenir, minimizar e reverter possíveis disfunções respiratórias e sequelas motoras decorrentes dessas intervenções. Estudos discutem o comprometimento do sistema respiratório, especificamente do clearance de secreção brônquica e da adequação ventilatória, resultantes do procedimento cirúrgico, havendo evidências científicas quanto à eficácia da fisioterapia na redução: dos índices de pneumonias, atelectasias, período de internação, sequelas deletérias, tempo de restrição ao leito, além da melhora clínica. Esses dados atestam a contribuição positiva da intervenção fisioterapêutica nessas cirurgias. Rev Bras Cir Cardiovasc 2011;26(2):264-72 Descritores

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Fatores associados ao insucesso no desmame ventilatório de crianças submetidas a cirurgia cardíaca pediátrica

Cited by 14 publications

References 20 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

Avaliação da ventilação não-invasiva com dois níveis de pressão positiva nas vias aéreas após cirurgia cardíaca

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

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