Comportamento da mecânica pulmonar após a aplicação de protocolo de fisioterapia respiratória e aspiração traqueal em pacientes com ventilação mecânica invasiva

Rosa, Fernanda Kusiak da; Roese, Claudia Adegas; Savi, Augusto; Dias, Alexandre Simões; Monteiro, Mariane Borba

doi:10.1590/s0103-507x2007000200005

Cited by 23 publications

(27 citation statements)

References 5 publications

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“…In another study, using MRC for 10 minnutes, TV did not significantly change, however, patients were submitted to different ventilation modes. (20) SpO 2 increased significantly after MRC, and did not exhibit the same behavior when carried out with PEEP-ZEEP. Likewise, Rodrigues (9) did not find significant change after application of PEEP-ZEEP in patients with bronchial hypersecretion.…”

Section: Discussionmentioning

confidence: 81%

“…Another study did not detect a significant difference of Cdyn after application of MRC, which may be associated to the variety of base diseases. (20) The Cst increased significantly after 30 minutes of application of both techniques (p=0.002), when compared to the respective MO. Another study that used PEEP-ZEEP found a decrease of Cst after 30 minutes.…”

Section: Discussionmentioning

confidence: 87%

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Efeitos da compressão torácica manual versus a manobra de PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes submetidos à ventilação mecânica invasiva

Santos¹,

Júnior²,

Forgiarini³

et al. 2009

Rev. bras. ter. intensiva

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 87%

Efeitos da compressão torácica manual versus a manobra de PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes submetidos à ventilação mecânica invasiva

Santos¹,

Júnior²,

Forgiarini³

et al. 2009

Rev. bras. ter. intensiva

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“…Rosa et al [23] pointed out that, after the implementation of a service protocol (manual chest compression during expiration, manual hyperinflation, instillation of saline solution and tracheal aspiration), the SpO 2 values remained above the base value for up to two hours. After calculating several variables, a significant reduction in airway resistance after Bronchial Hygiene Therapy was observed when compared to the control group (in which only tracheal aspiration was performed).…”

Section: Patients On Long-term MVmentioning

confidence: 99%

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

Arcêncio¹,

Souza²,

Bortolin³

et al. 2008

Rev Bras Cir Cardiovasc

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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.

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“…Artigo originAl INTRODUÇÃO Nas unidades de terapias intensivas (UTIs) grande parte dos pacientes acaba por necessitar da utilização da ventilação mecânica invasiva (VMI) 1,2 , de forma a dar um suporte à função ventilatória comprometida 3,4 . No entanto, para sua aplicabilidade é necessária a utilização de via aérea artificial, cujas próteses são o tubo orotraqueal (TOT) ou a cânula de traqueostomia 1,5 .…”

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“…A pressão gerada pelo balonete (cuff) sobre a mucosa traqueal pode sofrer variação e isso ocorre devido ao tamanho e as mudanças na posição do tudo orotraqueal e alterações no tônus da musculatura da traquéia 1,6 . A mucosa da árvore traqueobrônquica é muito delicada, sendo constituída de uma única camada epitelial de células ciliadas, cujo contato, mesmo que mínimo, determina lesões em curtos períodos 2,3,[7][8][9][10][11][12] . Por causa destas especificidades é comum encontrar lesões devido à pressão produzida pelo balonete que são caracterizadas por edema celular, estenose traqueal, perda de cílios, hemorragia, ulceração, descamação do epitélio e necrose, isso quando a pressão de cuff está acima de 30 cmH 2 O 13 .…”

unclassified

Pressão do cuff em pacientes em ventilação mecânica – relação com a mudança de decúbito

et al. 2017

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Comportamento da mecânica pulmonar após a aplicação de protocolo de fisioterapia respiratória e aspiração traqueal em pacientes com ventilação mecânica invasiva

Cited by 23 publications

References 5 publications

Efeitos da compressão torácica manual versus a manobra de PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes submetidos à ventilação mecânica invasiva

Efeitos da compressão torácica manual versus a manobra de PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes submetidos à ventilação mecânica invasiva

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

Pressão do cuff em pacientes em ventilação mecânica – relação com a mudança de decúbito

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