Influência da mobilização precoce na força muscular periférica e respiratória em pacientes críticos

Abstract

Influence of early mobilization on respiratory and peripheral muscle strength in critically ill patients Influência da mobilização precoce na força muscular periférica e respiratória em pacientes críticos ORIGINAL ARTICLE INTRODUCTION Advances in intensive care and mechanical ventilation (MV) in the past two decades have increased critically ill patient survival. However, some patients require prolonged MV (PMV) and are deconditioned due to respiratory insufficiency caused by underlying disease, adverse effects of medications, and prolonged immobilization. (1-3) Patients in the intensive care unit (ICU) are often confined to their beds, which results in inactivity, immobility, and severe osteomyoarticular system dysfunction. (4,5) These changes are predisposing factors for polyneuropathy and/or myopathy in critically ill patients and lead to a 2-to 5-fold increase in MV duration and time for ventilatory weaning. (6) Immobility disproportionately affects respiratory muscles because the mechanical ventilator performs a large amount of the respiratory effort, decreasing the spontaneous ventilation effort. This results in the partial or complete absence of neural activation and muscle

Efeitos dos exercícios funcionais e neuromusculares no tempo de internação e controle pressórico de pacientes hospitalizados

“…Finalmente, apesar da amostra não probabilística e das limitações expostas anteriormente, sugere-se, a partir dos resultados deste estudo, bem como dos de outros estudos 2,22,23 , que os exercícios funcionais e neuromusculares são opção factível, segura…”

“…Para alcançar esses objetivos, existem variações nos procedimentos terapêuticos empregados nas unidades de terapia intensiva e enfermarias 2 .…”

Evaluation of functionality and quality of life in critical patients: case series report

“…These factors contribute to the appearance of polyneuropathy and/or myopathy in critical patient's resulting in functional decline, increased care costs, reduced quality of life (QoL) and post-discharge survival. 1,[3][4][5] Functional independence is translated as an individual's ability to perform their daily living activities (DLA). The autonomy to perform such tasks makes it possible to live alone, however, situations such as chronic diseases, acute, traumatic or surgical pathological processes decrease or even jeopardizes this ability.…”

“…Early mobilization through techniques such as electrostimulation, cycle ergometer and motor kinesiotherapy has been widely used and brings benefits on weaning from the MV, length of stay in the ICU and hospital, loss of muscle function, functional capacity and QoL after hospital discharge. 1,4 …”

Características Dos Pacientes Atendidos Pela Fisioterapia Em Um Hospital Público

“…Cinesioterapia, cicloergômetro, mobilização passiva, sentar na borda da cama, ortostatismo, e deambulação são exemplos de desfechos simples e efetivos executados na mobilização precoce 10,11 .…”