Fisioterapia no paciente sob ventilação mecânica

Jerre, George; Silva, Thelso de Jesus; Beraldo, Marcelo A.; Gastaldi, Ada Clarice; Kondo, Claudia; Leme, Fábia; Guimarães, Fernando Silva; Forti, Germano; Lucato, Jeanette Janaina Jaber; Tucci, Mauro R.; Vega, Joaquim M.; Okamoto, Valdelis Novis

doi:10.1590/s1806-37132007000800010

Cited by 53 publications

(45 citation statements)

References 45 publications

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“…Within this context, respiratory physiotherapy has increasingly been requested [40], because it uses techniques capable of improving respiratory mechanics, pulmonary re-expansion and bronchial hygiene [22.41].…”

Section: Resultsmentioning

confidence: 99%

Fisioterapia respiratória na disfunção pulmonar pós-cirurgia cardíaca

Renault¹,

Costa-Val²,

Rossetti

2008

Rev Bras Cir Cardiovasc

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The aim of this study is to make a literature review about the different techniques of respiratory physiotherapy used after cardiac surgery and their effectiveness in reverting pulmonary dysfunction. It has been used as reference publications in English and Portuguese using as keywords thoracic surgery, respiratory exercises, physiotherapy modalities, postoperative complications and coronary artery bypass grafting, contained in the following databases -BIREME, SciELO Brazil, LILACS, PUBMED, from 1997 to 2007. A secondary study through list of references of identified articles also was performed. It has been selected eleven randomized trials (997 patients). Among the articles included in this study, incentive spirometry was used in three; deep breathing exercises in six; deep breathing exercises associated with positive expiratory pressure in four and positive expiratory pressure associated with inspiratory resistance in two. Three studies used intermittent positive pressure breathing. Continuous positive airway pressure and bi-level positive airway pressure has been used in three and two studies respectively. The protocols used in the studies were varied and the co-interventions were present in most of them. The different analyzed variables and the time of postoperatory follow-up make a comparative analysis difficult. Pulmonary dysfunction is evident in the postoperatory period of cardiac surgery. The use of non-invasive ventilation has been associated with good results in the first postoperatory days. Despite the known importance of postoperatory respiratory physiotherapy, until now, there is no consensus in the literature about the superiority of one technique over the others. 563RENAULT, JA ET AL -Respiratory physiotherapy in the pulmonary dysfunction after cardiac surgery Bras Cir Cardiovasc 2008; 23(4): 562-569 Rev METHODS Search StrategyUsing a primary and secondary search strategy, we performed a literature review of the different techniques of respiratory physiotherapy used in the PO of heart surgery and their effectiveness in the reversion of pulmonary dysfunction, using as publications in English and Portuguese as references. The descriptors used were thoracic surgery, respiratory exercises, physiotherapy modalities, postoperative complications and CABG, and were searched for in the following data sources: BIREME, SciELO Brazil, LILACS and PUBMED from 1997 until 2007. We avoided an excess of similar studies. A secondary search through the considered articles' list of references was also performed. Criteria for the selection of studiesRandomized clinical studies were selected for analysis if they had more than 20 patients and adults who had undergone HS, and if they compared different techniques of respiratory physiotherapy, or if they compared these techniques to procedures without respiratory physiotherapy in the PO. We also selected articles about HS and its pulmonary repercussions in order to introduce the subject and provide a stronger theoretical base. Variables analyzedThe analyzed v...

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Section: Resultsmentioning

confidence: 99%

Fisioterapia respiratória na disfunção pulmonar pós-cirurgia cardíaca

Renault¹,

Costa-Val²,

Rossetti

2008

Rev Bras Cir Cardiovasc

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“…It is crucial a better understanding and more research about the resources currently available to reverse the presentation of pulmonary dysfunction associated with heart surgery and its possible effects [17]. Physiotherapy in this context has been increasingly required [19], as it uses techniques able to improve respiratory mechanics, pulmonary reexpansion and bronchial hygiene [15].…”

Section: Discussionmentioning

confidence: 99%

Perfil ventilatório dos pacientes submetidos a cirurgia de revascularização do miocárdio

Morsch¹,

Leguisamo²,

Camargo³

et al. 2009

Rev Bras Cir Cardiovasc

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“…(130) No articles have been published on the role of physiotherapy in tetanus patients. However, there is no evidence that physiotherapy in these patients, if appropriately performed, causes adverse effects.…”

Section: Rationalementioning

confidence: 99%