Noninvasive mechanical ventilation in the postoperative cardiac surgery period: update of the literature

Ferreira, Lucas Lima; Souza, Naiara Maria de; Ricci‐Vitor, Ana Laura; Bernardo, Aline Fernanda Barbosa; Valenti, Vítor Engrácia; Vanderlei, Luiz Carlos Marques

doi:10.5935/1678-9741.20120074

Cited by 8 publications

(5 citation statements)

References 17 publications

(15 reference statements)

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“…Table 1 shows the length of stay in the ICU and total hospital stay times of the experimental and control groups. Regarding the ICU times, the length of stay for the experimental group length was 3 days 2 , 3 , and the length of stay for the control group was 3 days 2 , 3 ( p =0.41). In relation to hospitalization times, the length of stay for the experimental group was 7 days 7 , 9 , and the length of stay for the control group was 8 days 6 , 5 , 8 ( p =0.55).…”

Section: Resultsmentioning

confidence: 96%

Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial

Araújo-Filho¹,

Cerqueira-Neto²,

Cacau³

et al. 2017

Clinics

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OBJECTIVE:During cardiac surgery, several factors contribute to the development of postoperative pulmonary complications. Non-invasive ventilation is a promising therapeutic tool for improving the functionality of this type of patient. The aim of this study is to evaluate the functional capacity and length of stay of patients in a nosocomial intensive care unit who underwent prophylactic non-invasive ventilation after heart valve replacement.METHOD:The study was a controlled clinical trial, comprising 50 individuals of both sexes who were allocated by randomization into two groups with 25 patients in each group: the control group and experimental group. After surgery, the patients were transferred to the intensive care unit and then participated in standard physical therapy, which was provided to the experimental group after 3 applications of non-invasive ventilation within the first 26 hours after extubation. For non-invasive ventilation, the positive pressure was 10 cm H2O, with a duration of 1 hour. The evaluation was performed on the 7th postoperative day/discharge and included a 6-minute walk test. The intensive care unit and hospitalization times were monitored in both groups. Brazilian Registry of Clinical Trials (REBeC): RBR number 8bxdd3.RESULTS:Analysis of the 6-minute walk test showed that the control group walked an average distance of 264.34±76 meters and the experimental group walked an average distance of 334.07±71 meters (p=0.002). The intensive care unit and hospitalization times did not differ between the groups.CONCLUSION:Non-invasive ventilation as a therapeutic resource was effective toward improving functionality; however, non-invasive ventilation did not influence the intensive care unit or hospitalization times of the studied cardiac patients.

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Section: Resultsmentioning

confidence: 96%

Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial

Araújo-Filho¹,

Cerqueira-Neto²,

Cacau³

et al. 2017

Clinics

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“…BiPAP delivers CPAP coupled with support pressure during the inspiratory cycle. 20, 21 In patients undergoing CABG, postoperative lung capacity oxygenation and atelectasis in patients under BiPAP improved more than in those under CPAP. 12,13 ASV is a novel ventilation mode of BiPAP, which automatically controls the inspiratory rise time, the I:E ratio respiratory rate, and minute ventilation through an algorithm that adjusts these parameters based on samples obtained from the patient's prior breathing pattern.…”

Section: Intraoperative Factorsmentioning

confidence: 99%

Efficacy of Cardiopulmonary Rehabilitation With Adaptive Servo-Ventilation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Tashiro

Takahashi

Takasaki

et al. 2015

Circ J

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“…Following the standardized hospital protocol, all participants will perform exercises with bi-level positive airway pressure 41,42 (BIPAP ® Synchrony) with orofacial interfaces from 30 to 60 min immediately after tracheal extubation according to the needs of each patient.…”

Section: Methodsmentioning

confidence: 99%

“…A total of 52 patients will be randomly allocated to one of two groups: CG, which will perform a supervised respiratory exercise program (usual care), and IG, which will receive the same respiratory exercise program combined with an early mobilization program (Table 1). Following the standardized hospital protocol, all participants will perform exercises with bi-level positive airway pressure 41,42 (BIPAP ® Synchrony) with orofacial interfaces from 30 to 60 min immediately after tracheal extubation according to the needs of each patient.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of an early mobilization program on functional capacity after coronary artery bypass surgery: A randomized controlled trial protocol

Torres

Santos

Reis³

et al. 2016

SAGE Open Medicine

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Background:Muscle atrophy and prolonged inactivity are associated with an increased sensation of fatigue and reduced functional capacity in the postoperative period in patients undergoing coronary artery bypass grafting. Cardiac rehabilitation after hospital discharge is highly recommended and contributes to improvement in functional capacity and quality of life. However, few studies have evaluated the effectiveness of early mobilization protocols during hospitalization on the patterns of physical activity and functional capacity after coronary artery bypass grafting.Objective:To investigate the effectiveness of an early mobilization program on the functional capacity of patients undergoing coronary artery bypass grafting in the short and long term.Methods:This is a prospective, randomized, controlled, single-blind trial protocol that will evaluate 66 consecutive patients undergoing coronary artery bypass grafting. Patients will be randomized into two training groups: the control group (N = 33), which will perform breathing exercises and the intervention group (N = 33), which will perform breathing exercises and aerobic exercises. The groups will receive treatment from first to the seventh postoperative day, twice daily. In the preoperative period, the following outcomes will be assessed: physical activity level (Baecke Questionnaire), Functional Independence Measure, and functional capacity (6-min walking test). Functional capacity will be reassessed after the 7th and 60th postoperative day. Pulmonary complications and length of hospital stay will also be evaluated. Statistical analysis will be calculated using linear mixed models and will be based on intention-to-treat. The level of significance will be set at α = 5%.

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Noninvasive mechanical ventilation in the postoperative cardiac surgery period: update of the literature

Cited by 8 publications

References 17 publications

Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial

Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial

Efficacy of Cardiopulmonary Rehabilitation With Adaptive Servo-Ventilation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Effectiveness of an early mobilization program on functional capacity after coronary artery bypass surgery: A randomized controlled trial protocol

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