Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Abstract

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.

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

“…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].…”

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

“…Anyway, the role of physiotherapy has acquired credibility and autonomy in the CCPO, regardless of the postoperative day, but linked to the clinical presentation of the child [48].…”

“…The clinical and demographic characteristics of children undergoing cardiac surgery, as well as the prevalence of pulmonary complications, were studied by Borges et al [48]. The sample of 37 children came from the university hospital of Maranhão, with a predominance of girls and diseases that are considered low risk, with emphasis on the PDA, IVC and IAC.…”

Associação entre as complicações pulmonares e fatores predisponentes em cirurgias cardiopediátricas

“…As cardiopatias congênitas estão entre as anormalidades mais comuns ao nascimento, com etiologia multifatorial. No Brasil, estimamse cerca de 30 mil casos por ano, sendo necessária intervenção cirúrgica na maioria destes casos 1 . O período neonatal é o mais crítico para a criança com cardiopatias congênitas, devido à gravidade da afecção e das mudanças fisiológicas do sistema circulatório.…”