Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público

Abstract

El estudio no tuvo financiamiento y los autores no declaran ningún conflicto de interés

Benefits of Early in Postoperative Cardiac Surgery Patients

“…In 2019, Ramírez JI published a retrospective observational study in which it was concluded that EM in patients undergoing cardiac surgery is a safe and feasible intervention, since there are only significant variations in the first minute of the transitions and then behave without significant changes in the rest of the mobilization. It was interesting to observe that the higher TCEC (already previously described) was a limiting factor for the delay of EM [2]. Another study published in 2020 by Shirvani F, was a randomized, double-blind clinical trial, which concluded that early planned mobilization was effective in reducing delirium in postoperative patients undergoing coronary artery bypass graft [4].…”

“…Ribeiro et al, found a global mortality rate of 8%, having pulmonary complications as one of its main causes. Early mobilization and respiratory physiotherapy are key factors for its prevention [2].…”

“…In the past, the mobility of patients undergoing cardiac surgery was restricted in order to reduce cardiac overload. Currently, multiple studies emphasize the importance of Early Mobilization (EM) [3] in the prevention of postoperative complications, improvement in functional capacity; reduction in hospital stay of patients, duration of delirium, use of Mechanical Ventilation (MV) and significant contribution to functional independence [2]. Despite this, there is no consensus regarding the onset time, types of mobilization, intensity, duration, hemodynamic and respiratory behavior and the impact of extracorporeal circulation time (ECT) on it.…”

“…Achieving the bipedal with adequate orthostatic tolerance is gravitating to advance to new functional activities such as ambulation [2]. Articles have been described on the benefits of EM in adult patients after cardiac surgery.…”