Fisioterapia Na Uti Neonatal: As Razões Médicas Utilizadas Para Prescrição De Fisioterapia

Abstract

Objetivo: Investigar os critérios pelos quais os médicos plantonistas de uma Unidade de Terapia Intensiva Neonatal prescrevem a fisioterapia aos pacientes sob seus cuidados. Métodos: Estudo transversal, realizado junto aos médicos da unidade de terapia intensiva do Hospital Santa Cruz através da aplicação de um questionário estruturado. Resultados: 8 médicos participaram do estudo, sendo 06 do sexo feminino e 2 com especialização profissional em intensivismo. A experiência clínica e a evidência na literatura foram os critérios utilizados para a prescrição de fisioterapia, sendo as alterações respiratórias soberanas quanto aos principais motivos para prescrição médica, seguida de estimulação motora. Conclusões: Os critérios utilizados para a prescrição de fisioterapia se consolidam tanto na prática clínica quanto nas evidências na literatura, persistindo critérios claros específicos em terapia intensiva neonatal.Palavras chave: Fisioterapia, UTI neonatal, prescrição, critériosAim: To investigate the criteria by which doctors in a Neonatal Intensive Care Unit prescribe physiotherapy to patients in their care. Methods: Cross-sectional study conducted together with the medical intensive care unit of Hospital Santa Cruz through the application of a structured questionnaire. Results: 8 physicians participated in the study, 06 female and 2 with professional expertise in intensive care. Clinical experience and evidence in the literature were the criteria used for prescribing physiotherapy and respiratory changes the main reason for prescription, followed by motor stimulation. Conclusions: The criteria for prescribing physiotherapy consolidate both in clinical practice and the evidence in the literature, persisting specific clear criteria in neonatal intensive care.Keywords: physical therapy, neonatal intensive care, prescription, criteria.

Cardiopulmonary and Behavioral Repercussions of Prematures Submitted to Sensory Motor Stimulation in Neonatal Units

“…The doctor is responsible for the patients and when procedures to support the diagnosis are necessary, the rest of the team is called (SILVA et. al, 2019;OLIVEIRA, 2019;FIGUEIROLA et. al, 2018) After a careful assessment of the newborn, the physical therapist is responsible for indicating or contraindicating the physical therapy intervention, as well as defining the resources that will be used in their respiratory conduct and/or sensorimotor stimulation (SMS).…”

“…al, 2018) After a careful assessment of the newborn, the physical therapist is responsible for indicating or contraindicating the physical therapy intervention, as well as defining the resources that will be used in their respiratory conduct and/or sensorimotor stimulation (SMS). Physiotherapy can contribute to the reduction of neonatal morbidity, length of stay and hospital costs (OLIVEIRA, 2019;FIGUEIROLA et. al, 2018).…”