Pulmonary function assessment in children and teenagers before and after surgical treatment for rheumatic valve disease

Caséca, Michele B.; Andrade, Lívia Barboza de; Britto, Murilo Carlos Amorim de

doi:10.2223/jped.1462

Cited by 6 publications

(8 citation statements)

References 23 publications

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“…The comparison of respiratory function variables intragroup over time in this study confirms the findings of the study by Caséca et al 13 , a prospective study that evaluated children who underwent mitral valve replacement or reconstruction. The authors demonstrated that PEF and lung volume and capacity values evaluated in the post-operative period, except MV, remained significantly deteriorated from the 1 st to the 5 th POD compared to pre-operative values.…”

Section: Discussionsupporting

confidence: 91%

“…The authors demonstrated that PEF and lung volume and capacity values evaluated in the post-operative period, except MV, remained significantly deteriorated from the 1 st to the 5 th POD compared to pre-operative values. In the present study, only MIP returned to pre-operative values on the 5 th POD, a variable that was not analyzed in the study by Caséca et al 13 cited above.…”

Section: Discussionmentioning

confidence: 62%

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Effectiveness of prophylactic non-invasive ventilation on respiratory function in the postoperative phase of pediatric cardiac surgery: a randomized controlled trial

Silva¹,

Andrade²,

Maux³

et al. 2016

Braz. J. Phys. Ther.

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ObjectiveTo evaluate the effectiveness of prophylactic, non-invasive ventilation (NIV) on respiratory function in seven- to 16-year-old children in the post-operative phase of cardiac surgery.MethodA randomized, controlled trial with 50 children who had undergone cardiac surgery with median sternotomy. After extubation, patients were randomly assigned to one of two groups: control group (n=26), which received instructions regarding posture, early ambulation, and cough stimulation, and CPAP group (continuous positive airway pressure; n=24), which received the same instructions as the control group and CPAP=10 cmH20 twice daily for 30 minutes from the 1st to the 5th post-operative day (POD). As a primary outcome, lung function was evaluated before and on the 1st, 3rd, and 5th PODs with measures of respiratory rate (RR), tidal volume (TV), slow vital capacity (SVC), inspiratory capacity (IC), minute volume (MV), peak expiratory flow (PEF), and maximal inspiratory pressure (MIP). As secondary outcomes, the time of hospitalization and intensive care were recorded. A mixed, linear regression model and z-test were used to analyze respiratory function, considering p<0.05.ResultsAll variables, except RR and MV, showed a significant drop on the 1st POD, with gradual recovery; however, only MIP had returned to pre-operative values on the 5th POD in both groups. The RR showed a significant increase on the 1st POD, with a gradual reduction but without returning to baseline. In the intergroup analysis, significant improvement (p=0.04) was observed only in PEF in the CPAP group on the 1st DPO. The length of hospitalization and intensive care showed no significant differences.ConclusionNIV was safe and well accepted in this group of patients, and the protocol used was effective in improving PEF on the 1st DPO in the CPAP group.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 62%

Effectiveness of prophylactic non-invasive ventilation on respiratory function in the postoperative phase of pediatric cardiac surgery: a randomized controlled trial

Silva¹,

Andrade²,

Maux³

et al. 2016

Braz. J. Phys. Ther.

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“…The spirometric parameters were interpreted on the basis of the equations devised by Pereira et al (11) A Wright spirometer (British Oxygen Company, London, UK) was attached to the incentive spirometer and to the BS mask, allowing the inspiratory volume to be measured during the procedures. (12) Postoperative risk Figure 2 shows the mean inspiratory volumes for the two groups at the various time points evaluated. In the IS and BS groups, inspiratory volume was significantly lower on postoperative day 1 than in the preoperative evaluation (0.82 L vs. 2.29 L and 1.34 L vs. 2.56 L, respectively; p < 0.001 for both).…”

Section: Resultsmentioning

confidence: 99%

Três protocolos fisioterapêuticos: efeitos sobre os volumes pulmonares após cirurgia cardíaca

Dias¹,

Vieira

Oliveira

et al. 2011

J. bras. pneumol.

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Objective: To evaluate inspiratory volume in patients undergoing cardiac surgery and to determine the effects that incentive spirometry (IS) and the breath stacking (BS) technique have on the recovery of FVC in such patients. Methods: A prospective, controlled, randomized clinical trial involving 35 patients undergoing cardiac surgery at the Hospital de Força Aérea do Galeão (HFAG, Galeão Air Force Hospital), in the city of Rio de Janeiro, Brazil. The patients, all of whom performed mobilization and cough procedures, were randomly divided into three groups: exercise control (EC), performing only the abovementioned procedures; IS, performing the abovementioned procedures and instructed to take long breaths using an incentive spirometer; and BS, performing the abovementioned procedures, together with successive inspiratory efforts using a facial mask coupled to a unidirectional valve. Forced spirometry was carried out in the preoperative period and on postoperative days 1 to 5. During the maneuvers, inspiratory volume was measured in the IS and BS groups. ResumoObjetivo: Avaliar o volume inspiratório e os efeitos da espirometria de incentivo (EI) e da técnica breath stacking (BS) sobre a CVF em pacientes submetidos a cirurgia cardíaca. Métodos: Estudo prospectivo controlado e randomizado com 35 pacientes submetidos a cirurgia cardíaca no Hospital de Força Aérea do Galeão, Rio de Janeiro (RJ). Todos os pacientes realizaram procedimentos de mobilização e tosse e foram randomicamente alocados em três grupos: grupo exercício controle (EC), que realizou somente esses procedimentos; grupo EI, que realizou inspirações profundas utilizando um espirômetro de incentivo; e grupo BS, que realizou esforços inspiratórios sucessivos utilizando uma máscara facial acoplada a uma válvula unidirecional. A espirometria forçada foi realizada no período pré-operatório e do primeiro ao quinto dia de pós-operatório. O volume inspiratório foi medido durante as manobras nos grupos EI e BS. Resultados: No primeiro dia de pós-operatório, a CVF diminuiu significativamente em todos os grupos (EC: 87,1 vs. 32,0%; EI: 75,3 vs. 29,5%; e BS: 81,9 vs. 33,2%; p < 0.001 para todos) assim como o volume inspiratório nos grupos EI e BS (EI: 2,29 vs. 0,82 L; e BS: 2,56 vs. 1,34 L, p < 0.001 para ambos). Do primeiro ao quinto dia de pós-operatório, a CVF apresentou recuperação parcial independentemente do protocolo (EC: 32,0 vs. 51,3%; EI: 29,5 vs. 46,7%; e BS: 33,3 vs. 54,3%; p < 0.001 para todos). Durante o período pós-operatório avaliado, o volume inspiratório foi significativamente maior no grupo BS do que no EI. Conclusões: Os protocolos foram equivalentes no que se refere à recuperação da CVF nos primeiros cinco dias de pós-operatório. Quando comparada à EI, a técnica BS promoveu maiores volumes inspiratórios nesta amostra de pacientes submetidos à cirurgia cardíaca.

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“…The only study in the literature addressing lung function of children and adolescents with rheumatic heart disease reported spirometry values below expectations, but subjects had been evaluated in pre- and postoperative periods of heart surgery, which may have affected the results negatively. 27 …”

Section: Discussionmentioning

confidence: 99%

Tolerância Ao Exercício, Função Pulmonar, Força Muscular Respiratória E Qualidade De Vida Em Crianças E Adolescentes Com Cardiopatia Reumática

Melo

Lira

Lima

et al. 2018

Rev. paul. pediatr.

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Objective: Despite the high prevalence of rheumatic heart disease in Brazil, the occurrence of functional impairment in children and adolescents with rheumatic heart disease is not clear. The aim of this study was to evaluate exercise tolerance, respiratory muscle strength, lung function, and quality of life of children and adolescents with rheumatic heart disease. Methods: Cross-sectional study, conducted from August to December 2014 with children and adolescents with rheumatic heart disease aged 8 to 16 years. The participants, after completing the socioeconomic, clinical, and quality of life questionnaires were tested by spirometry, manovacuometry and in a 6-minute walk test. The variables and their reference values were compared using the paired Student’s t-test. Comparisons between predicted and observed walking distance were done also by Student’s t-test, consdiering the categorization of the participants. Correlations between these differences and quantitative variables were assessed by Pearson’s coefficient, being significant p<0.05. Results: All 56 participants had a walked distance lower than predicted (p<0.001). The differences between predicted and observed distances were positively correlated with the baseline heart rate (r=0.3545; p=0.007). Expiratory muscle strength was also lower than the predicted values (p<0,001). Regarding quality of life assessment, the mean scores were 70, 77 and 67% for general, physical, and psychosocial aspects, respectively. Conclusions: Children and adolescents with rheumatic heart disease have reduced exercise tolerance, which is related to their higher baseline heart rate; they also show impaired expiratory strength and quality of life.

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Pulmonary function assessment in children and teenagers before and after surgical treatment for rheumatic valve disease

Cited by 6 publications

References 23 publications

Effectiveness of prophylactic non-invasive ventilation on respiratory function in the postoperative phase of pediatric cardiac surgery: a randomized controlled trial

Effectiveness of prophylactic non-invasive ventilation on respiratory function in the postoperative phase of pediatric cardiac surgery: a randomized controlled trial

Três protocolos fisioterapêuticos: efeitos sobre os volumes pulmonares após cirurgia cardíaca

Tolerância Ao Exercício, Função Pulmonar, Força Muscular Respiratória E Qualidade De Vida Em Crianças E Adolescentes Com Cardiopatia Reumática

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