INCENTIVADORES RESPIRATRIOS PDF

J Romanini et al. Entretanto, Oikkonen et al. Matte et al. Pazzianoto et al.

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J Romanini et al. Entretanto, Oikkonen et al. Matte et al. Pazzianoto et al. Em contrapartida, Mendes et al. Concluiu-se que nos dois grupos a frequncia do aparecimento de atelectasia foi a mesma, sendo que com a CPAP a queda da PaO2 ocorreu mais lentamente, porm no evitou o seu aparecimento.

Lopes et al. Diante do exposto, sugere-se que a presso positiva apresenta benefcios superiores fisioterapia convencional e ao IR44,51,52 no PO de CC. Faz-se necessrio citar um estudo referente melhor evidncia sobre o uso da VNI comparado fisioterapia convencional para pacientes submetidos cirurgia de resseco pulmonar, foi demonstrado que a associao de ambas as tcnicas mais favorvel para recuperao respiratria e preveno das complicaes pulmonares que podem ocorrer no PO.

Contudo, no existem evidncias acerca da melhor tcnica a ser utilizada. Portanto, so necessrios novos estudos que busquem a comparao das trs modalidades de VNI com padronizao do perodo de aplicao e a incluso de maior nmero de pacientes submetidos a CC. Ressalte-se que todas as tcnicas estudadas mostraram-se teis na recuperao da funo pulmonar no PO. Finalmente, deve-se salientar a necessidade de estudos que avaliem no somente a efetividade das tcnicas, mas incluam a anlise comparativas de custo-benefcio, j que cada vez mais se pensa em otimizar benefcios e reduzir custos.

ABSTRACT Introduction: Postoperative pulmonary complications in patients undergoing cardiac surgeries are usually a clinical challenge, which can be prevented and treated with specific physical therapy techniques.

However, it is not known which technique is the most effective. Objective: Literature review with the objective of assessing the effectiveness of positive pressure CPAP, IPPB, NIV-2P compared to standard physioterapy therapy and incentive spirometry on improving pulmonary function in postoperative cardiac surgery patients.

Only randomized clinical trials were included. Results: Ten randomized control trials were included in this review. In other two studies, NIV-2P were more effective than nasal oxygen catheter and standard physioterapy. Conclusion: There is no evidence in the literature about the most effective physiotherapy technique. Also, it is not known if the association of positive pressure, standard physioterapy and incentive spirometry can be more effective.

It is important to emphasize that no selected study compared the three modalities of positive pressure. Keywords: Thoracic Surgery. Postoperative Complications. Physical Therapy Specialty. PositivePressure Respiration. Myocardial Revascularization. Tcnicas de fisioterapia respiratria aps cirurgia cardaca Referncias 1. Fenelli A, Sofia RR. Estudo comparativo de pacientes submetidos cirurgia cardaca com e sem circulao extracorprea, quanto ao tempo de intubao orotraqueal.

Global burden of coronary heart disease. In: Mackay J, Mensah G, eds. Atlas of Heart Disease and Stroke Bypassing the pump: changing practices in coronary artery surgery. Respiratory physiotherapy in the pulmonary dysfunction after cardiac surgery. Rev Bras Cir Cardiovasc. Preoperative plasma levels of soluble tumor necrosis factor receptor type I sTNF-RI predicts adverse events in cardiac surgery. Eficcia da interveno fisioteraputica associada ou no respirao por presso positiva intermitente RPPI aps cirurgia cardaca com circulao extracorprea.

Rev Movimento. II Diretriz sobre o tratamento do infarto agudo do miocrdio. Arq Bras Cardiol. Three physiotherapy protocols: effects on pulmonary volumes after cardiac surgery. J Bras Pneumol. The effectiveness of incentive spirometry with physical therapy for high-risk patients after coronary artery bypass surgery. Physical therapy. Relation between respiratory muscle strength with respiratory complication on the heart surgery.

Respiratory muscle training in patients submitted to coronary arterial bypass graft. Cuidados pr e ps-operatrios em cirurgia cardiotorcica: uma abordagem fisioteraputica. Continuous positive airway pressure versus noninvasive pressure support ventilation to treat atelectasis after cardiac surgery.

Anesth Analg. Clinical Investigations pre and postoperative pulmonsry function abnormalities in coronary artery revascularization surgery Chest.

Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy. Scand Cardiovasc J. Frequency and predictors of return to incentive spirometry volume baseline after cardiac surgery. Prog Cardiovasc Nurs.

Ventilao No-Invasiva no ps-operatrio de cirurgias abdominais e cardacas - reviso da Literatura. Rev Bras Fisioter. Orman J, Westerdahl E. Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic review. Acta Anaesthesiol Scand. Respiratory physiotherapy and incidence of pulmonary complications in off-pump coronary artery bypass graft surgery: an observational follow-up study. BMC Pulm Med. Evaluation of pulmonary function in patients following on- and off-pump coronary artery bypass grafting.

Braz J Cardiovasc Surg. Effetiveness of a preoperative physiotherapeutic approach in myocardial revascularization. Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Rev costarric cardiol. Estudo das complicaes pulmonares e do suporte ventilatrio no invasivo no psoperatrio de cirurgia cardaca.

Rev Med Minas Gerais. Revascularizao miocrdica em pacientes octagenrios: estudo retrospectivo e comparativo entre pacientes operados com e sem circulao extracorprea.

Rev Bras Anestesiol. Evidence for inflammatory responses of the lungs during coronary artery bypass grafting with cardiopulmonary bypass. Comparison between deep breathing exercises and incentive spirometry after CABG surgery. Pulmonary effects of noninvasive ventilation combined with the recruitment maneuver after cardiac surgery. Prospective randomized study of early pulmonary evaluation of patients scheduled for aortic valve surgery performed by ministernotomy or total median sternotomy.

J Cardiothorac Vasc Anesth. Benefits of non-invasive ventilation after estubation in the postoperative period of heart surgery. The effects of intermittent positive pressure and incentive spirometry in the postoperative of myocardial revascularization. Estudo comparativo entre a presso positiva intermitente Reanimador de Muller e contnua no ps-operatrio de cirurgia de revascularizao do miocrdio. Postoperative pain as a contributor to pulmonary function impairment in patients submitted to heart surgery.

Conti VR. Pulmonary injury after cardiopulmonary bypass. Pulmonary function after coronary artery bypass surgery. Respir Med. Efeitos do local de insero do dreno pleural na funo pulmonar no ps-operatrio de cirurgia de revascularizao do miocrdio. Respiratory dysfunction after uncomplicated cardiopulmonary bypass. Ann Thorac Surg.

Wynner R, Botti M. Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice.

Am J Crit Care. The influence of cardiopulmonary bypass on respiratory dysfunction in early postoperative period. Medicina Kaunas. Ventilatory profile of patients undergoing CABG surgery.

Aspectos da funo pulmonar aps revascularizao do miocrdio relacionados com risco pr-operatrio. Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes? Aust J Physiother. Effects of conventional physiotherapy, continuous positive airway pressure and non-invasive ventilatory support with bilevel positive airway pressure after coronary artery bypass grafting.

Continuous positive airway pressure at 10 cm H 2 O during cardiopulmonary bypass improves postoperative gas exchange. Does physiotherapy reduce the incidence of postoperative complications in patients following pulmonary resection via thoracotomy?

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INCENTIVADORES RESPIRATRIOS PDF

Dotilar Initially, the patients showed decreased overall muscle strength, with consequent restriction of daily functions and, after rehabilitation, overall muscle strength showed significant improvement. A multivariate Analysis of the risk of pulmonary complications after laparotomy. The treatment program was conducted for 15 minutes, interspersed with one minute rest every four minutes of technique, three times a week for six consecutive weeks. Reference values for lung function tests.

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