Associação das manobras de recrutamento alveolar e posição prona na síndrome do desconforto respiratório agudo

Costa, Daniela Caetano; Rocha, Eduardo; Ribeiro, Tatiane Flores

doi:10.1590/s0103-507x2009000200013

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…( 2 ) However, alveolar collapse followed by distension repeatedly causes deleterious effects on the lung parenchyma because it creates shear forces in the alveolar wall, thus increasing the release of inflammatory mediators and aggravating the injury. ( 9 ) Therefore, the use of ARM does not have the expected effect unless used with alveolar stabilization techniques. ( 11 ) It has also been shown that employing other techniques, such as continuous positive airway pressure (CPAP), also reduces the hospitalization time.…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Pôrto¹,

Tavolaro²,

Kümpel³

et al. 2014

Revista Brasileira De Terapia Intensiva

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Objective To compare the effectiveness of the alveolar recruitment maneuver and the breath stacking technique with respect to lung mechanics and gas exchange in patients with acute lung injury. Methods Thirty patients were distributed into two groups: Group 1 - breath stacking; and Group 2 - alveolar recruitment maneuver. After undergoing conventional physical therapy, all patients received both treatments with an interval of 1 day between them. In the first group, the breath stacking technique was used initially, and subsequently, the alveolar recruitment maneuver was applied. Group 2 patients were initially subjected to alveolar recruitment, followed by the breath stacking technique. Measurements of lung compliance and airway resistance were evaluated before and after the use of both techniques. Gas analyses were collected before and after the techniques were used to evaluate oxygenation and gas exchange. Results Both groups had a significant increase in static compliance after breath stacking (p=0.021) and alveolar recruitment (p=0.03), but with no significant differences between the groups (p=0.95). The dynamic compliance did not increase for the breath stacking (p=0.22) and alveolar recruitment (p=0.074) groups, with no significant difference between the groups (p=0.11). The airway resistance did not decrease for either groups, i.e., breath stacking (p=0.91) and alveolar recruitment (p=0.82), with no significant difference between the groups (p=0.39). The partial pressure of oxygen increased significantly after breath stacking (p=0.013) and alveolar recruitment (p=0.04), but there was no significant difference between the groups (p=0.073). The alveolar-arterial O2 difference decreased for both groups after the breath stacking (p=0.025) and alveolar recruitment (p=0.03) interventions, and there was no significant difference between the groups (p=0.81). Conclusion Our data suggest that the breath stacking and alveolar recruitment techniques are effective in improving the lung mechanics and gas exchange in patients with acute lung injury.

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Section: Discussionmentioning

confidence: 99%

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Pôrto¹,

Tavolaro²,

Kümpel³

et al. 2014

Revista Brasileira De Terapia Intensiva

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“…This strategy aims to improve gas exchange, providing a more homogeneous ventilation of the lung parenchyma. ( 9 - 11 ) The response after the use of ARM varies according to the nature, stage, and extent of pulmonary changes. ( 12 )…”

Section: Introductionmentioning

confidence: 99%

Alveolar recruitment maneuver and perioperative ventilatory support in obese patients undergoing abdominal surgery

Júnior¹,

Rezende²,

Forgiarini³

2013

Revista Brasileira De Terapia Intensiva

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The development of abdominal surgery represents an alternative therapy for the morbidly obese; however, patients undergoing this surgical procedure often experience postoperative pulmonary complications. The use of alveolar recruitment maneuvers and/or perioperative ventilatory strategies is a possible alternative to reduce these complications, focusing on the reduction of postoperative pulmonary complications. In this review, the benefits of perioperative ventilatory strategies and the implementation of alveolar recruitment maneuvers in obese patients undergoing abdominal surgery are described.

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“…Técnicas reexpansivas, como a manobra de recrutamento alveolar (MRA), podem ser utilizadas para prevenir e tratar essas complicações. A MRA, em específico, pode ser realizada de diferentes maneiras, entretanto uma das mais utilizadas consiste em utilizar pressão positiva sustentada, com o intuito de abrir os alvéolos colapsados para aumentar a superfície pulmonar disponível para a realização das trocas gasosas, assim aumentando a oxigenação arterial 4,7,8 .…”

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Efeito da manobra de recrutamento alveolar no pós-operatório imediato de cirurgia cardíaca

Souza

Ferreira

Neto

et al. 2023

cmbio

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Introdução: as cirurgias cardíacas são as intervenções de escolha em níveis mais avançados das doenças cardiovasculares, e complicações pulmonares podem ocorrer como consequência das alterações fisiológicas causadas pela circulação extracorpórea, pela anestesia e pela incisão esterno torácica. A fisioterapia atua com o intuito de prevenir e tratar essas complicações, através da utilização de uma das técnicas de expansão pulmonar mais utilizadas na reversão de hipoxemia e atelectasias, a manobra de recrutamento alveolar, com o objetivo de abrir alvéolos colapsados e aumentar as trocas gasosas. Objetivo: revisar sistematicamente os efeitos da manobra, na relação PaO2/FiO2, SatO2, o tempo de ventilação mecânica, o tempo de internamento, a incidência de atelectasia, a pressão arterial média e a frequência cardíaca. Metodologia: revisão de ensaios clínicos controlados e randomizados nas bases de dados PubMed, Cochrane Library, LILACS e PEDro. Foram incluídos estudos que utilizaram a manobra como prevenção de complicações pulmonares, publicados em inglês e português. Resultados: foram incluídos 4 estudos, publicados entre os anos 2005 e 2017. O nível de pressão da manobra variou entre 30 cmH2O a 40 cmH2O. Os estudos mostraram que a manobra foi estatisticamente relevante na relação PaO2/FiO2, SatO2 e na redução da incidência de atelectasias, sem impacto no tempo de ventilação mecânica, no tempo de internamento, na pressão arterial média e na frequência cardíaca. Conclusão: a manobra de recrutamento pode ser considerada como uma técnica a ser utilizada na prevenção de alterações pulmonares, porém não é possível afirmar se os benefícios da manobra perduraram em longo prazo.

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Associação das manobras de recrutamento alveolar e posição prona na síndrome do desconforto respiratório agudo

Cited by 5 publications

References 31 publications

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Comparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury

Alveolar recruitment maneuver and perioperative ventilatory support in obese patients undergoing abdominal surgery

Efeito da manobra de recrutamento alveolar no pós-operatório imediato de cirurgia cardíaca

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