Constipação intestinal em terapia intensiva

Azevedo, Rodrigo Palácio de; Freitas, Flávio Geraldo Rezende; Ferreira, Elaine Maria; Machado, Flávia Ribeiro

doi:10.1590/s0103-507x2009000300014

Cited by 19 publications

(16 citation statements)

References 31 publications

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“…A distensão abdominal, ocasionada pela constipação, pode dificultar a ação do diafragma, diminuir a complacência pulmonar e aumentar o trabalho respiratório 24 .…”

Section: Relato De Casounclassified

Avaliação e Treinamento Muscular Respiratório na Malformação de Arnold-Chiari Tipo I

Abilel

Cardoso

Uematsu

et al. 2013

RNC

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RESUMOObjetivo. Avaliar a eficácia do treinamento respiratório em pacientes com malformação de Arnold-Chiari tipo I submetidos a um programa de exercícios respiratórios específicos. Método. Estudo tipo relato de casos, com participação de 2 indivíduos com malformação de Arnold--Chiari tipo I, submeti-dos a um programa de treinamento respirató-rio com Threshold™ PEP de segunda a sexta, duas vezes ao dia, com três séries de dez respirações, com intervalo de 1 minuto entre cada série, sendo avaliada a pressão inspiratória máxima (PImáx), pressão expiratória máxima (PEmáx), pico de fluxo expiratório (PFE) e pico de fluxo de tosse (PFT). Resultados. Foi possível ao longo das 8 semanas de intervenção obter um aumento de 100% no PFT, 64,3% no PFE, 37,5% na PEmáx e 71,7% na PImáx no paciente 2 e manter um padrão respiratório adequado além de aumentar em 16,3% o PFT e 42,9% o PFE do paciente 1. Conclusão. O programa de treinamento respiratório proposto para os 2 indivíduos com malformação de Arnold-Chiari tipo I apresentou-se como estratégia de intervenção efetiva para prevenir e restabelecer a função respiratória associadas às sequelas da malformação e do imobilismo. ABSTRACTObjective. Assess the effectiveness of the respiratory training in patients with the Chiari Type 1 Malformation submitted to a specific respiratory exercises program. Method. Case report type of study, with participation of 2 individuals with the Chiari Type 1 Malformation, submitted to a respiratory training program with PEP Threshold™ from Monday to Friday, twice a day, with three series of ten respirations, with an interval of 1 minute between each series, being evaluated the maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), peak expiratory flow (PEF) and peak cough flow (PCF). Results. It was possible during the 8 weeks of intervention to obtain an increase of 100% in the PCF, 64,3% in the PEF, 37,5% in the MEP and 71,7% in the MIP in patient 2 while keeping an adequate respiratory pattern as well as increasing in 16,3% the PCF and 42,9% the PEF of patient 1. Conclusion. The respiratory training program proposed for 2 individuals with the Chiari Type 1 Malformation presented itself as an effective intervention strategy to prevent and reestablish the respiratory function associated to the sequel of the malformation and immobility.

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“…A distensão abdominal, ocasionada pela constipação, pode dificultar a ação do diafragma, diminuir a complacência pulmonar e aumentar o trabalho respiratório 24 .…”

Section: Relato De Casounclassified

Avaliação e Treinamento Muscular Respiratório na Malformação de Arnold-Chiari Tipo I

Abilel

Cardoso

Uematsu

et al. 2013

RNC

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“…Ogilvie’s syndrome was named after William Heneage Ogilvie, who, in 1948, described a disorder of gastrointestinal motility, with dilation of the cecum and right colon in the absence of mechanical obstruction, that was autonomic in origin, with suppression of parasympathetic activity and activation of sympathetic activity ( 1 ) .…”

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confidence: 99%

Ogilvie syndrome after use of vincristine: tomographic findings

2017

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“…A constipação é definida, como eliminação de fezes menor que três vezes por semana, sensação de esvaziamento retal incompleto, fezes endurecidas e necessidade de esforço para evacuação (52) . A constipação altera o hábito intestinal normal e leva à diminuição do tônus muscular do intestino (53) .…”

Section: Constipação/obstipaçãounclassified

“…A constipação é comumente identificada nos pacientes hospitalizados, sobretudo naqueles que são limitados ao leito, que fazem uso de sedativos opioides, dentre outros medicamentos que alteram a motilidade gastrointestinal. Sua incidência é bastante variável e isto pode estar atribuído à carência de uma definição específica adotada entre os profissionais das diversas instituições hospitalares para avaliar esse quadro (52) .…”

Section: Complicação Gastrointestinal E Eventos Observadosunclassified

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Complicações da Terapia Nutricional Enteral (TNE) e fatores associados em pacientes hospitalizados

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This observational and retrospective study aimed to describe the profile of patients and the characteristics of the Enteral Nutrition Therapy (ENT), as well as to analyze the complications of this therapy and the associated factors in hospitalized adult patients. The study consisted of a sample of 214 patients, hospitalized between 2008 and 2009 at a university hospital in the city of São Paulo. Data were collected from medical records and of nutritional assessment sheets, using a form developed for the study. Results showed that: 1 a-) in relation to patient profiles and enteral nutrition therapyparticipants were predominantly male (55.6%), with an average age of 64.8 years, hospitalized in semi-intensive and intensive care units (66.8%); b-) Concerning enteral nutrition therapy, the average days of enteral nutrition was 13.2 days, and 43.5% of the patients received it for up to one week. As for the route of enteral access, nasoenteric feeding tube (96.3%) and continuous feeding administration (67.3%) were the most common. 2-) regarding the complications of ENT and the observed events-of the 214 patients of the sample, 200 had complications during the use of enteral nutrition. There was occurrence of gastrointestinal (90.5%), metabolic (55.0%), mechanical (41.5%) and pulmonary (13.0%) complications. The most frequently observed events among gastrointestinal complication were: abdominal distention (33.4%), constipation (17.5%) and high gastric residual volume (GRV) (14.6%). Among the metabolic complication, hyperglycemia (55.0%) was observed, with average of 174.2 mg/dL. The predominant events resulting from mechanical complication were unexpected withdrawal of enteral feeding tube (70.5%), followed by obstruction of enteral feeding tube (19.0%). As for pulmonary complication, pulmonary aspiration (13.0%) was the observed event. 5-) Concerning the method of infusion, there was significant association of continuous infusion with the following events observed in gastrointestinal complication: high GRV (p=0.000), constipation (p=0.010) and abdominal distension (p=0.037). Among the mechanical complication, there was significant association with intermittent infusion at the following events: unexpected withdrawal of enteral feeding tube (p=0.005) and displacement of enteral feeding tube (p=0.040). 6-) Regarding drug therapy, there was significant association of metabolic complication (hyperglycemia) and use of sedatives/opioids (p=0.000) and vasoactive drugs (p=0.000). This study evidenced that complications concomitant with ENT are very prevalent in this population (93.5%). Moreover, it was found that there is a high occurrence of observed events (617), with complications (400) presenting significant intersections with other variables described above. Therefore, research on the clinical conditions, treatments and care to the use of enteral feeding tubes should be constantly indicated, particularly for nurses who are responsible for the administration and monitoring of enteral nutrition.

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Constipação intestinal em terapia intensiva

Cited by 19 publications

References 31 publications

Avaliação e Treinamento Muscular Respiratório na Malformação de Arnold-Chiari Tipo I

Avaliação e Treinamento Muscular Respiratório na Malformação de Arnold-Chiari Tipo I

Ogilvie syndrome after use of vincristine: tomographic findings

Complicações da Terapia Nutricional Enteral (TNE) e fatores associados em pacientes hospitalizados

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