Estudo da função pulmonar em pacientes submetidos a revascularização do miocárdio sem circulação extracorpórea com derivação intraluminal

Pinto, Ana Maria Rocha; Stirbulov, Roberto; Rivetti, Luiz Antonio; Júnior, Roberto Saad

doi:10.1590/s0100-69911998000600002

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…Moreover, Macchi et al [21] reported that the implement of a quick recovery after the surgical procedure allows a range of motion around the fifth day, which allows an earlier transfer of the patient to rehabilitation services. This demonstrates that the measure of deambulation ability of the patient is used by some professionals as the purpose of treatment, since this parameter represents better the individual's functional capacity [14,20,21]. Thus, one can justify, in our study, the significant negative correlation of the 6-MWT distance walked by the patient with the time of hospital stay, because it suggests that the patient who presents more deambulation ability has a functional capacity more suitable for hospital discharge, reflecting better the functionality than the lung function alone.…”

Section: Discussionmentioning

confidence: 89%

“…It is suggested that the reduction in forced vital capacity (FVC) and forced expiratory volume in one second (FEV 1 ) occurs by increased respiratory work and shallow breathing, due to pain and decreased chest expansion secondary to median sternotomy and thoracic manipulation, resulting in restrictive respiratory dysfunction in the postoperative period [14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

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Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíaca

Oliveira¹,

Maldaner²,

Turquetto³

2009

Rev Bras Cir Cardiovasc

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Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíacaRelationship of postoperative walk test and lung function with the length of heart surgery hospital stay Abstract Objective: The lung function is identified as a predictor of time of hospital stay in heart surgery. Meanwhile six-minute walk test has been used to establish functional capacity of cardiac patients, however there are few studies that correlate it with the length of hospital stay. The aim of this study was to determine whether there is correlation of preoperative and postoperative lung function and the postoperative deambulation ability with postoperative hospital stay.Methods: A prospective cohort with 18 patients was performed, being 8 males and 10 females, with age above 40 years (mean 64.89 ± 6.95 years). Patients where admitted for coronary artery bypass graft surgery and/or valve replacement. To characterize the pulmonary function, patients had undergone spirometry in preoperative and at 5th postoperative day. In the latter period was also performed a test for 6 minutes walk (6MWT) to characterize the deambulation ability.Results: There was not significant correlation of preoperative and postoperative lung function with length of postoperative hospital stay. Only the distance covered in 6MWT showed a significant negative correlation (rho=-0.62) with length postoperative hospital of stay. The distance in 6MWT obtained a significant positive correlation with forced vital capacity (r=0.59) and first second of a maximal forced expiratory maneuver (r=0.52). Conclusion:These results suggest that patients with increased postoperative deambulation capacity have a shorter time of hospital stay and it also suggests that the distance in the 6MWT can better represent the functional capacity of these patients than lung function alone. Descriptors: Respiratory function tests. Early ambulation. Length of stay. Cardiovascular surgical procedures.Resumo Objetivo: A função pulmonar é apontada como preditora do tempo de hospitalização na cirurgia cardíaca. E o teste de caminhada de seis minutos (TC6') tem sido utilizado para caracterizar a capacidade funcional em pacientes cardiopatas, porém há poucos estudos que o correlacione com tempo de internação hospitalar. O objetivo desta pesquisa foi verificar se há correlação da função pulmonar pré e pós-operatória e da capacidade da deambulação pós-operatória com tempo de internação pós-operatória.Métodos: Foi realizada uma coorte prospectiva com 18 pacientes, sendo 8 do gênero masculino e 10 do gênero feminino, com idade acima de 40 anos (média 64,89 ± 6,95 anos), internados para a submissão de cirurgias de revascularização do miocárdio e/ou troca valvar. Para caracterizar a função pulmonar, os pacientes foram submetidos a uma espirometria no pré-operatório e ao 5°C orrespondence address: Vinicius Zacarias Maldaner da Silva

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíaca

Oliveira¹,

Maldaner²,

Turquetto³

2009

Rev Bras Cir Cardiovasc

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“…Neste estudo, foram encontradas reduções significativas nas variáveis CVF e VEF1, indicando um padrão restritivo, assim como estudos de , Barbosa & Carmona (2004) e Pinto et al (1998).…”

Section: Discussionunclassified

Análise do comportamento da função pulmonar e força muscular respiratória em coronariopatas idosos submetidos a revascularização do miocárdio

Oliveira¹,

Maldaner²,

Turquetto³

et al. 2008

Univ. Ci. Saúde

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“…The School of Medical Sciences of the Santa Casa de São Paulo Hospital (FCMSCSP), among their research lines, is currently conducting studies involving the assessment of preoperative and postoperative pulmonary function tests. Many of these studies have been concluded [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis

Amorim¹,

Saad²,

Filho³

2013

OJTS

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Objective: To assess preoperative and postoperative spirometry values in patients undergoing lobectomy for sequelae of pulmonary tuberculosis. Method: A total of 20 patients (10 males) with history of treatment for tuberculosis and presenting with symptomatic sequelae (repeat infection or hemoptysis) who sought assistance at the chest surgery outpatient clinic between 11.09.07 and 04.02.10, were selected for the study. Only patients that met theeligibility criteria (symptomatic, submitted to tuberculosis treatment) were included in the study. The age of patients ranged from 15 to 56 years (mean: 35.75 years). The average treatment time for tuberculosis was 6 months and onset of symptoms occurred between 01 and 32 years after treatment. To assess the impact of surgery on the variables VC, FVC, FEV 1 , FEV 1 /FVC, FEF and PEF preoperative values were compared with postoperative values at 1 st , 3 rd , 6 th and 12 th month using the paired t test. The level of significance (α) applied for all tests was 5% where a value of p < 0.05 was considered significant. Results: 11 patients were treated because of recurrent infections and 9 because of haemoptysis. The most common lobectomy was right upper lobectomy (7 patients), followed by left upper lobectomy (6 patients), left lower lobectomy (6 patients), and right middle lobectomy (1 patient). There were no postoperative complications. There was no postoperative mortality. Conclusion: Based on the results of the present study, it can be concluded that, at the 12 th postoperative month, spirometric parameters of patients with tuberculosis sequelae submitted to lobectomy had returned to preoperative levels.

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Estudo da função pulmonar em pacientes submetidos a revascularização do miocárdio sem circulação extracorpórea com derivação intraluminal

Cited by 6 publications

References 21 publications

Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíaca

Relação do teste de caminhada pós-operatório e função pulmonar com o tempo de internação da cirurgia cardíaca

Análise do comportamento da função pulmonar e força muscular respiratória em coronariopatas idosos submetidos a revascularização do miocárdio

Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis

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