Treinamento muscular respiratório na revascularização do miocárdio

Barros, Graziella Ferreira; Santos, Cláudia da Silva; Granado, Fernanda Boromello; Costa, Patrícia Tatiane; Limaco, Renan Prado; Gardenghi, Giulliano

doi:10.1590/s0102-76382010000400011

Cited by 67 publications

(52 citation statements)

References 22 publications

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“…Barros et al [20] trained a group of patients with 40% of MIP, from PO1 until discharge, which occurred on the 7 th postoperative day. The behavior of MIP, MEP, TV and peak expiratory flow, as in the present study, significantly declined, but returned to the values obtained in the preoperative at the time of hospital discharge.…”

Section: Discussionmentioning

confidence: 99%

Postoperative muscle training improves tidal volume and vital capacity in the postoperative period of CABG surgery

Matheus¹,

Dragosavac²,

Trevisan³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Treinamento muscular melhora o volume corrente e a capacidade vital no pós-operatório de revascularização do miocárdioInspiratory muscle training improves tidal volume and vital capacity after CABG surgery 6. PhD in surgery at FCM Unicamp, cardiac surgeon, Campinas, SP, Brazil.This study was carried out at Hospital e Maternidade Celso Pierro, Pontifical Catholic University of Campinas (PUC Campinas), Campinas, SP, Brazil. 363Matheus GB, et al. -Inspiratory muscle training improves tidal volume and vital capacity after CABG surgery Bras Cir Cardiovasc 2012;27(3):362-9 Rev

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Section: Discussionmentioning

confidence: 99%

Postoperative muscle training improves tidal volume and vital capacity in the postoperative period of CABG surgery

Matheus¹,

Dragosavac²,

Trevisan³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…A similar finding was found in another research (FINZI, 2010). The changes in the lung function may be related to the CS time, leading to a decreased lung expansion and to further damages, such as atelectasis and pneumonia (BARROS et al, 2010), that negatively influences on the ventilation time.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with intubation extended in patients who undewent a heart surgery

et al. 2017

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ABSTRACT:This study was accomplished in order to identify the factors associated with prolonged intubation in patients who underwent cardiac surgery. This is a retrospective, analytical study, with a quantitative approach, performed in a large teaching hospital in the municipality of Uberaba (Minas Gerais). The data were collected from records of patients who underwent cardiac surgery. In order to identify the factors that may be associated with a prolonged intubation, a bivariate and a latter multivariate analysis were performed. The significance level was 0.05. the study population was constituted by 460 individuals. From these, 150 (32.6%) had prolonged intubation time (over 24 hours). The majority were male (60.9%) and the average age was 55.60 years (± 12.9). The results also showed that age over 60 years, the occurrence of pulmonary infection, the presence of comorbidities, intraoperative complications and the duration of the cardiopulmonary bypass were associated with the occurrence of prolonged intubation in these patients. Considering that prolonged intubation can often contribute to the occurrence of other complications in the postoperative period of a cardiac surgery, it is emphasized the importance of a careful preoperative evaluation. The findings of this study may contribute to the adoption of preventive measures in the clinical practice, with a view to the patient's safety and the quality of care.

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“…Na análise intragrupo, para todas as variáveis analisadas (exceto na relação VEF 1 /CVF), houve redução significativa entre o período pré-operatório e o 2º dia de PO. Estes achados corroboram com estudos anteriores, que avaliaram a função respiratória, por meio de espirometria e manovacuometria, além de cirtometria e medida de pico de fluxo expiratório (PFE) em pacientes submetidos à CRM 11,[24][25][26][27] . Esses autores também demonstraram em seus achados, redução nos valores destas variáveis, especialmente na força muscular respiratória.…”

Section: Discussionunclassified

“…É importante salientar que a medida dos volumes pulmonares oferece informação indireta sobre a resistência elástica do parênquima pulmonar e da parede torácica, as quais influenciam na resistência ao fluxo aéreo 29 . A redução dos volumes pulmonares após CRM pode estar relacionada à ocorrência da inibição reflexa do nervo frênico e paresia diafragmática 30 , além do tempo de CEC 25 . A CEC pode causar lesão térmica no nervo frênico, prejuízo na velocidade de condução e aumento no grau de paresia diafragmática, contribuindo para o declínio dos volumes e capacidades pulmonares 25,30 .…”

Section: Discussionunclassified

Comparação De Dois Protocolos De Espirometria De Incentivo No Pós-Operatório De Cirurgia De Revascularização Do Miocárdio: Estudo Piloto

et al. 2015

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Comparison of two incentive spirometry protocols in postoperative coronary artery bypass surgery: a pilot study ABSTRACT Objective: To compare the effects of incentive spirometry (IS), the flow and volume on respiratory muscle strength, lung volumes and capacities and thoracoabdominal expansion after coronary artery bypass grafting (CABG). Methods: A pilot study with patients undergoing CABG in a private hospital of Santa Maria-RS, Brazil. Were evaluated 11 patients, both genders, aged between 49 and 78 years were randomized in Respiron group (RG, n = 6) and Voldyne group (GV, n = 5). The Physiotherapy was started on the first postoperative day (PD); IS protocol developed in three sets of 10 repetitions; beyond the standardized physiotherapy for both groups. The variables of cirtometry, maximal respiratory pressures and spirometry were collected on the preoperatively, 2nd, 4th and 7th PD. Results: Intragroup comparison showed a reduction in all variables between the preoperative and the 2nd PD with partial recovery until the 7 th PD. There was no difference in the comparison between groups. Conclusion: Both IS techniques, acted similarly in lung function restoring in patients undergoing CABG.

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Treinamento muscular respiratório na revascularização do miocárdio

Cited by 67 publications

References 22 publications

Postoperative muscle training improves tidal volume and vital capacity in the postoperative period of CABG surgery

Postoperative muscle training improves tidal volume and vital capacity in the postoperative period of CABG surgery

Factors associated with intubation extended in patients who undewent a heart surgery

Comparação De Dois Protocolos De Espirometria De Incentivo No Pós-Operatório De Cirurgia De Revascularização Do Miocárdio: Estudo Piloto

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