Navegando por Palavras-chave "Respiratory Fisioterapy"

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    Avaliação Dos Efeitos E Da Segurança Da Técnica De Empilhamento De Ar Em Doentes Submetidos A Operações Intratorácicas Não Cardíacas Eletivas
    (Universidade Federal de São Paulo (UNIFESP), 2017-06-30) Teodoro, Renata De Jesus [UNIFESP]; Faresin, Sonia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    It can usually be seen a change in the ventilatory pattern, a decrease in the pulmonary volumes and capacities, a loss of the sigh mechanism, and a decrease in the peak expiratory flow (PEF) and in the peak flow of cough (PFC) after a thoracic surgical intervention. Painful stimuli are very intense and result in the voluntary reduction of respiratory movements, making coughing less effective. The air stacking technique has been studied in patients with neuromyopathies and demonstrated to be able to act positively on the biomechanical components that make up the PEF and PFC, thus raising the hypothesis that the intervention may also be efficient in patients operated on the chest. Objectives: To evaluate the effects and safety of the air stacking technique on PEF and PFC in the postoperative period of patients undergoing intrathoracic operations. Method: Thirty patients undergoing elective non-cardiac thoracic surgery received the air stacking technique on the 3rd postoperative day. All the participants were evaluated in the preoperative period and and physical examination data recorded in an evaluation form containing, clinical diagnosis, surgical indication, comorbidities, habits, use of medications and preoperative spirometric data. The symptoms of dyspnea, pain and measurements, heart rate (HR), respiratory frequency (f), blood pressure (BP), peripheral oxygen saturation (SpO2), maximum inspirational pressure (MIP), maximum expiratory pressure (MEP), PEF and PFC were evaluated in the preoperative and 3rd postoperative days. Results: Nine patients (30%) were female and 21 (70%) were males, with a mean age of 54.1 + 11.8 years. The PFE and PFC increased significantly from 46% + 11 to 103% + 11 and from 45% + 10 to 101% + 4.2 from that predicted after the application of the technique. The Borg dyspnea scale increased from 2.43 + 0.7 to 5.0 + 0.9 points immediately after the intervention, decreasing to 3.2 + 0.84 after 5 minutes. There was significant variation in HR that went from 85 + 9.2 before to 118 + 10 bpm immediately after the technique. The respiratory rate ranged from 15 + 10 rpm before the technique to 28 + 3.4 immediately after and 22.5 + 3 rpmafter 5 minutes. Conclusion: The air stacking technique is efficient in assisting coughing, and feasible in its application, both in safety and acceptance and adherence.