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- Title
Ventilação não invasiva no pós-operatório imediato de revascularização do miocárdio.
- Authors
dos Santos Jachetto, Nayara; Antoniassi Reis, Tayná; Ferreira Fahra, Veridiana; Lima Ferreira, Lucas
- Abstract
Introduction: Noninvasive ventilation (NIV) is used as a support in the postoperative period of myocardial revascularization surgery (MRS). Objective: To evaluate the gas exchange and hemodynamic repercussions of NIV applied in the immediate postoperative period (IPO) of MRS. Methods: Non-randomized clinical trial of 38 cardiac patients admitted to a school hospital, both genders, selected for convenience, undergoing MRS. Two groups were formed: experimental group (EG) who received a NIV protocol in BiPAP® mode conventional respiratory physiotherapy (CRP), and control group (CG) receiving only CRP. We collected sociodemographic variables, comorbidities, length of hospital stay in the ICU and hemodynamic variables: heart rate (HR) and respiratory rate (RR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood (MAP) and peripheral saturation oxygen (SpO2). Unpaired t-test or Mann-Whitney test were applied. Results: We observed that the EG presented a higher age (p = 0.04) and there was a prevalence of males in both groups. The EG had a lower DBP (p = 0.009) in the iPO compared to the CG. Conclusion: The NIV applied in the iPO of MRS caused a decrease in diastolic blood pressure. Patients who did not receive NIV showed worsening of iPO oxygenation for the first postoperative day.
- Subjects
ARTIFICIAL respiration; BLOOD pressure; CLINICAL trials; EXPERIMENTAL design; HEART beat; HEMODYNAMICS; LENGTH of stay in hospitals; MYOCARDIAL revascularization; POSTOPERATIVE period; PULMONARY gas exchange; RESPIRATORY measurements; RESPIRATORY therapy; STATISTICAL sampling; T-test (Statistics); COMORBIDITY; SOCIOECONOMIC factors; MANN Whitney U Test
- Publication
Fisioterapia Brasil, 2019, Vol 20, Issue 5, p668
- ISSN
1518-9740
- Publication type
Article
- DOI
10.33233/fb.v20i5.2734