We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Efeito do breath stacking em pacientes em ventilação mecânica internados em Unidade de Terapia Intensiva.
- Authors
Pessoa de Freitas, Thays Roberta; Della Via, Fabiana; Azevedo da Silva, Silvia Lanziotti; dos Santos Milani, Vanessa Sampaio; Kosour, Carolina
- Abstract
Objective: To compare two methods of the Breath Stacking maneuver, using a mechanical ventilator and a manual resuscitator, in patients on mechanical ventilation admitted to the intensive care unit. Methods: This is a non-randomized clinical study consisting of 32 patients. The subjects were initially submitted to the breath stacking technique with a mechanical ventilator, occluding the expiratory branch of the circuit for 20 seconds. The technique was performed six consecutive times with a two-minute interval between maneuvers. After 24 hours, the second breath stacking technique was performed with a manual resuscitator, with 20 seconds of insufflations with the valve closed, being performed 10 consecutive times with 1-minute pauses between applications. Results: The breath stacking maneuver, when analyzing hemodynamic variables, did not show significant changes after applying the techniques, therefore, it was safe without changing vital signs. In the analysis of pulmonary variables: respiratory rate, peripheral oxygen saturation, tidal volume and static compliance, there were no significant variations after application of the techniques. In the variables: peak pressure (p = 0.02) and driving pressure (p = 0.03), the peak pressure and driving pressure were better in both others, however, in the breath group stacking with a mechanical ventilator, this technique was better when compared to breath stacking with a manual resuscitator. Conclusion: The breath stacking technique with a mechanical ventilator compared to breath stacking with a manual resuscitator was more effective in lung expansion, being a safe and effective maneuver in the respiratory mechanics of patients on invasive mechanical ventilation.
- Subjects
INTENSIVE care units; THERAPEUTIC use of breathing exercises; EXPERIMENTAL design; CLINICAL trials; CRITICALLY ill; MECHANICAL ventilators; PATIENTS; RESPIRATORY measurements; OXYGEN saturation; ARTIFICIAL respiration; TREATMENT effectiveness; COMPARATIVE studies; INSUFFLATION; DESCRIPTIVE statistics; HEMODYNAMICS; RESPIRATORY mechanics
- Publication
Fisioterapia Brasil, 2023, Vol 24, Issue 6, p812
- ISSN
1518-9740
- Publication type
Article
- DOI
10.33233/fb.v24i6.5511