Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma
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Publication Date: | 2013 |
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Format: | Article |
Language: | eng |
Source: | Clinics |
Download full: | https://www.revistas.usp.br/clinics/article/view/76990 |
Summary: | OBJECTIVE: To evaluate the effects of physiotherapeutic respiratory maneuvers on cerebral and cardiovascular hemodynamics and blood gas variables. METHOD: A descriptive, longitudinal, prospective, nonrandomized clinical trial that included 20 critical patients with severe craniocerebral trauma who were receiving mechanical ventilation and who were admitted to the intensive care unit. Each patient was subjected to the physiotherapeutic maneuvers of vibrocompression and increased manual expiratory flow (5 minutes on each hemithorax), along with subsequent airway suctioning with prior instillation of saline solution, hyperinflation and hyperoxygenation. Variables related to cardiovascular and cerebral hemodynamics and blood gas variables were recorded after each vibrocompression, increased manual expiratory flow and airway suctioning maneuver and 10 minutes after the end of airway suctioning. RESULTS: The hemodynamic and blood gas variables were maintained during vibrocompression and increased manual expiratory flow maneuvers; however, there were increases in mean arterial pressure, intracranial pressure, heart rate, pulmonary arterial pressure and pulmonary capillary pressure during airway suctioning. All of the values returned to baseline 10 minutes after the end of airway suctioning. CONCLUSION: Respiratory physiotherapy can be safely performed on patients with severe craniocerebral trauma. Additional caution must be taken when performing airway suctioning because this technique alters cerebral and cardiovascular hemodynamics, even in sedated and paralyzed patients. |
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Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral traumaOBJECTIVE: To evaluate the effects of physiotherapeutic respiratory maneuvers on cerebral and cardiovascular hemodynamics and blood gas variables. METHOD: A descriptive, longitudinal, prospective, nonrandomized clinical trial that included 20 critical patients with severe craniocerebral trauma who were receiving mechanical ventilation and who were admitted to the intensive care unit. Each patient was subjected to the physiotherapeutic maneuvers of vibrocompression and increased manual expiratory flow (5 minutes on each hemithorax), along with subsequent airway suctioning with prior instillation of saline solution, hyperinflation and hyperoxygenation. Variables related to cardiovascular and cerebral hemodynamics and blood gas variables were recorded after each vibrocompression, increased manual expiratory flow and airway suctioning maneuver and 10 minutes after the end of airway suctioning. RESULTS: The hemodynamic and blood gas variables were maintained during vibrocompression and increased manual expiratory flow maneuvers; however, there were increases in mean arterial pressure, intracranial pressure, heart rate, pulmonary arterial pressure and pulmonary capillary pressure during airway suctioning. All of the values returned to baseline 10 minutes after the end of airway suctioning. CONCLUSION: Respiratory physiotherapy can be safely performed on patients with severe craniocerebral trauma. Additional caution must be taken when performing airway suctioning because this technique alters cerebral and cardiovascular hemodynamics, even in sedated and paralyzed patients.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/7699010.1590/clin.v68i9.76990Clinics; v. 68 n. 9 (2013); 1210-1214Clinics; Vol. 68 Núm. 9 (2013); 1210-1214Clinics; Vol. 68 No. 9 (2013); 1210-12141980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/76990/80851Cerqueira Neto, Manoel Luiz deMoura, Alvaro VieiraCerqueira, Telma Cristina FontesAquim, Esperidiao EliasRea-Neto, AlvaroOliveira, Mirella Cristineda Silva Junior, Walderi MonteiroSantana-Filho, Valter J.Herminia Scola, Rosanainfo:eu-repo/semantics/openAccess2014-03-21T20:08:22Zoai:revistas.usp.br:article/76990Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2014-03-21T20:08:22Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
title |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
spellingShingle |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma Cerqueira Neto, Manoel Luiz de |
title_short |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
title_full |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
title_fullStr |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
title_full_unstemmed |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
title_sort |
Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma |
author |
Cerqueira Neto, Manoel Luiz de |
author_facet |
Cerqueira Neto, Manoel Luiz de Moura, Alvaro Vieira Cerqueira, Telma Cristina Fontes Aquim, Esperidiao Elias Rea-Neto, Alvaro Oliveira, Mirella Cristine da Silva Junior, Walderi Monteiro Santana-Filho, Valter J. Herminia Scola, Rosana |
author_role |
author |
author2 |
Moura, Alvaro Vieira Cerqueira, Telma Cristina Fontes Aquim, Esperidiao Elias Rea-Neto, Alvaro Oliveira, Mirella Cristine da Silva Junior, Walderi Monteiro Santana-Filho, Valter J. Herminia Scola, Rosana |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Cerqueira Neto, Manoel Luiz de Moura, Alvaro Vieira Cerqueira, Telma Cristina Fontes Aquim, Esperidiao Elias Rea-Neto, Alvaro Oliveira, Mirella Cristine da Silva Junior, Walderi Monteiro Santana-Filho, Valter J. Herminia Scola, Rosana |
description |
OBJECTIVE: To evaluate the effects of physiotherapeutic respiratory maneuvers on cerebral and cardiovascular hemodynamics and blood gas variables. METHOD: A descriptive, longitudinal, prospective, nonrandomized clinical trial that included 20 critical patients with severe craniocerebral trauma who were receiving mechanical ventilation and who were admitted to the intensive care unit. Each patient was subjected to the physiotherapeutic maneuvers of vibrocompression and increased manual expiratory flow (5 minutes on each hemithorax), along with subsequent airway suctioning with prior instillation of saline solution, hyperinflation and hyperoxygenation. Variables related to cardiovascular and cerebral hemodynamics and blood gas variables were recorded after each vibrocompression, increased manual expiratory flow and airway suctioning maneuver and 10 minutes after the end of airway suctioning. RESULTS: The hemodynamic and blood gas variables were maintained during vibrocompression and increased manual expiratory flow maneuvers; however, there were increases in mean arterial pressure, intracranial pressure, heart rate, pulmonary arterial pressure and pulmonary capillary pressure during airway suctioning. All of the values returned to baseline 10 minutes after the end of airway suctioning. CONCLUSION: Respiratory physiotherapy can be safely performed on patients with severe craniocerebral trauma. Additional caution must be taken when performing airway suctioning because this technique alters cerebral and cardiovascular hemodynamics, even in sedated and paralyzed patients. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/76990 10.1590/clin.v68i9.76990 |
url |
https://www.revistas.usp.br/clinics/article/view/76990 |
identifier_str_mv |
10.1590/clin.v68i9.76990 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/76990/80851 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; v. 68 n. 9 (2013); 1210-1214 Clinics; Vol. 68 Núm. 9 (2013); 1210-1214 Clinics; Vol. 68 No. 9 (2013); 1210-1214 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1787713177130106880 |