Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning

Detalhes bibliográficos
Autor(a) principal: Meireles, Fabíola Maria Sabino
Data de Publicação: 2013
Outros Autores: Barbosa, Isabel Oliveira, Viana, Márcia Cardinalle Correia, Kuehner, Cymara Pessoa
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/2618
Resumo: Objective: To characterize the main strategies and parameters used by physical therapists in difficult mechanical ventilation weaning. Methods: Cross-sectional study including all the physical therapists working in adult Intensive Care Units in three public hospitalsin Fortaleza-CE. A questionnaire with closed questions related to difficult mechanical ventilation weaning was applied, with either one or multiple answers. The data was treated with descriptive and non-parametric analysis. Results: Among the parameters mostly used by the 56 interviewed physical therapists for the difficult weaning, were found: current volume reduction (26 - 46.4%) and desaturation during aspiration (17 - 30.4%). It was observed that 38 (67.9%) alternate T-tube and continuous positive airway pressure (CPAP) as strategies for difficult weaning, and 28 (50%) reported reducing the pressure support. There was no statistical difference between the strategies used in the studied hospitals, neither correlation between strategies and parameters. Conclusion: It was found that physical therapists have been performing similar strategies, which are also shown in the literature, but this is not the case with the parameters. The parameters used are not supported by the literature.
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spelling Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaningDescripción de los parámetros y estrategias de destete difícil de la ventilación mecánica utilizados por fisioterapeutasCaracterização de parâmetros e estratégias do desmame difícil da ventilação mecânica adotados por fisioterapeutas - doi:10.5020/18061230.2013.p51DiaphragmMuscle FatiguePhysical TherapyMuscle StrengthIntensive Care UnitsRespirationArtificialDiafragmaFatiga MuscularFisioterapiaFuerza MuscularUnidad de Cuidados IntensivosRespiración ArtificialDiafragmaFadiga MuscularFisioterapiaForça MuscularUnidade de Terapia IntensivaRespiração Artificial.Objective: To characterize the main strategies and parameters used by physical therapists in difficult mechanical ventilation weaning. Methods: Cross-sectional study including all the physical therapists working in adult Intensive Care Units in three public hospitalsin Fortaleza-CE. A questionnaire with closed questions related to difficult mechanical ventilation weaning was applied, with either one or multiple answers. The data was treated with descriptive and non-parametric analysis. Results: Among the parameters mostly used by the 56 interviewed physical therapists for the difficult weaning, were found: current volume reduction (26 - 46.4%) and desaturation during aspiration (17 - 30.4%). It was observed that 38 (67.9%) alternate T-tube and continuous positive airway pressure (CPAP) as strategies for difficult weaning, and 28 (50%) reported reducing the pressure support. There was no statistical difference between the strategies used in the studied hospitals, neither correlation between strategies and parameters. Conclusion: It was found that physical therapists have been performing similar strategies, which are also shown in the literature, but this is not the case with the parameters. The parameters used are not supported by the literature.Objetivos: Caracterizar las principales estrategias y parâmetros adoptados por fisioterapeutas en desmame difícil de la ventilación mecánica. Métodos: Estudio transversal que incluye a todos los fisioterapeutas que actúan en las Unidades de Cuidados Intensivos de adultos en tres hospitales públicos de la ciudad de Fortaleza-CE. Se utilizó un cuestionario con preguntas objetivas relacionadas con el destete difícil de la ventilación mecánica, habiendo ítems con posibilidad de respuestas múltiples. Los datos fueron tratados de forma descriptiva y no paramétrica. Resultados: Entre los principales parámetros adoptados para El destete difícil por los 56 fisioterapeutas entrevistados se observó: reducción del volumen corriente (26 - 46,4%) y desaturación durante la aspiración (17 - 30,4%). Se observó que 38 (67,9%) afirman intercalar presión positiva continua en las vías aéreas (CPAP) y tubo T como estrategia adoptada en el destete difícil, y 28 (50%) respondieron a una reducción de la presión de soporte. No hubo diferencias estadísticamente significativas entre lãs estrategias adoptadas en los hospitales estudiados, así como em la correlación entre estrategias y parámetros. Conclusión: Se constató que los fisioterapeutas realizan estrategias semejantes entre sí y correspondientes a la literatura, pero no en relación a los parámetros. Los parámetros adoptados no confirman los descritos por los estudios científicos.Objetivos: Caracterizar as principais estratégias e parâmetros adotados por fisioterapeutas no desmame difícil da ventilação mecânica. Métodos: Estudo transversal incluindo todos os fisioterapeutas que atuam nas Unidades de Terapia Intensiva adulto em três hospitais públicos da cidade de Fortaleza-CE. Utilizou-se um questionário com perguntas objetivas, relacionadas ao desmame difícil da ventilação mecânica, havendo itens com possibilidade de respostas múltiplas. Os dados foram tratados de forma descritiva e não paramétrica. Resultados: Dentre os principais parâmetros adotados para o desmame difícil pelos 56 fisioterapeutas entrevistados, encontrou-se: redução do volume corrente (26 - 46,4%) e dessaturação durante aspiração (17 - 30,4%). Observou-se que 38 (67,9%) afirmam intercalar pressão positiva contínua em vias aérea (CPAP) e tubo T como estratégia adotada no desmame difícil, e 28 (50%) responderam redução da pressão de suporte. Não houve significância estatística entre as estratégias adotadas nos hospitais estudados, assim como na correlação entre estratégias e parâmetros. Conclusão: Constatou-se que os fisioterapeutas têm realizado estratégias semelhantes entre si e correspondentes à literatura, mas não em relação aos parâmetros. Os parâmetros adotados não corroboram com os descritos pelos estudos científicos.Universidade de Fortaleza2013-08-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/261810.5020/2618Brazilian Journal in Health Promotion; Vol. 26 No. 1 (2013); 50-54Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 1 (2013); 50-54Revista Brasileira em Promoção da Saúde; v. 26 n. 1 (2013); 50-541806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/2618/pdfhttps://ojs.unifor.br/RBPS/article/view/2618/pdf_1Meireles, Fabíola Maria SabinoBarbosa, Isabel OliveiraViana, Márcia Cardinalle CorreiaKuehner, Cymara Pessoainfo:eu-repo/semantics/openAccess2022-02-16T11:27:01Zoai:ojs.ojs.unifor.br:article/2618Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T11:27:01Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
Descripción de los parámetros y estrategias de destete difícil de la ventilación mecánica utilizados por fisioterapeutas
Caracterização de parâmetros e estratégias do desmame difícil da ventilação mecânica adotados por fisioterapeutas - doi:10.5020/18061230.2013.p51
title Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
spellingShingle Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
Meireles, Fabíola Maria Sabino
Diaphragm
Muscle Fatigue
Physical Therapy
Muscle Strength
Intensive Care Units
Respiration
Artificial
Diafragma
Fatiga Muscular
Fisioterapia
Fuerza Muscular
Unidad de Cuidados Intensivos
Respiración Artificial
Diafragma
Fadiga Muscular
Fisioterapia
Força Muscular
Unidade de Terapia Intensiva
Respiração Artificial.
title_short Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
title_full Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
title_fullStr Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
title_full_unstemmed Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
title_sort Characterization of parameters and strategies used by physical therapists in difficult mechanical ventilation weaning
author Meireles, Fabíola Maria Sabino
author_facet Meireles, Fabíola Maria Sabino
Barbosa, Isabel Oliveira
Viana, Márcia Cardinalle Correia
Kuehner, Cymara Pessoa
author_role author
author2 Barbosa, Isabel Oliveira
Viana, Márcia Cardinalle Correia
Kuehner, Cymara Pessoa
author2_role author
author
author
dc.contributor.author.fl_str_mv Meireles, Fabíola Maria Sabino
Barbosa, Isabel Oliveira
Viana, Márcia Cardinalle Correia
Kuehner, Cymara Pessoa
dc.subject.por.fl_str_mv Diaphragm
Muscle Fatigue
Physical Therapy
Muscle Strength
Intensive Care Units
Respiration
Artificial
Diafragma
Fatiga Muscular
Fisioterapia
Fuerza Muscular
Unidad de Cuidados Intensivos
Respiración Artificial
Diafragma
Fadiga Muscular
Fisioterapia
Força Muscular
Unidade de Terapia Intensiva
Respiração Artificial.
topic Diaphragm
Muscle Fatigue
Physical Therapy
Muscle Strength
Intensive Care Units
Respiration
Artificial
Diafragma
Fatiga Muscular
Fisioterapia
Fuerza Muscular
Unidad de Cuidados Intensivos
Respiración Artificial
Diafragma
Fadiga Muscular
Fisioterapia
Força Muscular
Unidade de Terapia Intensiva
Respiração Artificial.
description Objective: To characterize the main strategies and parameters used by physical therapists in difficult mechanical ventilation weaning. Methods: Cross-sectional study including all the physical therapists working in adult Intensive Care Units in three public hospitalsin Fortaleza-CE. A questionnaire with closed questions related to difficult mechanical ventilation weaning was applied, with either one or multiple answers. The data was treated with descriptive and non-parametric analysis. Results: Among the parameters mostly used by the 56 interviewed physical therapists for the difficult weaning, were found: current volume reduction (26 - 46.4%) and desaturation during aspiration (17 - 30.4%). It was observed that 38 (67.9%) alternate T-tube and continuous positive airway pressure (CPAP) as strategies for difficult weaning, and 28 (50%) reported reducing the pressure support. There was no statistical difference between the strategies used in the studied hospitals, neither correlation between strategies and parameters. Conclusion: It was found that physical therapists have been performing similar strategies, which are also shown in the literature, but this is not the case with the parameters. The parameters used are not supported by the literature.
publishDate 2013
dc.date.none.fl_str_mv 2013-08-09
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2618
10.5020/2618
url https://ojs.unifor.br/RBPS/article/view/2618
identifier_str_mv 10.5020/2618
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2618/pdf
https://ojs.unifor.br/RBPS/article/view/2618/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 26 No. 1 (2013); 50-54
Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 1 (2013); 50-54
Revista Brasileira em Promoção da Saúde; v. 26 n. 1 (2013); 50-54
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
_version_ 1808844178572967936

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