Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/170836 |
Resumo: | Objective: To verify the effectiveness of noninvasive ventilation compared to conventional physiotherapy or oxygen therapy in the mortality rate and prevention of pulmonary complications in patients during the immediate postoperative period of cardiac surgery. Methods: Systematic review and meta-analysis recorded in the International Prospective Register of Ongoing Systematic Reviews (number CRD42016036441). The research included the following databases: MEDLINE, Cochrane Central, PEDro, LILACS and manual search of the references of studies published until March 2016. The review included randomized controlled trials with patients during the immediate postoperative period of cardiac surgery, which compared the use of noninvasive ventilation, BiLevel modes, continuous positive airway pressure, intermittent positive pressure breathing and positive pressure ventilation with conventional physiotherapy or oxygen therapy, and assessed the mortality rate, occurrence of pulmonary complications (atelectasis, pneumonia, acute respiratory failure, hypoxemia), reintubation rate, ventilation time, time spent in the intensive care unit (ICU), length of hospital stay and partial pressure of oxygen. Results: Among the 479 selected articles, ten were included in the systematic review (n=1050 patients) and six in the metaanalysis. The use of noninvasive ventilation did not significantly reduce the risk for atelectasis (RR: 0.60; CI95% 0.28-1.28); pneumonia (RR: 0.20; CI95% 0.04-1.16), reintubation rate (RR: 0.51; CI95%: 0.15-1.66), and time spent in the ICU (-0.04 days; CI95%: -0.13; 0.05). Conclusion: Prophylactic noninvasive ventilation did not significantly reduce the occurrence of pulmonary complications such as atelectasis, pneumonia, reintubation rate and time spent in the ICU. The use is still unproven and new randomized controlled trials should be carried out. |
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Pieczkoski, Suzimara MonteiroMargarites, Ane Glauce FreitasSbruzzi, Graciele2017-12-05T02:22:24Z20170102-7638http://hdl.handle.net/10183/170836001053746Objective: To verify the effectiveness of noninvasive ventilation compared to conventional physiotherapy or oxygen therapy in the mortality rate and prevention of pulmonary complications in patients during the immediate postoperative period of cardiac surgery. Methods: Systematic review and meta-analysis recorded in the International Prospective Register of Ongoing Systematic Reviews (number CRD42016036441). The research included the following databases: MEDLINE, Cochrane Central, PEDro, LILACS and manual search of the references of studies published until March 2016. The review included randomized controlled trials with patients during the immediate postoperative period of cardiac surgery, which compared the use of noninvasive ventilation, BiLevel modes, continuous positive airway pressure, intermittent positive pressure breathing and positive pressure ventilation with conventional physiotherapy or oxygen therapy, and assessed the mortality rate, occurrence of pulmonary complications (atelectasis, pneumonia, acute respiratory failure, hypoxemia), reintubation rate, ventilation time, time spent in the intensive care unit (ICU), length of hospital stay and partial pressure of oxygen. Results: Among the 479 selected articles, ten were included in the systematic review (n=1050 patients) and six in the metaanalysis. The use of noninvasive ventilation did not significantly reduce the risk for atelectasis (RR: 0.60; CI95% 0.28-1.28); pneumonia (RR: 0.20; CI95% 0.04-1.16), reintubation rate (RR: 0.51; CI95%: 0.15-1.66), and time spent in the ICU (-0.04 days; CI95%: -0.13; 0.05). Conclusion: Prophylactic noninvasive ventilation did not significantly reduce the occurrence of pulmonary complications such as atelectasis, pneumonia, reintubation rate and time spent in the ICU. The use is still unproven and new randomized controlled trials should be carried out.application/pdfengRevista brasileira de cirurgia cardiovascular. Vol. 32, n. 4 (jul./ago. 2017), p. 301-311Terapia respiratóriaVentilação não invasivaMetanáliseThoracic SurgeryCardiovascular Surgical ProceduresNoninvasive VentilationMeta-AnalysisNoninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysisinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001053746.pdf001053746.pdfTexto completo (inglês)application/pdf272331http://www.lume.ufrgs.br/bitstream/10183/170836/1/001053746.pdfc28f2a757233f02984ede00d8bea9583MD51TEXT001053746.pdf.txt001053746.pdf.txtExtracted Texttext/plain47080http://www.lume.ufrgs.br/bitstream/10183/170836/2/001053746.pdf.txte6d532befdba1ddfa28be6f013702b10MD5210183/1708362023-06-16 03:34:43.827817oai:www.lume.ufrgs.br:10183/170836Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-06-16T06:34:43Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
title |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
spellingShingle |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis Pieczkoski, Suzimara Monteiro Terapia respiratória Ventilação não invasiva Metanálise Thoracic Surgery Cardiovascular Surgical Procedures Noninvasive Ventilation Meta-Analysis |
title_short |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
title_full |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
title_fullStr |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
title_full_unstemmed |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
title_sort |
Noninvasive ventilation during immediate postoperative period in cardiac surgery patients : systematic review and meta-analysis |
author |
Pieczkoski, Suzimara Monteiro |
author_facet |
Pieczkoski, Suzimara Monteiro Margarites, Ane Glauce Freitas Sbruzzi, Graciele |
author_role |
author |
author2 |
Margarites, Ane Glauce Freitas Sbruzzi, Graciele |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pieczkoski, Suzimara Monteiro Margarites, Ane Glauce Freitas Sbruzzi, Graciele |
dc.subject.por.fl_str_mv |
Terapia respiratória Ventilação não invasiva Metanálise |
topic |
Terapia respiratória Ventilação não invasiva Metanálise Thoracic Surgery Cardiovascular Surgical Procedures Noninvasive Ventilation Meta-Analysis |
dc.subject.eng.fl_str_mv |
Thoracic Surgery Cardiovascular Surgical Procedures Noninvasive Ventilation Meta-Analysis |
description |
Objective: To verify the effectiveness of noninvasive ventilation compared to conventional physiotherapy or oxygen therapy in the mortality rate and prevention of pulmonary complications in patients during the immediate postoperative period of cardiac surgery. Methods: Systematic review and meta-analysis recorded in the International Prospective Register of Ongoing Systematic Reviews (number CRD42016036441). The research included the following databases: MEDLINE, Cochrane Central, PEDro, LILACS and manual search of the references of studies published until March 2016. The review included randomized controlled trials with patients during the immediate postoperative period of cardiac surgery, which compared the use of noninvasive ventilation, BiLevel modes, continuous positive airway pressure, intermittent positive pressure breathing and positive pressure ventilation with conventional physiotherapy or oxygen therapy, and assessed the mortality rate, occurrence of pulmonary complications (atelectasis, pneumonia, acute respiratory failure, hypoxemia), reintubation rate, ventilation time, time spent in the intensive care unit (ICU), length of hospital stay and partial pressure of oxygen. Results: Among the 479 selected articles, ten were included in the systematic review (n=1050 patients) and six in the metaanalysis. The use of noninvasive ventilation did not significantly reduce the risk for atelectasis (RR: 0.60; CI95% 0.28-1.28); pneumonia (RR: 0.20; CI95% 0.04-1.16), reintubation rate (RR: 0.51; CI95%: 0.15-1.66), and time spent in the ICU (-0.04 days; CI95%: -0.13; 0.05). Conclusion: Prophylactic noninvasive ventilation did not significantly reduce the occurrence of pulmonary complications such as atelectasis, pneumonia, reintubation rate and time spent in the ICU. The use is still unproven and new randomized controlled trials should be carried out. |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-12-05T02:22:24Z |
dc.date.issued.fl_str_mv |
2017 |
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dc.language.iso.fl_str_mv |
eng |
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dc.relation.ispartof.pt_BR.fl_str_mv |
Revista brasileira de cirurgia cardiovascular. Vol. 32, n. 4 (jul./ago. 2017), p. 301-311 |
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