Evaluation of peripheral muscle strength and functionality after mechanical ventilation in an adult ICU

• Autor(a) principal: Gomes, Gabriela dos Santos
• Data de Publicação: 2021
• Outros Autores: Leite, Maeli Marinho, Silva, Maria Caroline Barbosa da, Ferreira, Marden Junio Sousa, Santos, Liliana Pauline Cavalcante dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/21477
• topic: Weaning; Mechanical Ventilation; Muscle weakness; Functional state.; Destete; Ventilación mecánica; Debilidad muscular; Estado funcional.; Desmame; Ventilação Mecânica; Fraqueza Muscular; Estado funcional.

The purpose of this study is to evaluate the muscle strength and patients’ functionality after weaning from mechanical ventilation (MV) in an adult intensive care unit. This is a quantitative and retrospective study that analyzed the medical records of patients hospitalized from June 2019 to march 2021, both genders, aged 18 and 83 years old, approved by the Research Ethics Committee. A questionnaire created by the authors was used, which includes: weaninng, time on MV, muscle strenght by dynamometry, and patients’ functionality. Statistical analysis using BioEstat 5.0 software.106 medical records were used on the type of weaning, with prolonged weaning, with a stay of 8 to 14 days on MV. Regarding peripheral muscle strength, 34,9% of the sample had a dynamometry of 6 to 10 Kg/F, characterizing muscle weakness. About functionality 34% of patients were in bedside sitting and 27.4% walked, but 21.7% remained bedridden, expressing heterogeneous functionality that could be expounded by premature discharge. The study has shown  reduced peripheral muscle strength, which made it difficult to wean from MV, predominantly prolonged weaning, which possibly reflects a reduction in the patients’ functional capacity.