Efeitos da Fisioterapia Respiratória na Mecânica Respiratória de Pacientes com Acidente Vascular Encefálico Ventilados Mecanicamente

• Autor(a) principal: Monge, Camila
• Data de Publicação: 2011
• Outros Autores: Carvalho, Tayle, Ambrozin, Alexandre Ricardo Pepe [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://inspirar.com.br/revista/Efeitos+da+Fisioterapia+Respirat%C3%B3ria+na+Mec%C3%A2nica+Respirat%C3%B3ria+de+Pacientes+com+Acidente+Vascular+Encef%C3%A1lico+Ventilados+Mecanicamente; http://hdl.handle.net/11449/114995
• topic: Ventilaçào mecânica; Mecânica respiratória; Fisioterapia; terapia respiratória

Patients who went through a Stroke may require mechanical ventilation (MV) in the acute phase of the disease and, on MV, they may show alterations in the respiratory mechanic. Physiotherapy techniques are applied in patients on MV to improve their respiratory mechanic. Thus, the purpose of this study was to evaluate the effects of the Respiratory Physiotherapy into the dynamic compliance (Cdyn), static compliance (Cst) and airway resistance (Rwa) in Stroke patients on MV. In order to do that, patients with Stroke diagnostic on MV were evaluated, before and after the use of Physiotherapy techniques (manual rib-cage compression, thoracic decompression, zero end expiratory pressure and suctioning). Cdyn, Cst and Rwa were the researched variables. Statistical Analysis was made using Paired T-Test with statistical significance with p-values no greater than 5%. Eleven patients were part of the study, with an average of 64,6±12,5 years old. Cdyn increased after physiotherapy from 29,3±16,1 ml/cmH2O to 33,8±16,7 ml/cmH2O (p=0,03). Cst also increased from 44,4±20,7 ml/cmH2O to 54,0±26,6 ml/cmH2O (p=0,024). No significant difference was detected for Rwa between the before and after moments (Before – 8,0±3,2 cmH2O/l/s, After – 7,3±2,25 cmH2O/l/s; p=0,45). It was possible to conclude that both dynamic and static compliance increased after physiotherapy, but the airway resistance did not increase in patients with stroke on mechanical ventilation.