Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/141017 |
Resumo: | OBJECTIVE: During cardiac surgery, several factors contribute to the development of postoperative pulmonary complications. Non-invasive ventilation is a promising therapeutic tool for improving the functionality of this type of patient. The aim of this study is to evaluate the functional capacity and length of stay of patients in a nosocomial intensive care unit who underwent prophylactic non-invasive ventilation after heart valve replacement. METHOD: The study was a controlled clinical trial, comprising 50 individuals of both sexes who were allocated by randomization into two groups with 25 patients in each group: the control group and experimental group. After surgery, the patients were transferred to the intensive care unit and then participated in standard physical therapy, which was provided to the experimental group after 3 applications of non-invasive ventilation within the first 26 hours after extubation. For non-invasive ventilation, the positive pressure was 10 cm H2O, with a duration of 1 hour. The evaluation was performed on the 7th postoperative day/discharge and included a 6-minute walk test. The intensive care unit and hospitalization times were monitored in both groups. Brazilian Registry of Clinical Trials (REBeC): RBR number 8bxdd3. RESULTS: Analysis of the 6-minute walk test showed that the control group walked an average distance of 264.34±76 meters and the experimental group walked an average distance of 334.07±71 meters (p=0.002). The intensive care unit and hospitalization times did not differ between the groups. CONCLUSION: Non-invasive ventilation as a therapeutic resource was effective toward improving functionality; however, non-invasive ventilation did not influence the intensive care unit or hospitalization times of the studied cardiac patients. |
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Clinics |
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Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trialThoracic SurgeryContinuous Positive Airway PressureWalk TestOBJECTIVE: During cardiac surgery, several factors contribute to the development of postoperative pulmonary complications. Non-invasive ventilation is a promising therapeutic tool for improving the functionality of this type of patient. The aim of this study is to evaluate the functional capacity and length of stay of patients in a nosocomial intensive care unit who underwent prophylactic non-invasive ventilation after heart valve replacement. METHOD: The study was a controlled clinical trial, comprising 50 individuals of both sexes who were allocated by randomization into two groups with 25 patients in each group: the control group and experimental group. After surgery, the patients were transferred to the intensive care unit and then participated in standard physical therapy, which was provided to the experimental group after 3 applications of non-invasive ventilation within the first 26 hours after extubation. For non-invasive ventilation, the positive pressure was 10 cm H2O, with a duration of 1 hour. The evaluation was performed on the 7th postoperative day/discharge and included a 6-minute walk test. The intensive care unit and hospitalization times were monitored in both groups. Brazilian Registry of Clinical Trials (REBeC): RBR number 8bxdd3. RESULTS: Analysis of the 6-minute walk test showed that the control group walked an average distance of 264.34±76 meters and the experimental group walked an average distance of 334.07±71 meters (p=0.002). The intensive care unit and hospitalization times did not differ between the groups. CONCLUSION: Non-invasive ventilation as a therapeutic resource was effective toward improving functionality; however, non-invasive ventilation did not influence the intensive care unit or hospitalization times of the studied cardiac patients.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/14101710.6061/clinics/2017(10)05Clinics; Vol. 72 No. 10 (2017); 618-623Clinics; v. 72 n. 10 (2017); 618-623Clinics; Vol. 72 Núm. 10 (2017); 618-6231980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/141017/136083Copyright (c) 2017 Clinicsinfo:eu-repo/semantics/openAccessde Araújo-Filho, Amaro Afrâniode Cerqueira-Neto, Manoel Luizde Assis Pereira Cacau, LucasOliveira, Géssica UrugaCerqueira, Telma Cristina Fontesde Santana-Filho, Valter Joviniano2017-11-27T13:14:34Zoai:revistas.usp.br:article/141017Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2017-11-27T13:14:34Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
title |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
spellingShingle |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial de Araújo-Filho, Amaro Afrânio Thoracic Surgery Continuous Positive Airway Pressure Walk Test |
title_short |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
title_full |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
title_fullStr |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
title_full_unstemmed |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
title_sort |
Effect of prophylactic non-invasive mechanical ventilation on functional capacity after heart valve replacement: a clinical trial |
author |
de Araújo-Filho, Amaro Afrânio |
author_facet |
de Araújo-Filho, Amaro Afrânio de Cerqueira-Neto, Manoel Luiz de Assis Pereira Cacau, Lucas Oliveira, Géssica Uruga Cerqueira, Telma Cristina Fontes de Santana-Filho, Valter Joviniano |
author_role |
author |
author2 |
de Cerqueira-Neto, Manoel Luiz de Assis Pereira Cacau, Lucas Oliveira, Géssica Uruga Cerqueira, Telma Cristina Fontes de Santana-Filho, Valter Joviniano |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
de Araújo-Filho, Amaro Afrânio de Cerqueira-Neto, Manoel Luiz de Assis Pereira Cacau, Lucas Oliveira, Géssica Uruga Cerqueira, Telma Cristina Fontes de Santana-Filho, Valter Joviniano |
dc.subject.por.fl_str_mv |
Thoracic Surgery Continuous Positive Airway Pressure Walk Test |
topic |
Thoracic Surgery Continuous Positive Airway Pressure Walk Test |
description |
OBJECTIVE: During cardiac surgery, several factors contribute to the development of postoperative pulmonary complications. Non-invasive ventilation is a promising therapeutic tool for improving the functionality of this type of patient. The aim of this study is to evaluate the functional capacity and length of stay of patients in a nosocomial intensive care unit who underwent prophylactic non-invasive ventilation after heart valve replacement. METHOD: The study was a controlled clinical trial, comprising 50 individuals of both sexes who were allocated by randomization into two groups with 25 patients in each group: the control group and experimental group. After surgery, the patients were transferred to the intensive care unit and then participated in standard physical therapy, which was provided to the experimental group after 3 applications of non-invasive ventilation within the first 26 hours after extubation. For non-invasive ventilation, the positive pressure was 10 cm H2O, with a duration of 1 hour. The evaluation was performed on the 7th postoperative day/discharge and included a 6-minute walk test. The intensive care unit and hospitalization times were monitored in both groups. Brazilian Registry of Clinical Trials (REBeC): RBR number 8bxdd3. RESULTS: Analysis of the 6-minute walk test showed that the control group walked an average distance of 264.34±76 meters and the experimental group walked an average distance of 334.07±71 meters (p=0.002). The intensive care unit and hospitalization times did not differ between the groups. CONCLUSION: Non-invasive ventilation as a therapeutic resource was effective toward improving functionality; however, non-invasive ventilation did not influence the intensive care unit or hospitalization times of the studied cardiac patients. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
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/141017 10.6061/clinics/2017(10)05 |
url |
https://www.revistas.usp.br/clinics/article/view/141017 |
identifier_str_mv |
10.6061/clinics/2017(10)05 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/141017/136083 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Clinics |
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; Vol. 72 No. 10 (2017); 618-623 Clinics; v. 72 n. 10 (2017); 618-623 Clinics; Vol. 72 Núm. 10 (2017); 618-623 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_ |
1800222763262148608 |