Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/75913 |
Resumo: | Impairment of breathing muscles is one of many consequences of mechanical ventilation in critical patients. In some cases, muscle weakness is due to patients’ disease itself. According to experimental studies conducted with animals, diaphragm force decreases after 12 hours of controlled mechanical ventilation. However, many factors might be responsible for such breathing muscles dysfunction and consequent difficulty in weaning from mechanical ventilation. The aim of the present review was to search for the causes of breathing muscle alterations in patients who present acute respiratory failure. The search in main electronic databases led to selecting experimental and review studies published in the last 10 years, most of which were conducted with animal models. According to the reviewed studies, impairment of breathing muscles is multi-factorial and might be related to sepsis, medicine consumption, nutrition deprivation, and to the controlled mechanical ventilation itself. It is mandatory to identify each of these factors since, either isolated or associated, they increase respiratory muscle dysfunction. |
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Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature reviewDisfunção dos músculos respiratórios de pacientes críticos sob ventilação mecânica por insuficiência respiratória aguda: revisão de literaturainsuficiência respiratória/reabilitaçãomúsculos respiratóriosrespiração artificialrevisão de literatura.literature reviewrespirationartificialrespiratory insufficiency/ rehabilitationrespiratory muscles.Impairment of breathing muscles is one of many consequences of mechanical ventilation in critical patients. In some cases, muscle weakness is due to patients’ disease itself. According to experimental studies conducted with animals, diaphragm force decreases after 12 hours of controlled mechanical ventilation. However, many factors might be responsible for such breathing muscles dysfunction and consequent difficulty in weaning from mechanical ventilation. The aim of the present review was to search for the causes of breathing muscle alterations in patients who present acute respiratory failure. The search in main electronic databases led to selecting experimental and review studies published in the last 10 years, most of which were conducted with animal models. According to the reviewed studies, impairment of breathing muscles is multi-factorial and might be related to sepsis, medicine consumption, nutrition deprivation, and to the controlled mechanical ventilation itself. It is mandatory to identify each of these factors since, either isolated or associated, they increase respiratory muscle dysfunction.A disfunção dos músculos respiratórios é uma das conseqüências daventilação mecânica em paciente crítico. Em alguns casos a fraqueza muscular é decorrente de sua doença de base. Nota-se a redução da força diafragmática após 12 h de ventilação mecânica controlada de acordo com estudos experimentais em modelos animais. Entretanto, há vários fatores que podem ser responsáveis pela disfunção muscular respiratória e conseqüente dificuldade no desmame da VM. O objetivo desta revisão foi verificar as causas das alterações dos músculos respiratórios em pacientes que apresentam insuficiência respiratória aguda. A busca nas principais bases de dados eletrônicas resultou na seleção de estudos experimentais e de revisão dos últimos 10 anos, sendo a maioria realizada em modelos animais. Observou-se que a disfunção muscular respiratória é multifatorial, podendo estar relacionada à sepse, ao uso de medicamentos, à desnutrição e à própria ventilação mecânica controlada. É necessário identificar cada um desses fatores, visto que, isolados ou associados, potencializam a disfunção muscular respiratória.Universidade de São Paulo. Faculdade de Medicina2007-08-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/7591310.1590/fpusp.v14i2.75913Fisioterapia e Pesquisa; Vol. 14 No. 2 (2007); 84-90Fisioterapia e Pesquisa; Vol. 14 Núm. 2 (2007); 84-90Fisioterapia e Pesquisa; v. 14 n. 2 (2007); 84-902316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/75913/79408Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessAlves, Gislaine SouzaSimões, Leonardo AssisCaldeira, Josiane Alves2014-05-07T22:36:27Zoai:revistas.usp.br:article/75913Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2014-05-07T22:36:27Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review Disfunção dos músculos respiratórios de pacientes críticos sob ventilação mecânica por insuficiência respiratória aguda: revisão de literatura |
title |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review |
spellingShingle |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review Alves, Gislaine Souza insuficiência respiratória/reabilitação músculos respiratórios respiração artificial revisão de literatura. literature review respiration artificial respiratory insufficiency/ rehabilitation respiratory muscles. |
title_short |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review |
title_full |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review |
title_fullStr |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review |
title_full_unstemmed |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review |
title_sort |
Respiratory muscle dysfunction of critical patients receiving mechanical ventilation due to acute respiratory failure: a literature review |
author |
Alves, Gislaine Souza |
author_facet |
Alves, Gislaine Souza Simões, Leonardo Assis Caldeira, Josiane Alves |
author_role |
author |
author2 |
Simões, Leonardo Assis Caldeira, Josiane Alves |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Alves, Gislaine Souza Simões, Leonardo Assis Caldeira, Josiane Alves |
dc.subject.por.fl_str_mv |
insuficiência respiratória/reabilitação músculos respiratórios respiração artificial revisão de literatura. literature review respiration artificial respiratory insufficiency/ rehabilitation respiratory muscles. |
topic |
insuficiência respiratória/reabilitação músculos respiratórios respiração artificial revisão de literatura. literature review respiration artificial respiratory insufficiency/ rehabilitation respiratory muscles. |
description |
Impairment of breathing muscles is one of many consequences of mechanical ventilation in critical patients. In some cases, muscle weakness is due to patients’ disease itself. According to experimental studies conducted with animals, diaphragm force decreases after 12 hours of controlled mechanical ventilation. However, many factors might be responsible for such breathing muscles dysfunction and consequent difficulty in weaning from mechanical ventilation. The aim of the present review was to search for the causes of breathing muscle alterations in patients who present acute respiratory failure. The search in main electronic databases led to selecting experimental and review studies published in the last 10 years, most of which were conducted with animal models. According to the reviewed studies, impairment of breathing muscles is multi-factorial and might be related to sepsis, medicine consumption, nutrition deprivation, and to the controlled mechanical ventilation itself. It is mandatory to identify each of these factors since, either isolated or associated, they increase respiratory muscle dysfunction. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-08-31 |
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/fpusp/article/view/75913 10.1590/fpusp.v14i2.75913 |
url |
https://www.revistas.usp.br/fpusp/article/view/75913 |
identifier_str_mv |
10.1590/fpusp.v14i2.75913 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/75913/79408 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 14 No. 2 (2007); 84-90 Fisioterapia e Pesquisa; Vol. 14 Núm. 2 (2007); 84-90 Fisioterapia e Pesquisa; v. 14 n. 2 (2007); 84-90 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713734941081600 |