A influencia do condicionamento muscular respiratorio pre-operatorio na recuperação de pacientes submetidos a cirurgia de esofago : uma visão fisioterapica

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

Pulmonary complications like pneumonia, pleural effusion, atelectasis, chylothorax are constantly observed in patients who have undergone esophagectomy. Among several factors that may cause those changes, one that brings out is the absence of preoperative respiratory preparation. Besides, the intrinsic factor of the surgery, the unprepared respiratory muscles of the subject may aggravate the changes already described. The present study intends to demonstrate the importance of the respiratory muscular conditioning during the preoperative phase of candidates for the esophagectomy, as well as its benefits obtained in the postoperative phase. Forty patients were studied, 50% being part of the control group. Those patients showed some kind of pulmonary complication, because of this stayed in the hospital up to 46 days. On the other hand, the patients submitted to a preoperative respiratory conditioning (20 subjects) in a period varying from 1 to 4 weeks were submitted to measurement of the maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), arterial gas analysis, spirometry and chest wall measurements (inspiratory and expiratory phases) in the pre and post respiratory conditioning (at the end of each week). We recorded an increase of MIP and MEP (p 0.05), that initiated after the first week of respiratory conditioning. Those values were increased gradually. Spirometry values (FEV1 and FVC) only showed an increase in the 4th week of conditioning. The measurement of the thoracic circumference only increased during the inspiratory measurement. The PO2, PCO2, Sat and the thoracic circumference had some positive modifications, but did not show statistic significance. The obtained results indicate that the respiratory muscular conditioning is extremely important in obtaining a pulmonary improvement, increasing the respiratory muscles force and endurance and, consequently, the least length of hospital stay of that patient

ASSUNTO(S)

tratamento respiratorio fisioterapia musculos respiratorios exercicios respiratorios esofago - cirurgia

ACESSO AO ARTIGO

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