Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Jun 2012
Influence of early mobilization on respiratory and peripheral muscle strength in critically ill patients.
To evaluate the effects of an early mobilization protocol on respiratory and peripheral muscles in critically ill patients. ⋯ The early mobilization group showed gains in inspiratory and peripheral muscle strength.
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Rev Bras Ter Intensiva · Jun 2012
Use of a noninvasive ventilation device following tracheotomy: an alternative to facilitate ICU discharge?
We aimed to assess the use of noninvasive ventilation devices in patients with prolonged weaning following tracheotomy. ⋯ The use of noninvasive portable ventilators connected to the tracheotomy may represent an alternative for discontinuing ventilationand discharging tracheotomized patients with prolonged ventilatory weaning from intensive care unit.
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Rev Bras Ter Intensiva · Jun 2012
I Brazilian guidelines for respiratory physiotherapy in pediatric and neonatal intensive care units.
Developing guidelines for the role of the physiotherapist in neonatal and pediatric intensive care units is essential because these professionals are responsible for the rehabilitation of critically ill patients. Rehabilitation includes the evaluation and prevention of functional kinetic alterations, application of treatment interventions (respiratory and/or motor physiotherapy), control and application of medical gases, care of mechanical ventilation, weaning and extubation, tracheal gas insufflation, inflation/deflation of the endotracheal cuff protocol, and surfactant application, aiming to allow patients to have a full recovery and return to their functional activities. In this article, we present guidelines that are intended to guide the physiotherapist in some of the prevention/treatment interventions in respiratory therapy (airway clearance, lung expansion, position in bed, airway suction, drug inhalation, and cough assist), which help in the rehabilitation process of newborns and children in intensive care units during mechanical ventilation and up to 12 hours following extubation.
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Rev Bras Ter Intensiva · Jun 2012
Motor physical therapy in hospitalized patients in an intensive care unit: a systematic review.
To analyze the outcomes achieved by motor physical therapy in critically ill patients admitted to intensive care units. ⋯ With this systematic review, it is possible to conclude that motor physical therapy is a feasible and safe therapy for critically ill patients and can minimize the deleterious effects of prolonged immobilization. Approaches involving electrostimulation, cycle ergometry and kinesiotherapy showed positive responses in patients under intensive care. Available evidence regarding the impact of motor physical therapy on length of stay in intensive care units and on mortality is still scarce, and further study in this area is warranted.
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Rev Bras Ter Intensiva · Jun 2012
The correlation between plasma lactate concentrations and early neonatal mortality.
To assess the correlation between plasma lactate concentrations in the first 6 hours of life and early neonatal mortality. ⋯ In the investigated samples, the presence of plasma lactate concentrations > 4.2 mmol/L in the first 6 hours of life correlated with neonatal death during the first 3 days of life, a higher frequency of neurologic morbidity, and newborns that were small for their gestational age.