Hemodynamic Instability
Conditions
Keywords
hemodynamics, physiotherapy, breath stacking
Brief summary
This study aims to Analyze and compere the hemodynamic and respiratory variables before, during and after the applying of technic as well as evaluate respiratory pressures generated during applying of this same technic and correlate them with the effort noticed by device user.
Detailed description
The breath stacking technic (BS) is an inspiratory maneuver used for recruitment of collapsed alveoli and, consequently, improves oxygenation and, therefore, used by respiratory physiotherapy aiming promoting lung re-expansion being. The BS was described by Marini as an attempt of optimizing vital capacity in little co-operative individuals and hemodynamics has been considered a way of incentive spirometry that provides high lung volume, in situations, in which, inspiratory maneuver duration can be as important as the volume reached, composing an alternative incentive of inspiration technic4. The system used is composed by an interface (facial mask) connected to the patient, an inspiratory unidirectional valve and the respiratory branch which is kept occluded during the carrying out of maneuvers.
Interventions
OTHERBreath stacking
During initial rest period, the volunteer remained seated for 10' in spontaneous breathing. Right after, the measurement of arterial pressure, of SpO2 (%), of heart rate, of respiratory frequency and applied to a modified effort perception Borg. During carrying out of the breath stacking technic, the volunteer remained seated, being requested to hold the mask on his/her face not allowing air scape, The volunteer was oriented to inhale normally and exhale all the air during expiration for 20 seconds, and the variables were assessement again the same variables of control. In the final rest period, right after technic end, the volunteers remained seated for 10 minutes in spontaneous breathing and again the same variables of control at the 10th minute were assessed.
Sponsors
Federal University of Uberlandia
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes
Inclusion criteria
* age of 18 to 30, sedentary, absence of neuromuscular and/or cardiac respiratory diseases
Exclusion criteria
* the smokers, overweight, claustrophobic or the ones with difficulty in carrying out the technic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| maximum inspiratory and expiratory pressures | During the intervention. They will be used to verify the average pressures generated during the execution of the technique. Time of the technique equal to 20 seconds. | connected to a manometer from brand Commercial Medica (Brazil) used to measure maximum inspiratory and expiratory pressures generated during carrying out of technic. The volunteer was oriented to inhale normally and exhale all the air during expiration for 20 seconds. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| modified effort perception Borg scale | Before, during and after the intervention. They will be used to compare the variation before, during and after the technique. Valuation time was 1 minute. | applied to a modified effort perception Borg scale with a score from 0 to 10, considering 0 the smallest effort noticed and 10 the biggest effort reported |
| heart rate | Before, during and after the intervention. They will be used to compare the variation before, during and after the technique. Valuation time was 1 minute. | by palpation method of radial artery, of respiratory frequency by direct counting of thoracic movement |
| peripheral oxygen saturation | Before, during and after the intervention. They will be used to compare the variation before, during and after the technique. Valuation time was 1 minute. | through a pulse oximeter |
| systolic arterial pressure | Before, during and after the intervention. They will be used to compare the variation before, during and after the technique. Valuation time was 1 minute. | the measurement of systolic arterial pressure were assessed using an aneroid-type sphygmomanometer |
| diastolic arterial pressure | Before, during and after the intervention. They will be used to compare the variation before, during and after the technique. Valuation time was 1 minute. | the measurement of systolic arterial pressure were assessed using an aneroid-type sphygmomanometer from the brand Lamedial Commercial |
Outcome results
None listed