bacterial and fungal infections
Conditions
Interventions
Control/placebo group (13 patients) will hold conventional respiratory physiotherapy with manual chest maneuvers for at least 10 minutes in the supine position. The analysis will be based on the effec
mean blood pressure in the pulmonary artery
pulmonary vascular resistance index
ejection fraction
arterial oxygen saturation
Rate consumption and oxygen extraction (VO2 and ERO2). The variables of 1 service will be evaluated in three distinct periods (before, immediately after and 30 minutes after the intervention). In both
Other
E02.779
H02.010.625
Sponsors
Hospital São Lucas da Pontificia Universidade Catolica do Rio Grande Do Sul
Hospital São Lucas da Pontificia Universidade Catolica do Rio Grande Do Sul
Eligibility
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 32 adult patients were included with septic shock who require the deployment catheter pulmonary artery; which signed the informed consent form and do not present any exclusion criteria.
Exclusion criteria
Exclusion criteria: Patients under the age of 18 years or over 80 years; pregnancy; acute myocardial infarction 3 months before the study; septic shock secondary to pulmonary disease; severe heart disease; with fractions of less than 30% ejection; and expectancy of less than 24 hours life.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Whether it was hoped that the practice of physical therapy, mean arterial pressure, mean pulmonary artery pressure, cardiac index and heart rate did not change in order to increase the hemodynamic instability of the patient, regardless of the evaluation period (before, right after the procedure, and 30 minutes after). Variables collected via catheter pulmonary artery and electronic monitor at the bedside.;In fact, regardless of physical therapy technique used, there were no hemodynamic changes in the collected variables (heart rate, mean arterial pressure, mean arterial pulmonary artery pressure, pulmonary vascular resistance index, cardiac index, ejection fraction) | — |
Secondary
| Measure | Time frame |
|---|---|
| It was expected improvement in oxygenation parameters following both types of respiratory therapy, through the analysis variables: arterial oxygen saturation; venous oxygen saturation; Rate consumption and oxygen extraction (VO2 and ERO2) assessed before, immediately after and 30 minutes after respiratory therapy. Variables collected via catheter pulmonary artery and electronic monitor at the bedside.;The data of arterial and venous oxygen saturation demonstrated significant increase independent of the technique used and evaluated during the time factor (after and 30 minutes after the procedure). The oxygen consumption rate (VO2) increased significantly after the procedure. Collected variables and calculated via a pulmonary artery catheter and electronic monitor at the bedside. | — |
Countries
Brazil
Contacts
Public ContactClarissa;Clarissa Blattner Blattner;Blattner
Hospital São Lucas da Pontificia Universidade Catolica do Rio Grande Do Sul;Hospital São Lucas da PUCRS
Outcome results
None listed