Heart Defects Congenital
Conditions
Interventions
The control group will consist of 73 patients and will receive standard care from the physiotherapy service consisting of bronchial hygiene therapy, ventilatory adjustments and extubation.The patients
Other
Sponsors
Hospital martagão gesteira
Hospital martagão gesteira
Eligibility
Age
6 Months to 6 Years
Inclusion criteria
Inclusion criteria: All children between 6 months and 6 years, who have had cardiac surgery of congenital heart disease with median sternotomy who have been admitted to mechanical ventilation and remain on the ventilator during the proposed intervention period will be included.
Exclusion criteria
Exclusion criteria: Children with hemodynamic instability, such as hypotension, psychomotor agitation, previous pneumonectomy, bronchopleural fistulas, hemoptysis, non-drained pneumothorax, and hypertension will be excluded if they present with a chest deformity, difficulty or inability to swallow and release airways that do not present cough reflex, intracranial. In addition, children with neuromuscular diseases will be excluded; children who have suffered neurological complications during the postoperative period; children who develop dependence on MV and still need to be transferred from the ICU of Martagão Gesteira Hospital.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Reduction of mechanical ventilation time, measured in total days the patient remains on the ventilatory prosthesis ;Occurrence of reintubation and death before discharge from the intensive care unit in the intervention group compared to the control group measured by the need to return to ventilatory prosthesis during hospitalization and death during hospitalization in the intensive care unit | — |
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: Reduction in the occurrence of pulmonary complications determined by imaging exams such as chest x-ray and computed tomography (if any) at admission and discharge from the intensive care unit and improvement in gas exchange as measured by arterial blood gas analysis at admission and on the first day. postoperatively.;Expected outcome 2: Improvement in gas exchange as measured by arterial blood gas analysis at admission and on the first day. postoperatively. | — |
Countries
Brazil
Contacts
Public ContactClaudiane;Claudiane dos Santos;dos Santos
Hospital martagão gesteira;HOSPITAL MARTAGÃO GESTEIRA
Outcome results
None listed