obesity morbid non invasive ventilation
Conditions
Interventions
The control group: 25 patients received once a day, orientation on posture, early ambulation and cough stimulus. As to the posture, it was recommended to avoid antalgic positions (increase of thoracic
Other
E02.041.625.591
Sponsors
Instituto de Medicina Integral Prof. Fernando Figueira
Instituto de Medicina Integral Prof. Fernando Figueira
Eligibility
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Patients with obesity class III and IV according to Brazilian Consensus of bariatric surgery, aged 18-40 years who underwent surgery during the period of the study and agree to participate. Patients with comorbidities of type OSA, hypertension, DM 2 and musculoskeletal problems; Informed consent approved and signed by the participants.
Exclusion criteria
Exclusion criteria: Hemodynamic instability (represented by fever, decrease or increase of 20 mmHg of the reference value of blood pressure or heart rate 20 bpm and in severe hypoxemia); Patients with claustrophobia as the use of device therapy; Patients with difficulty in understanding to perform the maneuvers for breath tests; Patients with severe chronic lung disease prior; Presence of contraindications to NIV: decreased level of consciousness, drowsiness, restlessness, or patient refusal, abdominal distension, nausea and vomiting.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effectiveness of non-invasive preventive ventilation in respiratory function in the postoperative period of bariatric surgery by Roux Y in adults. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assess the impact of this intervention on pulmonary function and respiratory muscle strength, comparing a group of obese patients undergoing this intervention to a control group, which will be submitted to conventional chest physiotherapy. Analyze volumes, lung capacity and peak expiratory flow through respirometry and peak flow, respectively: • Slow Vital Capacity (VC) • inspiratory capacity (IC) • Minute volume (MV) • Tidal volume (VT) • Peak expiratory flow (PEF) Measure respiratory muscle strength and lung function by spirometry and manometer, respectively: • inspiratory muscle strength (MIP) • expiratory muscle strength (MEP) • Forced vital capacity (FVC) check: • Episodes of pulmonary complications in the postoperative • Episodes of postoperative complications • Days of hospital stay | — |
Countries
Brazil
Contacts
Public ContactMabelle Oliveira Cavalcanti
Instituto de Medicina Integral Prof. Fernando Figueira
Outcome results
None listed