Thoracic surgery, heart failur, acute respiratory failure.
Conditions
Interventions
Patients in the postoperative period of cardiac surgery (CABG and heart valve exchange) after arriving in the intensive care unit and were extubated, will be randomized into the control group and expe
Other
Q65.060
Sponsors
Universidade Federal de Sergipe
Universidade Tiradentes
Eligibility
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria include: patients admitted to the Hospital Charitable Foundation Surgery in preoperative procedure for cardiac surgery (valvuloplasty or valve replacement and / or CABG); both sexes aged 20 and 70 years; absence of psychiatric condition, cognitive decline or dementia influencing the communication process; absence of neuromuscular or musculoskeletal disorder or recent unresolved that may affect your ability to walk or mobility.
Exclusion criteria
Exclusion criteria: Patients will be excluded conditions : contraindications to the use of therapies with noninvasive positive pressure as decreased level of consciousness , ineffective cough , airway obstruction , abdominal distension , vomiting , upper gastrointestinal bleeding , hemodynamic instability , coronary syndrome acute , complex arrhythmias , facial trauma , surgery , esophageal barotrauma undrained ; patients requiring mechanical ventilation , invasive for over 24hrs , patients who refuse to sign the consent form or refuses to perform the treatment , patients in the control group at any time of the present study indicate ventilatory support both invasive and non -invasive clinically by dyspnea characterized by: increased respiratory rate > 25 bpm , paradoxical pattern , use of accessory muscles , runs and fall of oxygen saturation ; surgical complications that impede patient participation in research .
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome: Patients who make use of noninvasive ventilation prophylactic, present a better quality of life, measured by a specific instrument and validated as an evaluator of the patient's quality of life, called Questionnaire Health Profile Notthingham - PSN. In the course of the research, questionnaire has proved a very effective tool in measuring the quality of life in patients evaluated in the postoperative period of cardiac surgery.;Expected outcome: Patients who make use of noninvasive ventilation prophylactic, present improved functionality, measured through two specific and validated tools to assess the patient's functionality, which are the questionnaires Measure Independence Functional Summary (MIF) and Barthel Index . In the course of the research the MIF has been shown to be more sensitive than the Barthel index to assess functionality of the patients surveyed.;Expected outcome: Patients who make use of noninvasive ventilation prophylactic, present reduction in the number of days of hospitalization in the intensive care unit and hospitalization in general. In the course of research noninvasive ventilation has not been shown to influence the time of ICU and hospital stay of the patient in the postoperative period of cardiac surgery.;Expected outcome: Patients who make use of noninvasive ventilation prophylactic, will present an increase in volumes and lung capacities, measured by lung function test known as spirometry. Patients in the experimental group by spirometry have shown an increase in volumes and capacities in the control group. | — |
Primary
| Measure | Time frame |
|---|---|
| The walk test of six minutes was the variable used to calculate the sample size, so will be our primary outcome. Expected outcome: Patients who make use of noninvasive ventilation prophylactic, will present a better cardiorespiratory fitness, measured by distance meters, the walk test of six minutes, ie the experimental group will walk longer distances, measured in meters, in the control group, for a period of six minutes. With the progress of research we are finding that those using non-invasive ventilation after cardiac surgery can roam longer distances during the walk test of six minutes performed at hospital discharge of the patient. | — |
Countries
Brazil
Contacts
Public ContactAmaro Araújo Filho
Universidade Tiradentes
Outcome results
None listed