Terapia rotacional: eixo longitudinal, em unidade de terapia intensiva

Autores

  • Silvia Maria de Toledo Piza Soares Pontifícia Universidade Católica de Campinas
  • Santiara Mantovani Vilares Pontifícia Universidade Católica de Campinas
  • Talita Priscila Guastalla Pontifícia Universidade Católica de Campinas

DOI:

https://doi.org/10.24220/2318-0897v20n1/2a823

Palavras-chave:

Atelectasia pulmonar, Terapia passiva contínua de movimento, Terapia respiratória, Unidades de terapia intensiva

Resumo

Reunir e sumarizar os benefícios e protocolos da terapia rotacional na prevenção e no tratamento de complicações pulmonares de pacientes internados em terapia intensiva. Trata-se de uma revisão sistemática da literatura, na qual foram consultadas as bases de dados Lilacs, MedLine, Cochrane, Divisão Bibliotecária da Universidade de Stanford e o Banco de Dados de Evidência em Fisioterapia. Os ensaios clínicos randomizados e publicados entre 2000 e 2008 foram incluídos na análise. Sete estudos foram selecionados, sendo um multicêntrico, totalizando 573 pacientes. O objetivo da intervenção foi a prevenção e o tratamento de complicações pulmonares em três e quatro ensaios, respectivamente. A terapia rotacional foi adotada na forma de terapia cinética em dois estudos, e a terapia de rotação lateral contínua, nos demais. Dentre os principais desfechos, foram observados menor incidência de pneumonia (n=3), menor ocorrência e risco de desenvolver atelectasia lobar (n=1), melhora da razão PaO2/FiO2 em pacientes com lesão pulmonar aguda (n=1) e maior volume de escarro expelido (n=1). A terapia rotacional pode ser uma terapêutica coadjuvante no tratamento e na prevenção de complicações pulmonares, uma vez que se observou melhora clínica e fisiológica nos pacientes críticos. Outros estudos são necessários, entretanto, para confirmação desses resultados.

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Biografia do Autor

Silvia Maria de Toledo Piza Soares, Pontifícia Universidade Católica de Campinas

1 Pontifícia Universidade Católica de Campinas, Centro de Ciências da Vida, Faculdade de Fisioterapia. Av. Jonh Boyd Dunlop, s/n.,
Prédio Administrativo, Jd. Ipaussurama, 13090-950, Campinas, SP, Brasil. Correspondência para/Correspondence to: SMTP SOARES.
E-mail: <silviasoares@puc-campinas.edu.br>.

Santiara Mantovani Vilares, Pontifícia Universidade Católica de Campinas

1 Pontifícia Universidade Católica de Campinas, Centro de Ciências da Vida, Faculdade de Fisioterapia. Av. Jonh Boyd Dunlop, s/n.,
Prédio Administrativo, Jd. Ipaussurama, 13090-950, Campinas, SP, Brasil. 

Talita Priscila Guastalla, Pontifícia Universidade Católica de Campinas

1 Pontifícia Universidade Católica de Campinas, Centro de Ciências da Vida, Faculdade de Fisioterapia. Av. Jonh Boyd Dunlop, s/n.,
Prédio Administrativo, Jd. Ipaussurama, 13090-950, Campinas, SP, Brasil. 

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Publicado

2011-04-30

Como Citar

Soares, S. M. de T. P., Vilares, S. M., & Guastalla, T. P. (2011). Terapia rotacional: eixo longitudinal, em unidade de terapia intensiva. Revista De Ciências Médicas, 20(1/2), 37–45. https://doi.org/10.24220/2318-0897v20n1/2a823

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