Continuous Positive Airway Pressure (cpap) After Lung Resection: A Randomized Clinical Trial.

dc.creatorRoceto, Lígia dos Santos
dc.creatorGalhardo, Fernanda Diório Masi
dc.creatorSaad, Ivete Alonso Bredda
dc.creatorToro, Ivan Felizardo Contrera
dc.date2014
dc.date2015-11-27T13:41:49Z
dc.date2015-11-27T13:41:49Z
dc.date.accessioned2018-03-29T01:19:38Z
dc.date.available2018-03-29T01:19:38Z
dc.identifierSão Paulo Medical Journal = Revista Paulista De Medicina. v. 132, n. 1, p. 41-7, 2014.
dc.identifier1806-9460
dc.identifier10.1590/1516-3180.2014.1321525
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/24474079
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/201110
dc.identifier24474079
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1301343
dc.descriptionNoninvasive mechanical ventilation during the postoperative period (PO) following lung resection can restore residual functional capacity, improve oxygenation and spare the inspiratory muscles. The objective of this study was to assess the efficacy of continuous positive airway pressure (CPAP) associated with physiotherapy, compared with physiotherapy alone after lung resection. Open randomized clinical trial conducted in the clinical hospital of Universidade Estadual de Campinas. Sessions were held in the immediate postoperative period (POi) and on the first and second postoperative days (PO1 and PO2), and the patients were reassessed on the discharge day. CPAP was applied for two hours and the pressure adjustment was set between 7 and 8.5 cmH2O. The oxygenation index (OI), Borg scale, pain scale and presence of thoracic drains and air losses were evaluated. There was a significant increase in the OI in the CPAP group in the POi compared to the Chest Physiotherapy (CP) group, P = 0.024. In the CP group the OI was significantly lower on PO1 (P = 0,042), than CPAP group. The air losses were significantly greater in the CPAP group in the POi and on PO1 (P = 0.001, P = 0.028), but there was no significant difference between the groups on PO2 and PO3. There was a statistically significant difference between the groups regarding the Borg scale in the POi (P < 0.001), but there were no statistically significant differences between the groups regarding the pain score. CPAP after lung resection is safe and improves oxygenation, without increasing the air losses through the drains. NCT01285648.
dc.description132
dc.description41-7
dc.languageeng
dc.relationSão Paulo Medical Journal = Revista Paulista De Medicina
dc.relationSao Paulo Med J
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAged
dc.subjectAnalysis Of Variance
dc.subjectContinuous Positive Airway Pressure
dc.subjectDyspnea
dc.subjectFemale
dc.subjectHumans
dc.subjectLung
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectOxygen
dc.subjectPain Measurement
dc.subjectPneumonectomy
dc.subjectPostoperative Care
dc.subjectPostoperative Period
dc.subjectRespiratory Function Tests
dc.subjectStatistics, Nonparametric
dc.subjectTime Factors
dc.subjectTreatment Outcome
dc.titleContinuous Positive Airway Pressure (cpap) After Lung Resection: A Randomized Clinical Trial.
dc.typeArtículos de revistas


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