O impacto da eletroestimulação neuromuscular no paciente crítico internado na unidade de terapia intensiva em ventilação mecânica: uma revisão sistemática
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Data
2023-06-09
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Leite, Bruna Souza
Orientador
Hugo, Mirelle Bueno
Coorientador
Resumo
OBJETIVO: Revisar sistematicamente na literatura os impactos da estimulação elétrica neuromuscular no paciente crítico internado na UTI em ventilação mecânica e seus benefícios na força muscular e tempo de internação. MÉTODOS: Trata-se de um estudo de revisão sistemática, a qual foi consultado os bancos de dados eletrônicas Pubmed, Cochrane, BVS e Scielo, onde foram utilizados artigos publicados entre os anos de 2013 e 2023, avaliados de acordo com a qualidade metodológica através da escala Consort (ROBINS). RESULTADOS: Um total de 45 estudos foram encontrados pela busca nas bases de dados, sendo 13 na PubMed, 11 na Cochrane, 1 no Scielo e 20 na Biblioteca Virtual em Saúde (BVS). Desses 45 foram excluídos 15 pelo título e resumo, restando 30 estudos. Após 9 foram excluídos por serem duplicatas e 13 excluídos com base nos critérios de elegibilidade restando 8 estudos para leitura completa, dos quais 4 não apresentaram o desfecho de interesse necessário. Desta forma, 4 trabalhos foram incluídos para a etapa de apreciação crítica. CONCLUSÃO: A presente revisão sistemática conclui que os estudos analisados demonstraram que a eletroestimulação neuromuscular no paciente crítico é eficaz e segura para ser aliada na melhora da recuperação muscular e redução do período de ventilação mecânica.
OBJECTIVE: To systematically review in the literature the impacts of neuromuscular electrical stimulation on critically ill patients admitted to the ICU on mechanical ventilation and its benefits on muscle strength and length of stay. METHODS: This is a systematic review study, which consulted the electronic databases Pubmed, Cochrane, BVS and Scielo, where articles published between 2013 and 2023 were used, evaluated according to methodological quality through of the Consort scale (ROBINS). RESULTS: A total of 45 studies were found by searching the databases, 13 in PubMed, 11 in Cochrane, 1 in Scielo and 20 in the Virtual Health Library (VHL). Of these 45, 15 were excluded by title and abstract, leaving 30 studies. After that, 9 were excluded because they were duplicates and 13 were excluded based on the eligibility criteria, leaving 8 studies for complete reading, of which 4 did not present the necessary outcome of interest. In this way, 4 works were included for the critical appreciation stage. CONCLUSION: This systematic review concludes that the analyzed studies demonstrated that neuromuscular electrical stimulation in critically ill patients is effective and safe to be used as an ally in improving muscle recovery and reducing the period of mechanical ventilation.
OBJECTIVE: To systematically review in the literature the impacts of neuromuscular electrical stimulation on critically ill patients admitted to the ICU on mechanical ventilation and its benefits on muscle strength and length of stay. METHODS: This is a systematic review study, which consulted the electronic databases Pubmed, Cochrane, BVS and Scielo, where articles published between 2013 and 2023 were used, evaluated according to methodological quality through of the Consort scale (ROBINS). RESULTS: A total of 45 studies were found by searching the databases, 13 in PubMed, 11 in Cochrane, 1 in Scielo and 20 in the Virtual Health Library (VHL). Of these 45, 15 were excluded by title and abstract, leaving 30 studies. After that, 9 were excluded because they were duplicates and 13 were excluded based on the eligibility criteria, leaving 8 studies for complete reading, of which 4 did not present the necessary outcome of interest. In this way, 4 works were included for the critical appreciation stage. CONCLUSION: This systematic review concludes that the analyzed studies demonstrated that neuromuscular electrical stimulation in critically ill patients is effective and safe to be used as an ally in improving muscle recovery and reducing the period of mechanical ventilation.
Palavras-chave
Electric Stimulation, Intensive Care Units, Patients, Respiration Artificial