Treinamento muscular inspiratório em pacientes submetidos à ventilação mecânica e seus efeitos no desmame.
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Data
2023-12
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
SILVEIRA, Raissa Iasmim de Andrade
OLIVEIRA, Welison Sousa de
Orientador
CÂMARA, Gislainy Luciana Gomes
Coorientador
FEITOSA
Resumo
OBJETIVO: Analisar os efeitos fisiológicos do treinamento de musculatura inspiratória e sua influência para o sucesso no desmame e extubação efetiva. MÉTODOS: Revisão bibliográfica onde foi realizada uma busca por artigos nos idiomas inglês e português com limite cronológico de 2017 a 2023, nas bases de dados PubMed (serviço da U. S. National Library of Medicine), SciELO (Scientific Electronic Library Online), ScienceDirect, Biblioteca Virtual em Saúde (BVS), Scopus, Web of Science e Embase, utilizando os descritores em inglês: Muscle Strength (força muscular), Respiratory Muscles (músculos respiratórios), Ventilator Weaning (desmame do ventilador). RESULTADOS: Foram selecionados 9 artigos para leitura na íntegra, no qual a qualidade metodológica dos trabalhos foi avaliada pela escala PEDro, obtendo boa pontuação. Os principais achados incluíram a TMI utilizando recursos como o peso abdominal, POWERbreathe, Threshold e ajuste de sensibilidade. CONCLUSÃO: O TMI é eficaz e seguro como terapia aplicada em pacientes mecanicamente ventilados, possuindo efeitos no ganho de força da musculatura respiratória através do aumento de PImáx, PEmáx e outros parâmetros.
OBJECTIVE: To analyze the physiological effects of inspiratory muscle training and its influence on successful weaning and effective extubation. METHODS: A literature review was carried out in which a search was made for articles in English and Portuguese with a chronological limit of 2017 to 2023, in the databases PubMed (service of the U. S. National Library of Medicine), SciELO (Scientific Electronic Library Online), ScienceDirect, Virtual Health Library (VHL), Scopus, Web of Science and Embase, using the English descriptors: Muscle Strength, Respiratory Muscles, Ventilator Weaning. RESULTS: Nine articles were selected to be read in full, in which the methodological quality of the studies was assessed using the PEDro scale, obtaining a good score. The main findings included IMT using resources such as abdominal weight, POWERbreathe, Threshold and sensitivity adjustment. CONCLUSION: IMT is effective and safe as a therapy applied to mechanically ventilated patients, with effects on respiratory muscle strength gain through increases in MIP, MEP and other parameters.
OBJECTIVE: To analyze the physiological effects of inspiratory muscle training and its influence on successful weaning and effective extubation. METHODS: A literature review was carried out in which a search was made for articles in English and Portuguese with a chronological limit of 2017 to 2023, in the databases PubMed (service of the U. S. National Library of Medicine), SciELO (Scientific Electronic Library Online), ScienceDirect, Virtual Health Library (VHL), Scopus, Web of Science and Embase, using the English descriptors: Muscle Strength, Respiratory Muscles, Ventilator Weaning. RESULTS: Nine articles were selected to be read in full, in which the methodological quality of the studies was assessed using the PEDro scale, obtaining a good score. The main findings included IMT using resources such as abdominal weight, POWERbreathe, Threshold and sensitivity adjustment. CONCLUSION: IMT is effective and safe as a therapy applied to mechanically ventilated patients, with effects on respiratory muscle strength gain through increases in MIP, MEP and other parameters.
Palavras-chave
força muscular, músculos respiratórios, desmame do ventilador, fisioterapia