Characterization of parameters and strategies used by physicaltherapists in difficult mechanical ventilation weaning

Revista Brasileira em Promoção da Saúde

卷:26

关键词: Diaphragm;    Muscle Fatigue;    Physical Therapy;    Muscle Strength;    IntensiveCare Units;    Respiration;    Artificial.;   

DOI  :  10.5020/18061230.2013.p51

来源: DOAJ

【 摘 要 】

Objective: To characterize the main strategies and parameters used by physical therapistsin difficult mechanical ventilation weaning. Methods: Cross-sectional study includingall the physical therapists working in adult Intensive Care Units in three public hospitals in Fortaleza-CE. A questionnaire with closed questions related to difficult mechanicalventilation weaning was applied, with either one or multiple answers. The data was treatedwith descriptive and non-parametric analysis. Results: Among the parameters mostly used by the 56 interviewed physical therapists for the difficult weaning, were found: current volumereduction (26 - 46.4%) and desaturation during aspiration (17 - 30.4%). It was observed that38 (67.9%) alternate T-tube and continuous positive airway pressure (CPAP) as strategiesfor difficult weaning, and 28 (50%) reported reducing the pressure support. There was nostatistical difference between the strategies used in the studied hospitals, neither correlation between strategies and parameters. Conclusion: It was found that physical therapists havebeen performing similar strategies, which are also shown in the literature, but this is not the case with the parameters. The parameters used are not supported by the literature.

【 授权许可】

Unknown