1. Repositório Institucional da Universidade Federal de Sergipe - RI/UFS
2. PRODUÇÃO CIENTÍFICA
3. DFT - Departamento de Fisioterapia (São Cristóvão)
4. DFT - Artigos de periódicos

Tipo de Documento:	Artigo
Título:	Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma
Autor(es):	Cerqueira Neto, Manoel Luiz de Moura, Álvaro Vieira Cerqueira, Telma Cristina Fontes Aquim, Esperidião Elias Reá-Neto, Álvaro Oliveira, Mirella Cristine Silva Júnior, Walderi Monteiro da Santana Filho, Valter Joviniano
Data do documento:	2013
Resumo:	OBJECTIVE: To evaluate the effects of physiotherapeutic respiratory maneuvers on cerebral and cardiovascular hemodynamics and blood gas variables. METHOD: A descriptive, longitudinal, prospective, nonrandomized clinical trial that included 20 critical patients with severe craniocerebral trauma who were receiving mechanical ventilation and who were admitted to the intensive care unit. Each patient was subjected to the physiotherapeutic maneuvers of vibrocompression and increased manual expiratory flow (5 minutes on each hemithorax), along with subsequent airway suctioning with prior instillation of saline solution, hyperinflation and hyperoxygenation. Variables related to cardiovascular and cerebral hemodynamics and blood gas variables were recorded after each vibrocompression, increased manual expiratory flow and airway suctioning maneuver and 10 minutes after the end of airway suctioning. RESULTS: The hemodynamic and blood gas variables were maintained during vibrocompression and increased manual expiratory flow maneuvers; however, there were increases in mean arterial pressure, intracranial pressure, heart rate, pulmonary arterial pressure and pulmonary capillary pressure during airway suctioning. All of the values returned to baseline 10 minutes after the end of airway suctioning. CONCLUSION: Respiratory physiotherapy can be safely performed on patients with severe craniocerebral trauma. Additional caution must be taken when performing airway suctioning because this technique alters cerebral and cardiovascular hemodynamics, even in sedated and paralyzed patients.
Palavras-chave:	Physical therapy modalities Craniocerebral trauma Intensive care
ISSN:	1807-5932
Parte de :	Clinics
Idioma:	eng
Instituição/Editora:	Faculdade de Medicina Hospital das Clínicas da Universidade de São Paulo
Citação:	CERQUEIRA NETO, M. L. et al. Acute effects of physiotherapeutic respiratory maneuvers in critically ill patients with craniocerebral trauma. Clinics, São Paulo, v. 69, n. 9, p. 1210-1214, 2013. Disponível em: https://www.sciencedirect.com/science/article/pii/S1807593222016234?via%3Dihub. Acesso em: 31 out. 2025.
Licença:	Creative Commons Atribuição-NãoComercial 3.0 Não Adaptada (CC BY-NC 3.0)
URI:	https://ri.ufs.br/jspui/handle/riufs/23666
Aparece nas coleções:	DFT - Artigos de periódicos

Os itens no repositório estão protegidos por copyright, com todos os direitos reservados, salvo quando é indicado o contrário.