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http://hdl.handle.net/1843/47195| Type: | Artigo de Periódico |
| Title: | Meld pre-hepatic transplantation and RMS of the diaphragmatic domes interference in time for postoperative extubation |
| Authors: | Rayssa Pistilli Duarte Aurea Maria Oliveira da Silva Rodrigo Marques Tonella Lígia Dos Santos Roceto Ratti Ilka de Fatima Santana Ferreira Boin |
| Abstract: | Introduction: The liver transplantation procedure, in addition to its prolonged surgical time, also predisposes to complications such as changes in respiratory mechanics, lung volumes and gas exchange. Objective. this study aims to verify if clinical factors related to the receptor, namely immediate pre-transplant MELD score (Model for End-Stage Liver Disease), surgical time and Root Square Metric (RMS) of the diaphragmatic domes, interfere in the time for extubation after liver transplantation. Method: A prospective study, with a sample collected for convenience, which gathered age (years), gender (male/female), MELD score immediately prior to transplantation (without the addition of special situation scores), surgical time and time for extubation in minutes. The latter were recorded in the evolution of the physiotherapy team and the surface electromyography EMG/Brazil were performed within 30 minutes after elective extubation, by a single researcher, with supplemental oxygen support, maintaining a Sp02 ≥95% and following protocol of positioning and acquisition of electromyographic signals, based on the study of Oliveira et al. (2012). Results: For the 21 patients studied, the RMS of the left dome showed a moderate intensity correlation (−0.56) with the time of extubation, and linear multiple regression model the left dome (P=0.013) and preoperative MELD score (P=0.048) showed significant interference with extubation time. Conclusion: The preoperative MELD score and the RMS values of the left dome interfere significantly in the time for patient extubation after liver transplantation, showing the effect of previously installed muscle weakness and preoperative MELD score on postoperative outcome. |
| Subject: | Transplante de fígado Respiração artificial Desmame do respirador Mecânica respiratória |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | EEF - DEPARTAMENTO DE FISIOTERAPIA |
| Rights: | Acesso Restrito |
| metadata.dc.identifier.doi: | https://doi.org/10.1016/j.hpb.2018.06.2389 |
| URI: | http://hdl.handle.net/1843/47195 |
| Issue Date: | Sep-2018 |
| metadata.dc.url.externa: | https://www.sciencedirect.com/science/article/pii/S1365182X18337699?via%3Dihub |
| metadata.dc.relation.ispartof: | HPB |
| Appears in Collections: | Artigo de Periódico |
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