Model for end-stage liver disease score before hepatic transplantation and root mean square of the diaphragmatic domes affect postoperative extubation time

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dc.creatorRayssa Pistilli Duarte
dc.creatorÁurea Maria Oliveira da Silva
dc.creatorRodrigo Marques Tonella
dc.creatorLígia Dos Santos Roceto Ratti
dc.creatorIlka de Fátima Santana Ferreira Boin
dc.date.accessioned2022-11-03T17:29:24Z
dc.date.accessioned2025-09-09T00:28:28Z
dc.date.available2022-11-03T17:29:24Z
dc.date.issued2018-04
dc.identifier.doihttps://doi.org/10.1016/j.transproceed.2018.02.010
dc.identifier.issn1873-2623
dc.identifier.urihttps://hdl.handle.net/1843/46871
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofTransplantation Proceedings
dc.rightsAcesso Restrito
dc.subjectFígado - Doenças
dc.subjectFígado - Transplante
dc.subjectMecanica respiratória
dc.titleModel for end-stage liver disease score before hepatic transplantation and root mean square of the diaphragmatic domes affect postoperative extubation time
dc.typeArtigo de periódico
local.citation.epage778
local.citation.issue3
local.citation.spage776
local.citation.volume50
local.description.resumoIntroduction: 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 recipient, namely immediate pretransplant Model for End-Stage Liver Disease (MELD) score, surgical time, and root square metric (RMS) of the diaphragmatic domes, affect the extubation time after liver transplantation. Method: A prospective study, with a sample collected for convenience, gathered age (years), sex (male or female), MELD score immediately prior to transplantation (without the addition of special situation scores), and surgical time and time for extubation (in minutes). The latter were obtained from the physiotherapy team records, and surface electromyography was performed within 30 minutes after elective extubation, by a single researcher, with supplemental oxygen support, maintaining SpO2 ≥ 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 = .013) and preoperative MELD score (P = .048) showed significant correlation with extubation time. Conclusion: The preoperative MELD score and the RMS values of the left dome significantly correlate with the time for patient extubation after liver transplantation, showing the effect of previously acquired muscle weakness and preoperative MELD score on postoperative outcome.
local.identifier.orcidhttps://orcid.org/0000-0002-6922-4200
local.identifier.orcidhttps://orcid.org/0000-0001-5363-0717
local.identifier.orcidhttps://orcid.org/0000-0002-1165-2149
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0041134518300642?via%3Dihub

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