Meld pre-hepatic transplantation and RMS of the diaphragmatic domes interference in time for postoperative extubation

Página do item simplificado
dc.creatorRayssa Pistilli Duarte
dc.creatorAurea Maria Oliveira da Silva
dc.creatorRodrigo Marques Tonella
dc.creatorLígia Dos Santos Roceto Ratti
dc.creatorIlka de Fatima Santana Ferreira Boin
dc.date.accessioned2022-11-11T17:11:25Z
dc.date.accessioned2025-09-09T00:12:19Z
dc.date.available2022-11-11T17:11:25Z
dc.date.issued2018-09
dc.identifier.doihttps://doi.org/10.1016/j.hpb.2018.06.2389
dc.identifier.issn1365-182X
dc.identifier.urihttps://hdl.handle.net/1843/47195
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofHPB
dc.rightsAcesso Restrito
dc.subjectTransplante de fígado
dc.subjectRespiração artificial
dc.subjectDesmame do respirador
dc.subjectMecânica respiratória
dc.titleMeld pre-hepatic transplantation and RMS of the diaphragmatic domes interference in time for postoperative extubation
dc.typeArtigo de periódico
local.citation.issuesup. 2
local.citation.spageS791
local.citation.volume20
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 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.
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/S1365182X18337699?via%3Dihub

Arquivos

Licença do pacote

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
License.txt
Tamanho:
1.99 KB
Formato:
Plain Text
Descrição:
Baixar

Coleções

Artigo de Periódico

Logo UFMG