Protocol Based on Vital Capacity Influences the Functional Capacity in Patients Submitted to Cardiac Surgery_ Crimson Publishers
Protocol Based on Vital Capacity Influences the Functional Capacity in
Patients Submitted to Cardiac Surgery by André Luiz Lisboa Cordeiro in Crimson
Publishers: Anatomy research open access journals
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Introduction: Respiratory functional assessment is of paramount importance,
since it estimates and monitors the behavior of lung volumes and capacities,
especially vital capacity (CV), which is frequently reduced in patients
undergoing cardiac surgery.
Objective: To evaluate the impact of a physiotherapeutic protocol based on
CV on the functional capacity in patients in the postoperative period (PO) of
CC.
Methods: This is a randomized, controlled clinical trial. The patients
were divided into two groups: control group (CG) was conducted according to the
unit routines, while the intervention group (GI) underwent a pulmonary expansion protocol
based on CV. In addition, a six-minute walk test (6MWT) was performed to assess
functional capacity.
Result: The final sample consisted of 40 patients (20 in each group), 26
men (65%) and mean age 53±16 years. CV on the day of hospital discharge was
significantly higher in GI (36.04±6.03 vs 30.83±7.5ml/kg, p=0.01), and the same
CV behavior was observed in the day Of hospital discharge (25.9±9.5 vs
36.0±6.0ml/kg, p< 0.001). Regarding the 6MWT at hospital discharge, the GC
ranged 413±90 meters versus 486±116 meters (p=0.03).
Conclusion: A CV-based pulmonary expansion protocol is associated with a
significant increase in functional capacity in patients undergoing
cardiac surgery.
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