Mobilização precoce em paciente pediátrico gravemente enfermo com suporte ventilatório. experiência de um centro de alta complexidade
DOI:
https://doi.org/10.31053/1853.0605.v79.n4.37197Palavras-chave:
pediatria, Respiração Artificial, fisioterapia, cuidados criticos, reabilitaçãoResumo
Em unidades de terapia intensiva pediátrica (UTIP) em nossa região, a mobilização precoce (EM) em pacientes que necessitam de suporte ventilatório é uma atividade pouco relatada. Por este motivo, destacamos a necessidade de pesquisas epidemiológicas que nos permitam conhecer as características desta atividade relevante na evolução dos pacientes críticos.
Objetivo: descrever a população, tempo de início e freqüência com que a MT é realizada em pacientes que receberam suporte ventilatório em uma UTIP de um hospital pediátrico público de referência na América Latina.
Materiais e métodos: Estudo descritivo, retrospectivo e observacional, realizado em uma UTIP médico-cirúrgica de 17 leitos de um hospital pediátrico na Argentina, entre 1 de julho e 31 de dezembro de 2019. Todos os pacientes com menos de 18 anos de idade que exigiam ventilação mecânica invasiva (IMV) e/ou ventilação mecânica não invasiva (VNI) por pelo menos 24hs foram incluídos.
Resultados: 196 pacientes foram admitidos no estudo, dos quais 124 (63,3%) receberam VMI e 72 (37,7%) VNI somente. Durante sua estadia em PICU 143 (73%) sujeitos receberam MT e destes, 89 (62%) iniciaram MT nos primeiros 3 dias de hospitalização. No grupo MT 93 (65%) exigia IMV e 50 (35%) NIV. Todos os pacientes que foram traqueostomizados em PICU receberam MT.
Conclusão: A mobilização precoce em pacientes pediátricos gravemente enfermos era viável e precoce em mais de 80% da população estudada. Nem a idade, nem o peso, nem o suporte ventilatório foram barreiras ou fatores limitantes para sua implementação.
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