Fatores de risco para complicações pulmonares no pós-operatório de cirurgia de megaesôfago: uma visão fisioterapêutica
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Data
2008-12
Autores
Assunção Neto, Andrea
Eichler, Karla da Silva
Soares, Loriene Monteiro da Silva
Veronezi, Rafaela Júlia Batista
Silva, Astrogilda da
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Resumo
Risk factors were researched for pulmonary complications that affect patients
subjected to chagasic megaesophagus surgery and the importance of pre-and
post-operative physical therapy. Based on a systematic analysis of medical
literature in the period from 2000 to 2007 in the Bireme, Lilacs and SciELO
electronic databases, elderly patients with chagasic megaesophagus presenting
poor nutrition, smoking, lung diseases or other previous comorbidities, have an
increased risk of developing post-operative pulmonary complications. Moreover,
the type of anesthetic used and the duration of the surgery also influence the
development of such complications. The pulmonary complications most cited in
the literature are pneumonia, atelectasis, pleural effusion, acute respiratory failure
and tracheobronchitis. Early physical therapy intervention minimizes the risks,
preventing complications and speeding up the restoration of lung function. The
previous knowledge of risk factors related to pulmonary complications is an
effective strategy in the treatment of patients undergoing esophageal surgery,
reducing the rate of morbidity and mortality. The pre- and post-operative physical
therapy intervention is referred to as an integral part of the treatment of these
patients, especially in the identification and prevention of certain risk factors.
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Palavras-chave
Acalosia esofágica, Cirurgia torácica, Fisioterapia, Pneumopatias, Esophageal achalaxia, Physical therapy, Thoracic surgery, Lung diseases
Citação
ASSUNÇÃO NETO, Andrea et al. Fatores de risco associados às alterações celulares induzidas pelo papilomavírus humano no colo uterino. Revista de Ciências Médicas, Campinas, v. 17, n. 3/6, p. 133-140, maio/dez. 2008.