Monitoração não invasiva da pressão intracraniana e efeitos de dois protocolos de fisioterapia na força muscular respiratória em pacientes submetidos à cirurgia cardíaca

Abstract

Intracranial pressure (ICP) has variations determined by respiratory and cardiac cycles, therefore, it is believed that cardiovascular lesions may cause changes in ICP. Cardiovascular diseases (CVDs) are among the leading causes of death in developed and developing countries, and it is often necessary to perform cardiac surgery for their treatment. However, patients submitted to such procedures develop complications related to cardiopulmonary dysfunctions. In order to minimize the complications resulting from surgery, physical therapy as part of cardiopulmonary rehabilitation is able to control respiratory symptoms and improve cardiovascular function by acting through aerobic and respiratory exercises. The objective of this study was to monitor ICP, respiratory muscle strength and vital signs of pre- and post-cardiac surgery patients, and to compare the effects of two physiotherapy protocols on respiratory muscle strength recovery. 48 patients participated in the study. It has been observed that CVDs can alter ICP in patients affected by such pathologies. Regardless of the protocol used, the performance of physiotherapy as part of cardiorespiratory rehabilitation is beneficial for the cardiopulmonary recovery of patients undergoing cardiac surgery.