ANÁLISE DA FUNCIONALIDADE RESPIRATÓRIA DO PRÉ, TERCEIRO DIA DE PÓS-OPERATÓRIO DE CIRURGIA CARDÍACA E PÓS-ALTA HOSPITALAR

Abstract

Respiratory changes from cardiac surgery are related to preoperative pulmonary and cardiac function. Often complicating in the postoperative period due to the use of CPB, the degree of sedation, the intensity of the surgical manipulation and the number of pleural drains. However, post-discharge cardiac surgery readmissions are now a public health problem. The study evaluated the respiratory function (respiratory muscle strength and peak expiratory flow) of the pre, postoperative and post-discharge hospital of cardiac surgery patients of the Regional Hospital of the South of Minas, 3 months. The sample consisted of n 11; mean age 60 years; 6 (54.4%) women and 5 (45.46%) men; mean height, weight and BMI of 1.61m, 71.08 kg and 26.89 respectively; 2 (18, 19%) HAS; 7 (63.54%) never smoked; 100% sedentary; 3 (27.28%) with ICO; mean CPB of 46.65 (± 15.89); 2 (18.18%) CRVM; 2 (18.18%) TVA most women. The values of the functional variables were lower than expected, the men had the highest values of MIP, MEP and MEP in the three moments; there was correlation rs <1 p <0.01 of the MIP of the PRE and PImax POS; of the MIP PRE and PEmax POS, of the MIP of the 3rd day and the MIP of the PRE and the MEP of the POS with the MEP of the PRE. It was concluded that the men presented the highest values of respiratory functional variables. The analysis of the variables in the 3 moments showed that in the postdischarge hospital the majority reduced their values. Post-discharge should be a concern of health professionals.