EFEITOS DA VENTILAÇÃO NÃO INVASIVA DURANTE O EXERCÍCIO EM PACIENTES COM DPOC

Autores

  • Jessé Sales de Barros
  • Mariana Andrade Jaques De Castro
  • Luiz Valdean Sobrinho Nascimento

DOI:

https://doi.org/10.51161/rems/1975

Palavras-chave:

FISIOTERAPIA, DPOC, VENTILAÇÃO NÃO INVASIVA, EXERCÍCIO

Resumo

Introdução: A doença pulmonar obstrutiva crônica (DPOC) é caracteri­zada por uma obstrução progressiva que causa uma limitação do fluxo aéreo, e seu sintoma mais comum é a dispneia. Dessa forma, ela acontece durante a execução de atividades físicas, o que proporciona um quadro de sedentarismo e inatividade física. Consequentemente, ocasiona uma maior de­manda ventilatória. Com o intuito de reduzir a dispneia durante os exercícios, tem sido utilizado um suporte de ventilação não-invasiva (VNI), que determina uma pressão positiva nas vias através de uma interface, possibilitando uma melhor tolerância ao exercício físico a esse paciente. Objetivo: Verificar frente a literatura a respeito dos efeitos da Ventilação não Invasiva durante o exercício em pacientes com DPOC. Materiais e Métodos: Revisão de literatura sistemática. A busca de estudos para a síntese foi realizada no PubMed e PEDro no período de março de 2021. Os descritores utilizados para a busca foram: “Fisioterapia”, “ventilação não invasiva”, “DPOC”. Como critério de seleção foram escolhidos estudos observacionais ou de intervenção, em idiomas inglês e português publicados entre 2014 a 2020. Revisão Bibliográfica: O efeito da Ventilação Não-Invasiva sobre a função respiratória, e a tolerância ao exercício em pacientes com DPOC têm sido discutidos em vários estudos.  A dispneia acarreta o sedentarismo contribuindo para a limitação ao exercício nos pacientes com DPOC, isso sugere um suporte ventilatório para diminuir a dispneia e melhorar a tolerância ao exercício físico. Foram analisados 30 artigos, e após a observação de critérios de elegibilidade, foram escolhidos 6 artigos para a síntese. Uma maior proporção dos artigos pesquisados mostrou a eficácia da ventilação não invasiva reduzindo a atividade eletromiográfica do diafragma, mantendo os níveis de ventilação e promovendo repouso dos músculos da respiração, diminuindo a dispneia e aumentando a Plmáx e o ganho de tolerância a atividade física. Considerações Finais: Diante os resultados, podemos constatar que muitos pacientes portadores de DPOC apresentam intolerância aos exercícios e piora da dispneia, ocasionando, na maioria das vezes, incapacidade para realizarem atividade física de forma segura, justificando, assim, a importância da aplicação de um suporte ventilatório não-invasivo com pressão positiva em pacientes com um certo grau de limitação.

Publicado

2021-09-14

Como Citar

Barros, J. S. de ., Castro, M. A. J. D. ., & Nascimento, L. V. S. . (2021). EFEITOS DA VENTILAÇÃO NÃO INVASIVA DURANTE O EXERCÍCIO EM PACIENTES COM DPOC. Revista Multidisciplinar Em Saúde, 2(3), 121. https://doi.org/10.51161/rems/1975

Edição

Seção

II Congresso Brasileiro de Saúde On-line
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
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                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php
                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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