Efeitos da fisioterapia respiratória e da mobilização precoce em pacientes com traumatismo crânio-encéfalico

Abstract

INTRODUCTION: Physiotherapy plays an important role in the maintenance of the airways, preventing pulmonary complications and implementing mechanical ventilation that allows the survival of critically ill patients through respiratory maneuvers. In addition, physiotherapy also performs early mobilization of the critical patient, a safe and viable intervention after hemodynamic stabilization of the patient, which tends to reduce weaning time from mechanical ventilation and is the basis for functional recovery. OBJECTIVE: The aim of the present study was to verify the effects of respiratory and motor physiotherapy maneuvers used in the management of patients with cranioencephalic trauma (TBI) and the repercussions on neurological and hemodynamic monitoring parameters. METHODOLOGY: This is a cross-sectional analytical study that evaluated the effects of respiratory and motor physiotherapy maneuvers in patients with TBI and the repercussions on the neurological and hemodynamic monitoring parameters of thirty-five patients with TBI. RESULTS: There was a difference in the mean arterial pressure (MAP) between two of the evaluated moments, verifying a probable improvement in pulmonary ventilation post-physiotherapy in patients with TBI. CONCLUSION: In conclusion, despite the limitations found, respiratory and motor physiotherapy did not present significant repercussions in this group of patients and can be used safely in the treatment of patients with TBI.