Avaliação da Resposta à Posição Prona em Pacientes Acordados com COVID-19
DOI:
https://doi.org/10.1590/1809-2950/21018529012022PTPalavras-chave:
COVID-19, Coronavirus, Decúbito ventral, Intubação, Unidades de Terapia Intensiva.Resumo
Avaliar os efeitos agudos dos tipos de resposta à posição prona (PP) em pacientes acordados com COVID-19. Estudo prospectivo, unicêntrico, com 32 pacientes acordados com COVID-19, com oxigênio suplementar. Foi realizada a resposta à posição prono por 30 minutos. Após o teste, foram orientados a permanecer na PP diariamente, de acordo com a tolerância. As variáveis SpO2, frequência cardíaca, frequência respiratória, ROX index e taxa de internação na UTI foram registradas. Um total de 25 pacientes (78,1%) responderam a PP, sendo que 13 (40,6%) apresentaram resposta persistente e 12 (37,5%) transitória. 7 pacientes (21,9%) não responderam. Os pacientes com respostas persistente e transitória aumentaram a SpO2 (p<0,001), índice ROX (p=0,001 e p<0,001, respectivamente) e reduziram as frequências cardíaca (p=0,01 e p=0,02, respectivamente) e respiratória (p=0,003 e p=0,001, respectivamente), em comparação com o pré. Não houve diferença em todas as variáveis nos pacientes que não responderam à PP. A taxa de internação na UTI dos pacientes que apresentaram resposta persistente, transitória ou que não responderam foi de 30,8% (4/13), 41,7% (5/12) e 57,1% (4/7), respectivamente. Podemos concluir que os pacientes que responderam à PP apresentaram redução das frequências cardíaca e respiratória, aumento do índice ROX, sem interferência na taxa de internação.
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Copyright (c) 2022 Chicayban LM, Chicayban PB, Nunes PR, Soares GF, Carlos MJ
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