As Nossas Leituras/Our Readings
Aumento da sobrevida com ventilação mecânica em doentes com insuficiência respiratória e deformidade da parede torácica pós-tuberculose
I. Jäger, K. Franklin, B. Midgren, K. Löfdahl, K. Ström
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Bruns, J.J. Oosterheert, E. Hak, A.I.M. Hoepelman" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A.H.W." "apellidos" => "Bruns" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Oosterheert" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Hak" ] 3 => array:2 [ "nombre" => "A.I.M." "apellidos" => "Hoepelman" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301185?idApp=UINPBA00004E" "url" => "/08732159/0000001500000001/v1_201509151539/S0873215915301185/v1_201509151539/pt/main.assets" ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">As Nossas Leituras/Our Readings</span>" "titulo" => "Aumento da sobrevida com ventilação mecânica em doentes com insuficiência respiratória e deformidade da parede torácica pós-tuberculose" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "133" "paginaFinal" => "134" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "I. Jäger, K. Franklin, B. Midgren, K. Löfdahl, K. Ström" "autores" => array:5 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "Jäger" ] 1 => array:2 [ "nombre" => "K." "apellidos" => "Franklin" ] 2 => array:2 [ "nombre" => "B." "apellidos" => "Midgren" ] 3 => array:2 [ "nombre" => "K." "apellidos" => "Löfdahl" ] 4 => array:2 [ "nombre" => "K." "apellidos" => "Ström" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:1 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Doentes com passado de tuberculose que apresentam sequelas do parênquima pulmonar e deformidade da parede torácica têm um risco acrescido para insuficiência respiratória com hipoxemia e hipercápnia. Justifica-se nestes casos a terapêutica combinada com oxigénio e ventilação mecânica não invasiva.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Este estudo teve como objectivo avaliar a opção terapêutica com melhor taxa de sobrevida em doentes com deformidade da parede torácica pós-tuberculose e insuficiência respiratória.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Foram incluídos 188 doentes entre 1996 e 2004, seguidos prospectivamente até Outubro 2006, sendo a mortalidade a principal variável. Destes, 103 iniciaram apenas oxigenoterapia de longa duração e a 85 foi prescrito ventilação, dos quais 15 casos receberam também terapêutica com O<span class="elsevierStyleInf">2</span>. A vasta maioria fez ventilação não invasiva e apenas 2 casos receberam ventilação pela traqueostomia.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">A análise dos resultados mostrou uma melhoria estatisticamente significativa (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001) da sobrevida nos doentes submetidos a ventilação comparativamente com os que efectuaram apenas oxigénio.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Os autores concluíram que nos casos de insuficiência respiratória combinada com deformidade da parede torácica por sequelas de tuberculose a sobrevida é significativamente superior nos casos tratados com ventilação domiciliária comparativamente com a oxigenoterapia isolada e recomendam a ventilação não invasiva com ou sem oxigénio como terapêutica de primeira escolha nestes doentes.</p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0010">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "Leger et al., 1994" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nasal intermittent positive pressure ventilation. Long-term follow-up in patients with severe chronic respiratory insufficiency" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "P. Leger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1994" "volumen" => "105" "paginaInicial" => "100" "paginaFinal" => "105" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8275718" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "Simonds et al., 1995" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outcome of domiciliary nasal intermittent positive pressure ventilation in restrictive and obstructive disorders" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "A. 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Mehta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Respir Care Med" "fecha" => "2001" "volumen" => "163" "paginaInicial" => "540" "paginaFinal" => "577" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001500000001/v1_201509151539/S0873215915301197/v1_201509151539/pt/main.assets" "Apartado" => array:4 [ "identificador" => "43355" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "As nossas leituras" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000001/v1_201509151539/S0873215915301197/v1_201509151539/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301197?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
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