Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público

Abstract: Objective: To describe the hemodynamic and respiratory changes during early mobilization (EM) after cardiac surgery. Methods: An analytical observational retrospective cohort study was performed in a Coronary Care Unit of a tertiary hospital. 75 patients submitted to cardiac surgery (F...

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Autores principales:	Ramírez,José Ignacio, Grimalt,Rafael, Espinoza,Carla, Jalil,Yorschua
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Chilena de Cardiología y Cirugía Cardiovascular 2019
Materias:	cardiac surgery early mobilization Rehabilitation Postoperative complications
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602019000300190
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spelling	oai:scielo:S0718-856020190003001902020-01-23Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital PúblicoRamírez,José IgnacioGrimalt,RafaelEspinoza,CarlaJalil,Yorschua cardiac surgery early mobilization Rehabilitation Postoperative complications Abstract: Objective: To describe the hemodynamic and respiratory changes during early mobilization (EM) after cardiac surgery. Methods: An analytical observational retrospective cohort study was performed in a Coronary Care Unit of a tertiary hospital. 75 patients submitted to cardiac surgery (From March 2017 up to July 2017) were included. Inclusion criteria were hemodynamic and respiratory stability before starting EM. Hemodynamic and respiratory behavior during EM were evaluated. EM was performed in 3 steps: supine, seated at the edge of the bed (SEB) and biped (BIP). Heart rate (HR), breathing rate (BR), mean arterial pressure (MAP), oxygen saturation (O2Sat) and Borg and Pain scales were evaluated. Results: Six patients, (8%) could not complete the mobilization satisfactorily, which was significantly associated to greater extracorporeal circulation time (ECC T) (p= 0.02). HR, BR, MAP Borg and Pain scales, that were significantly changed during EM, returned fully after the procedure. O2Sat was significantly increased at the end of EM (p=0.000). Prolonged ECC time predicted a 4.6 fold risk for inability to perform EM for 48 hours. Conclusion: EM of patients undergoing cardiac surgery is a safe and feasible intervention. In addition, the prolonged ECC T was observed to be a risk factor for delayed mobilization in this type of patients.info:eu-repo/semantics/openAccessSociedad Chilena de Cardiología y Cirugía CardiovascularRevista chilena de cardiología v.38 n.3 20192019-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602019000300190es10.4067/S0718-85602019000300190
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	cardiac surgery early mobilization Rehabilitation Postoperative complications
spellingShingle	cardiac surgery early mobilization Rehabilitation Postoperative complications Ramírez,José Ignacio Grimalt,Rafael Espinoza,Carla Jalil,Yorschua Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público
description	Abstract: Objective: To describe the hemodynamic and respiratory changes during early mobilization (EM) after cardiac surgery. Methods: An analytical observational retrospective cohort study was performed in a Coronary Care Unit of a tertiary hospital. 75 patients submitted to cardiac surgery (From March 2017 up to July 2017) were included. Inclusion criteria were hemodynamic and respiratory stability before starting EM. Hemodynamic and respiratory behavior during EM were evaluated. EM was performed in 3 steps: supine, seated at the edge of the bed (SEB) and biped (BIP). Heart rate (HR), breathing rate (BR), mean arterial pressure (MAP), oxygen saturation (O2Sat) and Borg and Pain scales were evaluated. Results: Six patients, (8%) could not complete the mobilization satisfactorily, which was significantly associated to greater extracorporeal circulation time (ECC T) (p= 0.02). HR, BR, MAP Borg and Pain scales, that were significantly changed during EM, returned fully after the procedure. O2Sat was significantly increased at the end of EM (p=0.000). Prolonged ECC time predicted a 4.6 fold risk for inability to perform EM for 48 hours. Conclusion: EM of patients undergoing cardiac surgery is a safe and feasible intervention. In addition, the prolonged ECC T was observed to be a risk factor for delayed mobilization in this type of patients.
author	Ramírez,José Ignacio Grimalt,Rafael Espinoza,Carla Jalil,Yorschua
author_facet	Ramírez,José Ignacio Grimalt,Rafael Espinoza,Carla Jalil,Yorschua
author_sort	Ramírez,José Ignacio
title	Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público
title_short	Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público
title_full	Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público
title_fullStr	Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público
title_full_unstemmed	Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público
title_sort	comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: experiencia en un hospital público
publisher	Sociedad Chilena de Cardiología y Cirugía Cardiovascular
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602019000300190
work_keys_str_mv	AT ramirezjoseignacio comportamientohemodinamicoyrespiratoriodurantelamovilizaciontempranadepacientessometidosacirugiacardiacaexperienciaenunhospitalpublico AT grimaltrafael comportamientohemodinamicoyrespiratoriodurantelamovilizaciontempranadepacientessometidosacirugiacardiacaexperienciaenunhospitalpublico AT espinozacarla comportamientohemodinamicoyrespiratoriodurantelamovilizaciontempranadepacientessometidosacirugiacardiacaexperienciaenunhospitalpublico AT jalilyorschua comportamientohemodinamicoyrespiratoriodurantelamovilizaciontempranadepacientessometidosacirugiacardiacaexperienciaenunhospitalpublico
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Comportamiento hemodinámico y respiratorio durante la movilización temprana de pacientes sometidos a cirugía cardíaca: Experiencia en un Hospital Público

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