Avaliaˋˋo muscular respirat車ria nas toracotomias e laparotomias superiores eletivas

作者：Bellinetti; Laryssa Milenkovich; Thomson; Joo Carlos

来源：Jornal Brasileiro de Pneumologia, 2006.

DOI：10.1590/S1806-37132006000200004

• postoperative complications
• thoracotomy
• laparotomy
• respiratory muscles
• respiratory insufficiency.

objective: to identify any possible relation between lower than predicted preoperative respiratory muscle function and the incidence of postoperative respiratory complications and death in elective thoracotomies and laparotomies of the upper abdomen. methods: a prospective cohort study was conducted, in which 70 patients over the age of 18 were monitored in two similar hospitals. in the preoperative evaluation performed at admission, patients were classified as presenting respiratory muscle as determined by measurement of maximal respiratory pressures) %26gt; 75% of the predicted value (n = 50) or 75% of the predicted value. patients in the %26lt; 75% of the predicted value group presented a relative risk of 5.5 (95% confidence interval between 2.19 and 13.82). conclusion: respiratory muscle function below the predicted value was found to be related with higher relative risk of postoperative complications in the surgical procedures studied.