%0 Journal Article %T I Recomenda o brasileira de fisioterapia respirat¨®ria em unidade de terapia intensiva pedi¨¢trica e neonatal I Brazilian guidelines for respiratory physiotherapy in pediatric and neonatal intensive care units %A C¨ªntia Johnston %A Nathalia Mendon£¿a Zanetti %A Talitha Comaru %A Simone Nascimento dos Santos Ribeiro %J Revista Brasileira de Terapia Intensiva %D 2012 %I Associa??o de Medicina Intensiva Brasileira %R 10.1590/s0103-507x2012000200005 %X Recomenda es para a atua o do fisioterapeuta em unidade de terapia intensiva pedi¨¢trica e neonatal s o fundamentais, pois esses profissionais s o respons¨¢veis pela reabilita o de pacientes graves. A reabilita o inclui desde a avalia o e preven o de altera es cin¨¦tico funcionais ¨¤s interven es de tratamento (fisioterapia respirat¨®ria e/ou motora), controle e aplica o de gases medicinais, cuidados da ventila o pulmonar mecanica invasiva e n o invasiva, protocolos de desmame e extuba o, insufla o traqueal de g¨¢s, protocolo de insufla o/desinsufla o do balonete intratraqueal, aplica o de surfactante, entre outros. Com o objetivo de propiciar a recupera o do doente e seu retorno ¨¤s atividades funcionais. Nesse contexto, essas recomenda es t¨ºm o objetivo de orientar os fisioterapeutas sobre algumas interven es de preven o/tratamento de fisioterapia respirat¨®ria (desobstru o das vias a¨¦reas; reexpans o pulmonar; posicionamento no leito; aspira o das vias a¨¦reas; inaloterapia; tosse assistida), que auxiliam no processo de reabilita o de pacientes pedi¨¢tricos e neonatais em unidade de terapia intensiva em ventila o pulmonar mecanica e at¨¦ 12 horas ap¨®s a extuba o. Developing guidelines for the role of the physiotherapist in neonatal and pediatric intensive care units is essential because these professionals are responsible for the rehabilitation of critically ill patients. Rehabilitation includes the evaluation and prevention of functional kinetic alterations, application of treatment interventions (respiratory and/or motor physiotherapy), control and application of medical gases, care of mechanical ventilation, weaning and extubation, tracheal gas insufflation, inflation/deflation of the endotracheal cuff protocol, and surfactant application, aiming to allow patients to have a full recovery and return to their functional activities. In this article, we present guidelines that are intended to guide the physiotherapist in some of the prevention/treatment interventions in respiratory therapy (airway clearance, lung expansion, position in bed, airway suction, drug inhalation, and cough assist), which help in the rehabilitation process of newborns and children in intensive care units during mechanical ventilation and up to 12 hours following extubation. %K Reabilita o %K Terapia respirat¨®ria %K Modalidades de fisioterapia %K Terapia intensiva neonatal %K Respira o artificial %K Crian a %K Rehabilitation %K Respiratory therapy %K Physical therapy modalities %K Intensive care %K neonatal %K Respiration %K artificial %K Child %U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2012000200005