%0 Journal Article
%T Gasometria arterial em dois diferentes m¨¦todos de transporte intra-hospitalar no p¨®s-operat¨®rio imediato de cirurgia card¨ªaca Arterial blood gas analysis in two different intra-hospital transport methods for postoperative cardiac surgery patients
%A Newton Almeida Lima Junior
%A Silvia Correa Bacelar
%A Andr¨¦ Miguel Japiass¨²
%A Sam¨¢ria Ali Cader
%J Revista Brasileira de Terapia Intensiva
%D 2012
%I Associa??o de Medicina Intensiva Brasileira
%R 10.1590/s0103-507x2012000200011
%X OBJETIVO: Avaliar as repercuss es gasom¨¦tricas de dois m¨¦todos de ventila  o (ventilador de transporte e ressuscitador manual autoinfl¨¢vel) durante o transporte intra-hospitalar de pacientes submetidos ¨¤ cirurgia card¨ªaca. M¨¦TODOS: Estudo observacional, longitudinal, prospectivo e randomizado. Foram coletadas gasometrias arteriais ao final da cirurgia e ao final do transporte do paciente. RESULTADOS: Foram inclu¨ªdos 23 pacientes: 13 no Grupo ventilador de transporte e 10 no ressuscitador manual autoinfl¨¢vel. As caracter¨ªsticas dos pacientes entre os grupos foram semelhantes, exceto pela maior gravidade no Grupo ventilador de transporte. Observaram-se diferen as significativas nas compara  es das varia  es percentuais dos dados gasom¨¦tricos: pH (VT: + 4% vs RMA: - 5%, p=0,007), PaCO2 (VT: - 8% vs RMA: + 13%, p=0,006), PaO2 (VT: + 47% vs RMA: - 34%, p=0,01) e SatO2 (VT: + 0,6% vs RMA: - 1,7%, p=0,001). CONCLUS O: O uso de ventilador mecanico causa menor repercuss o nos gases sangu¨ªneos no transporte intra-hospitalar de pacientes ap¨®s de cirurgia card¨ªaca. OBJECTIVE: To evaluate the effects on blood gases by two methods of ventilation (with transport ventilation or self-inflating manual resuscitator) during intra-hospital transport of patients after cardiac surgery. METHODS: Observational, longitudinal, prospective, randomized study. Two samples of arterial blood were collected at the end of the surgery and another at the end of patient transport. RESULTS: We included 23 patients: 13 in the Group with transport ventilation and 10 in the Group with self-inflating manual resuscitator. Baseline characteristics were similar between both groups, except for higher acute severity of illness in the Group with transport ventilation. We observed significant differences in comparisons of percentage variations of gasometric data: pH (transport ventilation + 4% x MR -5%, p=0.007), PaCO2 (-8% x +13%, p=0.006), PaO2 (+47% x -34%, p=0.01) and SatO2 (+0.6% x -1.7%, p=0.001). CONCLUSION: The use of mechanical ventilation results in fewer repercussions for blood gas analysis in the intra-hospital transport of cardiac surgery patients.
%K Respira  o artificial
%K Transporte de pacientes
%K Gasometria
%K Troca gasosa pulmonar
%K Terapia intensiva
%K Transfer¨ºncia de pacientes
%K Respiration
%K artificial
%K Transportation of patients
%K Blood gas analysis
%K Pulmonary gas exchange
%K Intensive care
%K Patient transfer
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2012000200011