A mode of mechanical ventilation applied without artificial airway in the post operative obesity surgery.
- Conditions
- obesity morbidnon invasive ventilationC18.654.726.500.700E02.041.625.591
- Registration Number
- RBR-6fk93n
- Lead Sponsor
- Instituto de Medicina Integral Prof. Fernando Figueira
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruitment completed
- Sex
- Not specified
- Target Recruitment
- Not specified
Patients with obesity class III and IV according to Brazilian Consensus of bariatric surgery, aged 18-40 years who underwent surgery during the period of the study and agree to participate.
Patients with comorbidities of type OSA, hypertension, DM 2 and musculoskeletal problems;
Informed consent approved and signed by the participants.
Hemodynamic instability (represented by fever, decrease or increase of 20 mmHg of the reference value of blood pressure or heart rate 20 bpm and in severe hypoxemia);
Patients with claustrophobia as the use of device therapy;
Patients with difficulty in understanding to perform the maneuvers for breath tests;
Patients with severe chronic lung disease prior;
Presence of contraindications to NIV: decreased level of consciousness, drowsiness, restlessness, or patient refusal, abdominal distension, nausea and vomiting.
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate the effectiveness of non-invasive preventive ventilation in respiratory function in the postoperative period of bariatric surgery by Roux Y in adults.
- Secondary Outcome Measures
Name Time Method Assess the impact of this intervention on pulmonary function and respiratory muscle strength, comparing a group of obese patients undergoing this intervention to a control group, which will be submitted to conventional chest physiotherapy. <br>Analyze volumes, lung capacity and peak expiratory flow through respirometry and peak flow, respectively: <br>• Slow Vital Capacity (VC) <br>• inspiratory capacity (IC) <br>• Minute volume (MV) <br>• Tidal volume (VT) <br>• Peak expiratory flow (PEF) <br>Measure respiratory muscle strength and lung function by spirometry and manometer, respectively: <br>• inspiratory muscle strength (MIP) <br>• expiratory muscle strength (MEP) <br>• Forced vital capacity (FVC) <br><br>check: <br>• Episodes of pulmonary complications in the postoperative <br>• Episodes of postoperative complications <br>• Days of hospital stay