A IMPORTÂNCIA DA MOBILIZAÇÃO PRECOCE EM PACIENTES NA UTI.pdf

A IMPORTÂNCIA DA MOBILIZAÇÃO PRECOCE EM PACIENTES NA UTI.pdf

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15 A IMPORTÂNCIA DA MOBILIZAÇÃO PRECOCE EM PACIENTES INTERNADOS NA UNIDADE DE TERAPIA INTENSIVA (UTI): REVISÃO DE LITERATURA Salvador José de Castro Júnior Acadêmico do 10- semestre de Fisioterapia da Faculdade Nobre (FAN) [email protected] Recebido: 31 de maio de 2013. Revisado: 26 de agosto de 2013. Aceito: 04 de setembro de 2013. Publicado online : 03 de outubro de 2013. RESUMO O imobilismo, característico nos pacientes críticos das unidades de terapia intensiva (UTIs) acomete diversos órgãos e sistemas do organismo, ocasionando um prolongamento da internação e limitações funcionais que repercutem por algum tempo após a alta hospitalar, afetando a qualidade de vida e a reintegração do indivíduo a sociedade. A fisioterapia se faz importante nesse momento crítico através da intervenção precoce que auxilia na redução dos efeitos adversos da imobilidade. O objetivo desta revisão foi verificar na literatura, a importância da mobilização precoce em pacientes internados na unidade de terapia intensiva. A análise da literatura foi realizada por meio das bases de dados LILACS, SciELO e MedLine no período de 2003 a 2013, utilizando os descritores: mobilização precoce, unidade de terapia intensiva (UTI), physiotherapy, early mobilization, rehabilitation e intensive care unit (ICU). Embora novos estudos ainda se façam necessários para comprovar os benefícios e a redução da mortalidade, nota-se que a mobilização precoce é um método seguro e viável, essencial na prevenção da fraqueza muscular respiratória e periférica adquirida pelo paciente crítico na UTI. Palavras-chave: Mobilização Precoce; Cuidados Críticos; Unidade de Terapia Intensiva. ABSTRACT The immobility, characteristic in critically ill patients in intensive care units (ICUs) affects many organs and systems of the body, causing a prolongation of hospitalization and functional limitations that remain for some time after discharge, affecting the quality of life and reintegration of the individual to society. Physical therapy becomes important at this critical time through early intervention that assists in reducing the adverse effects of immobility. The objective of this review was to assess in literature, the importance of early mobilization of patients hospitalized in the intensive care unit. The literature review was performed using the databases LILACS, SciELO and MedLine in the period from 2003 to 2013, using the keywords: early mobilization, intensive care unit (ICU), physiotherapy, early mobilization, rehabilitation and intensive care unit (ICU). Although further studies are needed to confirm the benefits and reduction in mortality, it is noted that early mobilization is a safe and feasible, essential in the prevention of respiratory muscle weakness and peripheral acquired by critically ill patients in the ICU.
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