Início Desmame difícil e decanulação tardia de pacientes traqueostomizados vítimas de traumas num...
desmame
Desmame difícil e decanulação tardia de pacientes traqueostomizados vítimas de traumas num hospital de referência na Região Norte
Resumo:
Background: Tracheostomy can be performed as a preventive, curative, palliative or elective action, ist indication often happens due to failure in extubation, despite its benefits when it comes to respiratory comfort, there are also long-term harms, regarding changes that directly reflect on the swallowing and speech functions. Objective: This research aimed to analyze the process of difficult weaning and late decannulation in tracheostomized patients victims of trauma, looking for ways and analyzing what makes weaning difficult and late and how to improve this process. Methods: A descriptive-analogical, retrospective and quantitative study was conducted, with analysis of 40 medical records, from the first semester of 2018, with patients over 18 years of age classified as difficult weaning and late decannulation. For data collection, an instrument was used containing information about the functional diagnosis and related to weaning and decannulation. Results: Most of the patients undergoing tracheostomy classified as late weaning are men, victims of motorcycle accidents or physical aggressions that evolved with traumatic brain injury, and had an average of 10 to 11 days of orotracheal intubation, which was of great impact for the period prolonged tracheostomy. Conclusions: It was concluded that the patients who had had a speech therapy follow-up since the period of invasive mechanical ventilation with IOT about to extubate had shorter weaning time from the tracheostomy, compared with the patients who were only followed up after the tracheostomy.
Keywords: weaning, speech therapy, tracheostomy.
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