Examinando por Autor "Oblitas Vasquez, Nathalie Mayte"

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    Effects of cardiorespiratory physiotherapy on physical deconditioning in tracheotomized patients, Intensive Care Unit - Hospital III Iquitos, 2024
    (Universidad Privada Norbert Wiener, 2023-11-21) Oblitas Vasquez, Nathalie Mayte; Cautín Martinez, Noemi Esther
    The intensive care unit (ICU) provides life support and treatment to critically ill patients who require assisted mechanical ventilation, invasive monitoring, cardiovascular support, and prolonged prescribed or unavoidable rest. This creates limitations, deficiencies, and disabilities during their stay, developing pathological conditions related to the cardiovascular, respiratory, and musculoskeletal systems. This increases mortality in patients hospitalized with complications of functional disability and generalized muscular disorders, decreasing their quality of life after hospital discharge. The American Thoracic Society associates ICU-acquired weakness (ICUAW) with generalized weakness in the limbs. It generates multiple impacts, such as in the nervous system, with critical patient polyneuropathy and skeletal muscle dysfunction. ICUAW and neuromuscular dysfunction are predictors for difficulties in weaning from mechanical ventilation (MV). Neuromuscular blockers and corticosteroids are related to ICUAW. This results in difficulties in weaning from MV and consumes approximately 40% of ICU resources. Mechanical ventilation is the most common reason for ICU admission, and when prolonged and unable to be withdrawn, tracheostomy is suggested as the only alternative. Current evidence recommends integrating an exercise program within the ICU, reducing the rate of functional disability.