Respiratory muscle strength of patients in the pre and postoperative of liver transplantation
Article Sidebar
Main Article Content
Abstract
Objective: To compare respiratory muscle strength in patients before and after liver transplantation. Methods: Observational, prospective and quantitative study, carried out in the transplant sector of a teaching hospital between May and August 2019, cirrhotic patients aged 18 years or older were included. Sociodemographic variables, aetiology of cirrhosis and the model for end-stage liver disease (MELD) were collected. Respiratory muscle strength was assessed by manovacuometry, which measures maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP). Results: 28 transplant patients were included, 64% male, with a mean age of 57.1 years, with an average MELD score of 22.6, 50% of the transplants were performed due to alcohol cirrhosis. There was an extremely significant decrease (p<0.0001) in MIP (89.1±28.1 versus 52.6±27.7 cmH2O respectively) and in MEP obtained (82.6±20.9 versus 38.1±18,5 cmH2O respectively) and MIP (90.1±27.6 versus 53.5±27.7% respectively) and MEP in percentages of predicted (79.1±16.7 versus 37.3±19.2% respectively) between pre and postoperative. Conclusion: There was a reduction in respiratory muscle strength between pre and postoperative in this group of patients undergoing liver transplantation.
Article Details
Authors maintain copyright and grant the HSJ the right to first publication. From 2024, the publications wiil be licensed under Attribution 4.0 International 
, allowing their sharing, recognizing the authorship and initial publication in this journal.
Authors are authorized to assume additional contracts separately for the non-exclusive distribution of the version of the work published in this journal (e.g., publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are encouraged to publish and distribute their work online (e.g., in institutional repositories or on their personal page) at any point after the editorial process.
Also, the AUTHOR is informed and consents that the HSJ can incorporate his article into existing or future scientific databases and indexers, under the conditions defined by the latter at all times, which will involve, at least, the possibility that the holders of these databases can perform the following actions on the article.
References
Borges MCLA, Silva LMS, Guedes MVC, Caetano JA. Desvelando o cuidado de enfermagem ao paciente transplantado hepático em uma unidade de terapia intensiva. Esc Anna Nery. 2012;16(4):754-60. 10.1590/S1414-81452012000400016
Rodrigues JR, Hanto DW, Curry MP. Patients expectations and success criteria for liver transplantation. Liver Transpl. 2011;17(11):1309-17. 10.1002/lt.22355
Ferreira LL, Arroyo-Jr PC, Silva RCMA, Lamari NM, Cavenaghi OM. Perfil de pacientes em pré-operatório para transplante de fígado em hospital de ensino. J Health Sci Inst [Internet]. 2013 [cited 2020 Jul 24];31(3):84-7. Avaliable from: www.unip.br/presencial/comunicacao/publicacoes/ics/edicoes/2013/01_jan-mar/V31_n1_2013_p84a87.pdf
Rahimi RS, Rockey DC. Complications and outcomes in chronic liver disease. Curr Opin Gastroenterol. 2011;27(3):204-9. doi: 10.1097/MOG.0b013e3283460c7d
Galant LH, Forgiarini-Jr LA, Dias AS, Marroni CA. Condição funcional, força muscular respiratória e qualidade de vida em pacientes cirróticos Rev Bras Fisioter. 2012;16(1):30-4. doi: 10.1590/S1413-35552012000100006
Rosa CB, Klein MB, Forgiarini-Jr LA, Galant LH, Dal Bosco A. Alterações cardíacas e qualidade de vida em doentes hepáticos candidatos ao transplante ortotópico de fígado. Cienc Mov Bio Saúde. 2011;13(27):27-33. doi: 10.15602/1983-9480/cmbs.v13n27p27-33
Dwight MM, Kowdley KV, Russo JE, Ciechanowski PS, Larson AM, Katon WJ. Depression, fatigue, and functional disability in patients with chronic hepatitis C. J Psychosom Res. 2000;49(5):311-7. doi: 10.1016/S0022-3999(00)00155-0
Souza RB. Pressões respiratórias estáticas máximas. J Pneumol. 2002;28(Supl 3):S155-65. Avaliable from: pdfs.semanticscholar.org/daac/3aadb78d969f45bad81c7ecedff9cc5e3b16.pdf?_ga=2.37446185.864304972.1589845050-1646223669.1585697719
Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res. 1999;32:719-27. doi: 10.1590/S0100-879X1999000600007
Fernandes MJ, Pupim MMO, Cavenaghi OM, Mello JRC, Brito, Brito MVC, Ferreira LL. Capacidade funcional e força muscular inspiratória de candidatos à transplante de fígado. Cienc Saúde. 2019;12(3):e34217.
Pereira JLF, Galant LH, Rossi D, Telles da Rosa LH, Garcia E, Mello Brandão AB, Marroni CA. Functional capacity, respiratory muscle strength, and oxygen consumption predict mortality in patients with cirrhosis. Can J Gastroenterol Hepatol. 2016;694:374-9. doi: 10.1155/2016/6940374
Machado CS, Massorollo PCB, Carvalho EM, Isern MRM, Lima PA, Mies S, Rodrigues-Jr AJ. Efeito da força da musculatura respiratória pré-operatória no resultado do transplante de fígado. J Bras Transpl [Internet]. 2008 [cited 2020 Jul 24];11:948-53. Avaiable from: www.abto.org.br/abtov03/Upload/file/JBT/2008/3.pdf
Calles ACN, Granja KSB, Menezes TC, Barros JESL, Exel AL. Análise da força muscular respiratória no pré e pós-operatório de cirurgia cardíaca: estudo preliminar. Cienc Biol Saúde. 2016;3(3):59-70. Avaliable from: periodicos.set.edu.br/index.php/fitsbiosaude/article/view/3247/2012
Ried C, Mora CTR, Driessen T, Coutinho MCG, Mayer DM, Moro FL, Moreira CRM. Relação do comportamento da força muscular com as complicações respiratórias na cirurgia cardíaca. Rev Bras Cir Cardiovasc. 2010;25(4):500-5. doi: 10.1590/S0102-76382010000400013
Martins CGG, Denari SC, Montagnini AL. Comprometimento da força muscular respiratória no pós-operatório de cirurgia abdominal em pacientes oncológicos. Arq Med ABC. 2007;32(Supl 2):S26-9. Avaliable from: www.portalnepas.org.br/amabc/article/view/214/210.
Abreu APM, Endres D, Bortoluzzi Costa A, Cecagno Zanini SC, Ribeiro Martini R, Pereira Leguisamo C. Função Pulmonar e Força Muscular Respiratória em Pacientes Submetidas à Cirurgia Oncológica de Mama. Rev Bras Cancerol. 2014;60(2):151-7. doi: 10.32635/2176-9745.RBC.2014v60n2.484
Bastos LC, Pereira PC, Moraes FC, Oliveira LHS. Pressões inspiratória e expiratória máximas no pré e pós-operatório de cirurgias abdominais altas. Rev Univ Vale Rio Verde. 2018;16(1):1-9. doi: 10.5892/ruvrd.v16i1.3639.
Boone ACB, Koppe LS, Zandonadi LP, Melotti BE. Avaliação da força muscular respiratória de pacientes no pré e pós-operatório de cirurgias abdominais. Cad Edu Sau Fis. 2018;5(10):S13-S14. Avaliable from: revista.redeunida.org.br/ojs/index.php/cadernos-educacao-saude-fisioter/issue/viewIssue/42/_3
Ribeiro Neto NC, Maia IFM, Chefer M. Análise quantitativa da melhora na função pulmonar e da força muscular respiratória entre o pré e pós-operatório de cirurgia de gastrectomia vertical por videolaparoscopia. Acta Biom Bras. 2016;7(1):21-30. doi: 10.18571/acbm.095
Santos EB, Genz ICH, Longo AF, Hayahsi D, Gonçalves CG, Bellinetti LM et al. Comportamento da função pulmonar, força muscular respiratória e qualidade de vida em pacientes submetidos às toracotomias eletivas. Rev Col Bras Cir. 2012;39(1):4-9. doi: 10.1590/S0100-69912012000100003