RESUMEN
Objetivo: Analizar el perfil hemodinámico de pacientesoperados de cirugía cardiaca y su relación con la aplicaciónde un protocolo de tratamiento kinésico. La hipótesis detrabajo establece que no existe relación entre la aplicación deun protocolo de tratamiento kinésico y la generación decambios hemodinámicos deletéreos...
Background: This study proposes to analyze the profilehemodynamic of patients was undergoing cardiac surgeryand their relationships with the application of a respiratoryphysical therapy protocol. The hypothesis was that there isnot a relation between the application of a respiratoryphysiotherapy protocol and the generation of changes hemodynamicsdeleterious...
Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano de 80 o más Años , Enfermedades Cardiovasculares/rehabilitación , Modalidades de Fisioterapia/métodos , Cuidados Posoperatorios , Terapia Respiratoria/métodos , Cateterismo de Swan-Ganz , Protocolos Clínicos , Gasto Cardíaco/fisiología , Hemodinámica/fisiología , Unidades de Cuidados Intensivos , Infarto del Miocardio/rehabilitación , Método Simple Ciego , Transferencia de Oxígeno , Estudios ProspectivosRESUMEN
Objective. The aim was to determine efficacy and safety of a surgical method to reduce adult height in extremely tall adolescents. Methods. Data for all girls (n = 12) and boys (n = 9) in our center subjected to bilateral percutaneous epiphysiodesis around the knee who had reached final height were included. Final height predictions were based on hand and wrist X-rays before surgery. Results. When compared to prediction, adult height was reduced by 4.1 ± 0.7 cm in treated girls (P < .001) and 6.4 ± 0.7 cm in treated boys (P < .001) corresponding to a 33.6 ± 3.4% and 33.6 ± 4.2% reduction of remaining growth, respectively. Besides mild to moderate postoperative pain reported in 9 operated individuals, no other side effects were reported. Postoperative X-rays confirmed growth plate closure and absence of leg angulations. Conclusions. Bilateral epiphysiodesis is an effective and safe method to reduce adult height in extremely tall girls and boys.