Avaliação do padrão respiratório pós extubação e indicação de condutas em UTI pediátrica

Abstract

OBJECTIVE: To employ the Wood-Downes Score and the upper airway obstruction score proposed by Downes and Raphaelly in the assessment of respiratory patterns and the indication of oxygen and ventilation support devices after orotracheal extubation. METHODS: It is a cross-sectional, descriptive, and quantitative study. The group was composed of 15 infants aged 28 days to 2 years old, hospitalized at the pediatric intensive care unit from august to october 2018, fulfilling the inclusion criteria and following the ethical in research aspects. RESULTS: Out of fifteen infants in the sample, 66,66% were female. The mean age was 6,4 ±6,27 months. The most common Wood-Downes score at baseline was moderate with mean 3,4 ±1,91, going to mild 1,6 ±0,89 at the second moment. The mean upper airway obstruction score at baseline was 2,9 ±1,62 decreasing to 1,7 ±0,79 at the second moment. ONCLUSION: The employment of the Wood-Downes Score and the upper airway obstruction score proposed by Downes and Raphaelly to assess the respiratory patterns in the present study, showed efficacy in the indication of non-invasive ventilatory support because the moderate score was the most present. Although the study did not interfere in the medical conduct, it is believed that the scores employed are useful tools to the control and assessment of the acute respiratory insufficiency after infant extubation.