AVALIAÇÃO DO NOVO PROTOCOLO DE EXTUBAÇÃO EM PACIENTE SUBMETIDO À CIRURGIA CARDÍACA

The efficacy in the protocol of ventilatory weaning in patients submitted to cardiac surgical correction, uses clinical signs and symptoms for success. Using protocols and experiments in certain treatment centers, the failure of extubation has occurred on a large scale on average 24% of patients. Due to major failure, various indices and parameters are used to know the best time or time for extubation. These determine the differences in the physiological functions of the respiratory, cardiac and neurological system which allows the identification of the exact moment when the patient will be able to assume and maintain his adequate ventilation, avoiding the reintubation or even the prolonged ventilation associated with complications. There is no way to determine a single strategy or specific protocol for weaning of the ventilatory prosthesis in the population of the immediate postoperative patient of cardiac surgery, at the moment there is no study that proves the efficacy of one protocol in relation to another. Due to these failures, a specific protocol was implanted for patients undergoing cardiac surgery, which evaluates index and parameters in the immediate postoperative period, these are used to know the best time or moment for extubation. It is believed that we can influence the rate of failure in ventilatory weaning, in which the patient will spend a shorter time on mechanical ventilation, reducing the incidence of respiratory diseases associated with mechanical ventilation, less time to use sedatives and an improvement in the quality of life , with beneficial consequences the patient returns his daily life activities as early as possible.