Efeitos do CPAP em indivíduos com AVC e condição clínica de apneia obstrutiva do sono

  • Josilaine Botelho Vasconcelos
  • Júlia Bezan Castro Rodrigues dos Santos
  • Vanessa Nascimento Venâncio
  • Simone Cecilio Hallak Regalo
  • Jacqueline Rodrigues de Freitas Vianna
  • Saulo Cesar Vallin Fabrin Claretiano Centro Universitário
Palavras-chave: Acidente Vascular Cerebral, CPAP, Apneia do Sono, Reabilitação, Doenças Cardiovasculares

Resumo

Introdução. O acidente vascular cerebral (AVC) é atualmente uma das principais causas de mortes e incapacidades no mundo, caracterizado por danos neurológicos que diminuem a qualidade de vida e, em muitos casos, provocam alterações respiratórias durante o sono, ocasionadas pela apneia obstrutiva do sono (AOS), sendo esta considerada um importante fator de risco. Diante disso, o objetivo do presente estudo é analisar a efetividade e os benefícios do uso da pressão positiva contínua nas vias aéreas (CPAP) em indivíduos com AVC que apresentam AOS. Método. Realizou-se uma revisão da literatura nas bases de dados Scielo, Bireme, PEDro, Medline e Pubmed, incluindo artigos publicados nos últimos dez anos, indexados na língua inglesa e portuguesa. Resultados. Os tratamentos com CPAP foram realizados com duração média de 4h/noite, com PEEP de 2 a 12cmH2O, sendo sua titulação realizada por oximetria de pulso, polissonografia ou por meio do AutoCPAP, apresentando redução nos índices de apneia-hipopneia, melhoria das escalas neurológicas e funcionais, com resultados significativos na qualidade do sono, eventos cardiovasculares e recorrências do AVC. Conclusão. O presente estudo sugere que o uso do CPAP em pacientes com AVC que possuem AOS é benéfico, sendo uma técnica eficaz nas comorbidades causadas por este distúrbio.

Métricas

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Publicado
2020-10-19
Como Citar
Botelho Vasconcelos, J., Bezan Castro Rodrigues dos Santos, J., Nascimento Venâncio, V., Cecilio Hallak Regalo, S., Rodrigues de Freitas Vianna, J., & Fabrin, S. C. V. (2020). Efeitos do CPAP em indivíduos com AVC e condição clínica de apneia obstrutiva do sono. Revista Neurociências, 28, 1-15. https://doi.org/10.34024/rnc.2020.v28.10944
Seção
Artigos de Revisão