Perspectives of the strategic respiratory approach in post-pediatric congenital heart disease surgery

Abstract

Introduction: Highlighting strategic aspects of the respiratory approach lies in the prevention of risk factors that avoid chronic sequelae linked to co-morbi mortality on a large scale, this being a Public Health problem in Ecuador. Objective: To determine the main frequent factors that affect the risk of post-surgical recovery areas. Methods: The present investigation is a qualitative-quantitative, non-experimental, transversal spectrum, and descriptive characteristic exploratory. With a data collection of the national public reference hospital (MSP-HFIB). An instrument designed and evaluated by experts for later Statistical, population and sample processing in 133 operated patients. Results: The processing with Chi-square tests of its variables with statistical identification of relevant factors, such as the prevalence of male cases with 70 patients, making up 52.6%, over 63 female patients, which constitutes 47.4%. Another Remarkable relationship was: age, days of mechanical ventilation / artificial airway, observation of medical discharge status, identifying that in younger ages with diagnosis and intervention performed, with supports and critical procedures for a shorter time (Transsurgical - 16 hours or less ), increased the tendency that moves away the predisposition to acquire morbid mortality. Conclusions: Benefits and proportionality of the application of continuous and updated strategies in its approach were observed, highlighting the protection of the neurological-respiratory aspect. Application and monitoring that mitigates modifiable side effects, which restricts the projection of their autonomy and quality of life of the operated patients.