Atuação da fisioterapia em pacientes queimados na Unidade de Terapia Intensiva em um hospital de referência na região amazônica

Abstract

Describe the profile and the outcome of burn patients, as well as the role of physiotherapy in the Intensive Care Unit of a Burn Treatment Centre. A descriptive, retrospective and quantitative study developed at the SAME of the HMUE. Medical records of patients admitted to the CTQ's ICU from 2019 to 2020 were analyzed. Individuals over 18 years of age with progression or not to death were included, from the city of Belém, metropolitan region and interior of the state of Pará. We analyzed 58 medical records of patients, mostly male (81%), aged between 18 and 28 (27.59%), from the interior of the State of Pará (75.86%). The thermal agent was the main cause (52%) and the occupational environment was the location of the occurrences (64%). There was a prevalence of second-degree burns (43%), major burns (60%) and no inhalation injury (91.40%). All underwent motor and respiratory physiotherapy, 84.48% required ventilatory support and among them, 75.51% required IMV. Most patients remained from 1 to 10 days (75.86%) in the ICU and most were discharged from the sector. From knowledge inherent to the profile of critically ill patients and the pathophysiology of burns, the physiotherapist in an Intensive Care Unit for burn patients seeks to act according to the clinical and hemodynamic presentation of the patient, being able to reduce the length of stay in the sector.