Physical therapy for patients with lung cancer and compromised pulmonary function/Resgate fisioterapeutico para pacientes com comprometimento da funcao pulmonar e cancer de pulmao/Recuperacion terapeutica para pacientes con compromiso de la funcion pulmonar y cancer de pulmon

In the staging of in-patients with pulmonary neoplasms in the thoracic surgery infirmary of Hospital Universitario Pedro Ernesto we often face cases in which surgery is advised, but the pulmonary function test show a forced expiratory volume in one second (FEV1) below acceptable reference values, indicating such surgical intervention to be inadvisable due to high periprocedural morbimortality. In order to make such patients eligible to pulmonary resection, the efficacy of physical therapy to improve pulmonary function through preprocedural exercise and non-invasive ventilation has been investigated. This case report presents the physical therapy of a patient previously ineligible for a proposed procedure: non-invasive ventilation associated with resisted exercise for the upper limbs, which made her eligible for surgical intervention.Keywords: Lung neoplasms; Thoracic surgery; Rehabilitation.Frente a rotina de estadiamento dos pacientes com neoplasia pulmonar admitidos na enfermaria de cirurgia toracica do Hospital Universitario Pedro Ernesto, frequentemente nos deparamos com casos que possuem indicacao de abordagem cirurgica, porem apresentam prova de funcao pulmonar evidenciando valores de volume expiratorio forcado no primeiro segundo abaixo dos limites de referencia admissiveis, contraindicando essa intervencao face ao risco aumentado de morbimortalidade perioperatoria. Para que pacientes inelegiveis as cirurgias de resseccao pulmonar possam ter a chance de serem submetidos a esse tipo de intervencao curativa, tem sido investigada a eficacia da intervencao fisioterapeutica na otimizacao da funcao pulmonar por meio de exercicios e ventilacao nao invasiva, no periodo pre-operatorio. Este relato de caso trata da abordagem fisioterapeutica, em uma paciente previamente inelegivel ao procedimento proposto, associando ventilacao nao invasiva a exercicios resistidos de membros superiores. Apos duas semanas de tratamento, verificou-se melhora dos valores espirometricos, tornando-a elegivel a intervencao cirurgica.Descritores: Neoplasias pulmonares; Cirurgia toracica; Reabilitacao.Recuperacion terapeutica para pacientes con compromiso de la funcion pulmonar y cancer de pulmon pulmonary resection, the efficacy of physical therapy to improve pulmonary function through preprocedural exercise and non-invasive ventilation has been investigated. This case report presents the physical therapy of a patient previously ineligible for a proposed procedure: non-invasive vent