- Respiratory Support and Mechanisms
- Airway Management and Intubation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Mechanical Circulatory Support Devices
- Intensive Care Unit Cognitive Disorders
- Liver Disease and Transplantation
- Organ Transplantation Techniques and Outcomes
- Family and Patient Care in Intensive Care Units
- Ultrasound in Clinical Applications
- Long-Term Effects of COVID-19
- Hemodynamic Monitoring and Therapy
- Obstructive Sleep Apnea Research
- Tracheal and airway disorders
- Academic Research in Diverse Fields
- Congenital Diaphragmatic Hernia Studies
- Healthcare during COVID-19 Pandemic
- Healthcare Regulation
- Psychology and Mental Health
- Occupational Health and Burnout
- Pulmonary Hypertension Research and Treatments
- Palliative and Oncologic Care
- Pneumocystis jirovecii pneumonia detection and treatment
- Neonatal Respiratory Health Research
Universidade Estadual de Campinas (UNICAMP)
2011-2023
Hospital de Clínicas da Unicamp
2007-2018
Centro Universitário Herminio Ometto de Araras
2007-2010
Hospital de Clínicas
2008
Pontifícia Universidade Católica de Campinas
2001
The early postoperative period is critical for surgical patients. SOFA, SAPS 3 and APACHE II are prognostic scores widely used to predict mortality in ICU This study aimed evaluate these index tests their accuracy intra-ICU in-hospital mortalities as target conditions patients admitted after urgent or elective surgeries test whether they aid decision-making. process comprised the assessment of discrimination through analysis areas under receiver operating characteristic curves calibration...
Background: Prolonged use of mechanical ventilation (MV) leads to weakening the respiratory muscles, especially in patients subjected sedation, but this effect seems be preventable or more quickly reversible using muscle training. The aims study were assess variations and hemodinamic parameters with electronic inspiratory training (EIMT) tracheostomized requiring MV compare these those a group an intermittent nebulization program (INP). Methods: This was pilot, prospective, randomized one...
OBJETIVO: A dor no pós-operatório de cirurgia cardíaca é frequente. Poucos relatos existem sobre a sua relação com função respiratória e o local mais frequentemente relatado. O objetivo avaliar intensidade localização da durante período internação suas repercussões na pacientes submetidos à eletiva. MÉTODOS: (volumes pulmonares, força muscular pico fluxo expiratório) foi avaliada nos períodos pré-operatório (1º, 3º 5º dia), utilizando os equipamentos ventilômetro, manovacuômetro medidor...
Introdução: Os projetos especiais de apoio ao ensino, pesquisa e extensão (PAEPE), sustentam as atividades acadêmicas administrativas da Universidade Estadual Campinas proporcionam a valorização capacitação contínua dos profissionais, o que traz como consequência melhoria serviços ofertados à sociedade. fisioterapeutas, servidores do hospital clínicas Unicamp (HC/Unicamp), com plano carreira PAEPE, desenvolvem conhecimentos avançados específicos na sua área atuação estão preparados para...
Pulmonary complications in bariatric surgery are common and, therefore, alveolar recruitment maneuvers (ARM) have been used to prevent or reduce them the postoperative period (POP). The aim of this study was evaluate impact ARM performed intraoperatively patients undergoing by videolaparoscopy incidence pulmonary complications. Randomized clinical trial with 30 divided into control group (CG) and experimental (EG), analysis spirometric, ventilatory, hemodynamic, radiographic variables. EG...
Respiratory failure after cardiopulmonary bypass heart surgery can result from many pre-, intra- or postoperative respiratory system-related factors. This review was aimed to discuss some factors related acute lung injury observed during the period of cardiac and mechanical ventilation modalities which should be considered prevent hypoxemia.
OBJECTIVE: To compare postoperative (PO) pulmonary gas exchange indexes in patients submitted to myocardial revascularization (MR) with or without the application of continuous positive airway pressure (CPAP) during cardiopulmonary bypass (CPB). METHODS: Thirty adult MR CPB between March and September 2005 were randomly allocated two groups: CPAP (n=15), that received at 10 cmH2O CPB, control didn't receive CPAP. PaO²/FiO2 P(A-a)O2 analyzed four moments: Pre (just before FiO2=1.0 ); Post...
The goal of this study was to evaluate the predictive factors mortality in patients after liver transplantation an intensive care unit from University Hospital.This observational conducted by using a database analysis Hospital. sample consisted registered database. variables Sequential Organ Failure Assessment score, Acute Physiology and Chronic Health Disease Classification II (APACHE II), Model for End-Stage Liver Disease, Child-Pugh scores, days hospitalization unit, mechanical...
Resumo Fundamento: Pouco explorada na decisão de extubação no pós-operatório cirurgia cardíaca, a complacência pulmonar estática seriamente afetada procedimento cirúrgico pode levar à insuficiência respiratória e falha extubação. Objetivo: Avaliar cardíaca relacionar sua possível redução aos casos dos pacientes submetidos ao método fast-track Métodos: Foram incluídos que realizaram com uso circulação extracorpórea (CEC) em um hospital universitário [...]
Objective: A retrospective cohort study was preformed aiming to verify the presence of transient dysfunction gas exchange in postoperative period cardiac surgery and determine if this disorder is linked cardiorespiratory events.Methods: We included 942 consecutive patients undergoing procedures who were referred Intensive Care Unit between June 2007 November 2011.Results: Fifteen had acute respiratory distress syndrome (2%), 199 (27.75%) mild exchange, 402 (56.1%) moderate 39 (5.4%) severe...
To compare the attainment of rapid shallow breathing index (IRRS) in modalities PSV 10 cmH2O and PEEP 5 (PSV10), CPAP (CPAP5) spontaneous (SB), correlating them with success on failure withdrawal mechanical ventilation (MV).Prospective study including 54 patients MV > 48 hours, submitted to IRRS three ventilatory modalities: PSV10, CPAP5 SB at moments before after T-tube breathing. The were removed from when was < 105.There wasn't statistically significant difference between values SB. There...
To evaluate plasmatic arginine vasopressin (AVP) levels in patients undergoing scheduled conventional abdominal aortic aneurysm (AAA) repair.Plasmatic AVP concentrations were measured by radioimmunoassay 22 non-consecutive adult infra-renal AAA repair. They under combined general and epidural anesthesia at the following time frames: 1--pre-operative (T0); 2--2h (T1) 6h (T2) after surgical procedure; 3--in morning first (T3), second (T4) third (T5) post-operative days. Some clinical...
JUSTIFICATIVA E OBJETIVOS: Complicações pulmonares em cirurgias bariátricas são frequentes, e, por isso, manobras de recrutamento alveolar (MRA) têm sido utilizadas para preveni-las ou reduzi-las no pós-operatório (PO) imediato. O objetivo do estudo foi avaliar o impacto da MRA executada intraoperatório pacientes submetidos à cirurgia bariátrica videolaparoscopia na incidência complicações pós-operatório. MÉTODO: Ensaio clínico aleatório com 30 alocados Grupo Controle (GC) e Experimental...
The cuff leak test aims to evaluate the presence of airway obstruction and normally is carried through in controlled mode mechanical ventilation. objective this study was patients breathing spontaneously, across three different methods, compare them.Twenty intubated had been submitted forms test, all them spontaneous respiration: measuring air buy using a ventilometer with patient connected ventilator (test 1); display 2); detached from 3). around tracheal tube (TT) defined as percentage...
A tomografia de impedância elétrica é um método não invasivo visualização da mecânica respiratória beira-leito. Este exame permiteobservar, em tempo real, a ventilação regional pulmonar cada ciclo respiratório com o objetivo se otimizar e observar os efeitos imediatos dos ajustes e\ou terapia respiratória. O monitorar avaliar reexpansão durante as manobras fisioterapêuticas bloqueio torácico hiperinsuflação AMBU® por meio do tomógrafo elétrica. Apresentação resultados interpretação...
Background: The aims of the study were to analyze withdrawal mechanical ventilation (MV) severe head trauma from admitted victims adult intensive care unit and propose a time perform tracheostomy, not taking into consideration only Glasgow coma scale (GCS) but GCS Marshall's computed tomography (CT) scan classification. Methods: This was cross-sectional, descriptive, observational study, based on continuous registration database collection, medical physical therapy records. Data collected...
O objetivo deste estudo foi identificar a disfunção pulmonar e fatores relacionados ao tempo de ventilação mecânica internação, insucesso da extubação mortalidade em pacientes submetidos à cirurgia revascularização miocárdio, com uso balão intra‐aórtico. Estudo observacional, no qual foram analisadas variáveis respiratórias, clínico‐demográficas cirúrgicas que, posteriormente, relacionadas os desfechos. Foram avaliados 39 pacientes, idade média 61,2 anos. A esteve presente do pós operatório...
Background: In patients with severe head injury, endotracheal suctioning (ES) is a potentially unsafe procedure, because it can increase intracranial pressure (ICP) and decrease cerebral perfusion (CPP). Lidocaine has been shown to directly blunt ICP rises before ES, although not known whether the efficacy of lidocaine given endotracheally comparable that intravenously. The purpose this study was evaluated effects ES on or without use intravenously in trauma. Methods: Twenty admitted...
A mensuração da função respiratória oferece informações essenciais para caracterizar anormalidades pulmonares. pressão hidrostática água atua no tórax submerso de diversas formas, causando alterações sistema respiratório. O objetivo deste estudo foi analisar comparativamente variáveis que avaliam a - volume minuto (Vmin), corrente (Vc), capacidade vital (Cvital) e frequência (FR) voluntárias solo com o em piscina terapêutica aquecida. 30 saudáveis (20,9±2,1 anos; 1,64±0,07 m; 58,8±9,2 kg;...
Testes de função pulmonar são usados para determinar a gravidade, as conseqüências funcionais e o progresso disfunções pulmonares neuromusculares. As variações metodológicas com bocal máscara facial cooperação do paciente podem interferir no desempenho das manobras afetar medidas. O objetivo deste estudo foi comparar os valores volumes (volume corrente [Vc], volume-minuto [Vm]), freqüência respiratória (FR) capacidade vital (CV) em indivíduos saudáveis quando avaliados por meio da facial....