A5074267004- Respiratory Support and Mechanisms
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cardiac Arrest and Resuscitation
- Thermal Regulation in Medicine
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Trauma Management and Diagnosis
- Nosocomial Infections in ICU
- Neonatal Respiratory Health Research
- Intensive Care Unit Cognitive Disorders
- Congenital Diaphragmatic Hernia Studies
- Sepsis Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Quality and Safety in Healthcare
- Disaster Response and Management
- Nursing Diagnosis and Documentation
- Bacterial Identification and Susceptibility Testing
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2014-2021
Hospital Israelita Albert Einstein
2014
In acute respiratory distress syndrome (ARDS), atelectatic solid-like lung tissue impairs transmission of negative swings in pleural pressure (Ppl) that result from diaphragmatic contraction. The localization more Ppl proportionally increases dependent stretch by drawing gas either other regions (e.g., nondependent [pendelluft]) or the ventilator. Lowering level spontaneous effort and/or converting to fluid-like might render noninjurious.To determine whether injury, and such injury would be...
Rationale: Obesity is characterized by elevated pleural pressure (Ppl) and worsening atelectasis during mechanical ventilation in patients with acute respiratory distress syndrome (ARDS).Objectives: To determine the effects of a lung recruitment maneuver (LRM) presence Ppl on hemodynamics, left right ventricular pressure, pulmonary vascular resistance. We hypothesized that protects cardiovascular system against high airway prevents overdistension.Methods: First, an interventional crossover...
Objective To test and validate a multiplex real-time polymerase chain reaction method for bloodstream infections, as well to compare the results with conventional blood culture.Methods A total of 114 consecutive patients clinical evidence sepsis were submitted culture LightCycler™ SeptiFast tests.Results More positive specimens (23; 20.2%) detected using than (17; 14.9%), an agreement 86.8%. Discordant seen in four only culture, ten one different pathogens found by each test. Infections...
<b>Background:</b> respiratory muscle dysfunction may contribute to exercise limitation in interstitial lung disease (ILD). Diaphragmatic was demonstrated by ultrasound (US) ILD patients. However, diaphragmatic described on US not correlated with functional parameters. <b>Aims:</b> correlate patients, mobility and thickness rest dyspnea, performance 6-minute-walk test (6MWT) quality of life (QOL). <b>Methods:</b> 28 controls 24 patients performed spirometry diaphragm evaluate deep breathing...
<b>Background:</b> Exercise intolerance is the hallmark of fibrosing interstitial lung diseases (FILD), but role played by respiratory muscles controversial. <b>Objective:</b> To measure inspiratory and expiratory muscle strength, chest wall synchrony endurance in FILD patients. <b>Methods:</b> For 16 patients 14 healthies we measured, at rest, volitional non-volitional strength. During a maximal cycle test, measured accessory activity (electromyography), (inductive pletysmography) using...