Simple motor tasks independently predict extubation failure in critically ill neurological patients
Conclusions: The inability to follow simple motor commands is predictive of extubation failure in critically ill neurological patients. Hand grasping and tongue protrusion on command might be quick and easy bedside tests to identify neurocritical care patients who are candidates for extubation.RESUMO Objetivo: Avaliar a utilidade de tarefas motoras simples, tais como preens ão de mão e protrusão da língua, para predizer extubação malsucedida em pacientes neurológicos críticos. Métodos: Estudo prospectivo de coorte realizado na UTI neurológica de um hospital terciário em Porto Alegre (RS). Pacientes adultos que...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
Sleep-disordered breathing in patients with COPD and mild hypoxemia: prevalence and predictive variables
Conclusions: In our sample of patients with COPD and mild hypoxemia, the prevalence of sleep-disordered breathing was high (61%), suggesting that such patients would benefit from sleep studies.RESUMO Objetivo: Inferir a preval ência e as variáveis preditivas de hipoxemia noturna e apneia obstrutiva do sono (AOS) em pacientes portadores de DPOC com hipoxemia leve. Métodos: Estudo transversal realizado em pacientes ambulatoriais, clinicamente estáveis, portadores de DPOC e hipoxemia leve (saturação de oxigênio = 90- 94%) em um centro clínico especializado no atendimento de doenças respiratórias em Goiânia (GO). ...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
Assessment of fatigue using the Identity-Consequence Fatigue Scale in patients with lung cancer
Conclusions: The ICFS is a valid, reliable instrument for evaluating LC patients, in whom depression, quality of life, and CRP levels seem to be significantly associated with fatigue.RESUMO Objetivo: Avaliar as propriedades da Escala de Identifica ção e Consequências da Fadiga (EICF) em pacientes com câncer de pulmão (CP), analisando a intensidade da fadiga e fatores associados. Métodos: Estudo transversal com pacientes com CP, atendidos em um hospital-escola no Brasil, que preencheram a EICF. Pacientes com doenças cardíacas crônica s (DCC) e controles saudáveis, pareados por idade e sexo, também preencheram a...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
The impact of asthma in Brazil: a longitudinal analysis of data from a Brazilian national database system
Conclusions: Although the numbers of asthma-related deaths and hospital admissions in Brazil have been decreasing since 2009, the absolute numbers are still high, resulting in elevated direct and indirect costs for the society. This shows the relevance of the burden of asthma in middle-income countries.RESUMO Objetivo: Apresentar dados longitudinais oficiais sobre o impacto da asma no Brasil entre 2008 e 2013. M étodos: Estudo descritivo de dados extraídos de um banco de dados do governo brasileiro entre 2008 e 2013, no qual foram analisados as hospitalizações e óbitos por asma, bem como o custo das hospitalizaçõe...
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
Subgroup analysis and interaction tests: why they are important and how to avoid common mistakes
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
Opaque hemithorax
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
The paradox of asthma: neglect, burden, and big data
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
BTA distance learning course in pulmonology
(Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - July 20, 2017 Category: Respiratory Medicine Source Type: research
Pulmonary talcosis caused by intravenous methadone injection
We report the case of a male patient who was diagnosed with tracheobronchopathia osteochondroplastica via bronchoscopy and biopsy.RESUMO A traqueobroncopatia osteocondropl ástica é uma doença benigna rara, de causa desconhecida, caracterizada por numerosos nódulos submucosos sésseis, cartilaginosos e/ou ósseos, distribuídos pelas paredes anterolaterais da traqueia, projetando-se no lúmen laringotraqueobrônquico. Em geral, a traqueobroncopatia osteocondroplás tica é descoberta acidentalmente durante broncoscopias ou em necropsias e não é associada a uma doença específica. Relatamos o caso de um paciente que f...
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
Tracheobronchopathia osteochondroplastica
We report the case of a male patient who was diagnosed with tracheobronchopathia osteochondroplastica via bronchoscopy and biopsy.RESUMO A traqueobroncopatia osteocondropl ástica é uma doença benigna rara, de causa desconhecida, caracterizada por numerosos nódulos submucosos sésseis, cartilaginosos e/ou ósseos, distribuídos pelas paredes anterolaterais da traqueia, projetando-se no lúmen laringotraqueobrônquico. Em geral, a traqueobroncopatia osteocondroplás tica é descoberta acidentalmente durante broncoscopias ou em necropsias e não é associada a uma doença específica. Relatamos o caso de um paciente que f...
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
Bloodstained sputum of unknown etiology
ABSTRACT Diffuse cystic lung diseases are characterized by cysts in more than one lung lobe, the cysts originating from various mechanisms, including the expansion of the distal airspaces due to airway obstruction, necrosis of the airway walls, and parenchymal destruction. The progression of these diseases is variable. One essential tool in the evaluation of these diseases is HRCT, because it improves the characterization of pulmonary cysts (including their distribution, size, and length) and the evaluation of the regularity of the cyst wall, as well as the identification of associated pulmonary and extrapulmonary lesions....
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
Diffuse cystic lung diseases: differential diagnosis
ABSTRACT Diffuse cystic lung diseases are characterized by cysts in more than one lung lobe, the cysts originating from various mechanisms, including the expansion of the distal airspaces due to airway obstruction, necrosis of the airway walls, and parenchymal destruction. The progression of these diseases is variable. One essential tool in the evaluation of these diseases is HRCT, because it improves the characterization of pulmonary cysts (including their distribution, size, and length) and the evaluation of the regularity of the cyst wall, as well as the identification of associated pulmonary and extrapulmonary lesions....
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
Effects that passive cycling exercise have on muscle strength, duration of mechanical ventilation, and length of hospital stay in critically ill patients: a randomized clinical trial
Conclusions: The results suggest that the performance of continuous passive mobilization on a cyclical basis helps to recover per ipheral muscle strength in ICU patients. (ClinicalTrials.gov Identifier: NCT01769846 [http://www.clinicaltrials.gov/])RESUMO Objetivo: Avaliar os efeitos da realiza ção de exercícios passivos com um cicloergômetro, associada à fisioterapia convencional, na força muscular periférica, no tempo de ventilação mecânica e no tempo de internação hospitalar em pacientes críticos internados em UTI de um hospital universitário terciário. Métodos: Ensaio clínico randomizado envolvendo 38...
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
Anatomic pulmonary resection via video-assisted thoracic surgery: analysis of 117 cases at a referral center in Brazil
Conclusions: Our results are similar to those published in major international studies, indicating that VATS is an important strategy for pulmonary resection. They also show that VATS can be safely performed with adequate training. This technique should be used more often for the treatment of lung diseases in Brazil.RESUMO Objetivo: Relatar a experi ência com cirurgia torácica videoassistida (CTVA) para ressecções pulmonares anatômicas em um centro nacional de referência de cirurgia torácica no Brasil. Métodos: Foram incluídos todos os pacientes tratados com ressecções pulmonares anatômicas por CTVA entre 201...
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
Sweat test and cystic fibrosis: overview of test performance at public and private centers in the state of São Paulo, Brazil
Conclusions: Our results show that STs largely deviate from internationally accepted guidelines at the participating centers. Therefo re, there is an urgent need for standardization of STs, training of qualified personnel, and acquisition/certification of suitable equipment. These are essential conditions for a reliable diagnosis of CF, especially with the increasing demand due to newborn screening nationwide, and for the assessme nt of a possible clinical benefit from the use of modulator drugs.RESUMO Objetivo: O teste do suor (TS) mede os n íveis de cloro no suor e é considerado o padrão ouro para o diagnóstico da f...
Source: Jornal Brasileiro de Pneumologia - May 19, 2017 Category: Respiratory Medicine Source Type: research
