Base de dados : MEDLINE
Pesquisa : E02.041.625.790 [Categoria DeCS]
Referências encontradas : 15803 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 1581 ir para página                         

  1 / 15803 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29444391
[Au] Autor:Loo MV; Sottiaux T
[Ti] Título:High Flow Nasal Cannula oxygenation for adult patients in the ICU: a literature review.
[So] Source:Acta Anaesthesiol Belg;67(2):63-72, 2016.
[Is] ISSN:0001-5164
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Oxygenation using High Flow Nasal Cannula (HFNC) was initially described in neonatal medicine, but, gradually, its use has extended to adult patients. The efficacy of the device has been linked to higher flows of oxygen delivered to the patients, air tract humidification, alveolar recruitment through a positive end-expiratory pressure (PEEP) effect, prevention of nasopharyngeal collapse, and dead-space washout. Beside the fact that HFNC is a non-invasive way of delivering oxygen to ICU patients, and is well tolerated, results from various clinical trials tend to show positive outcomes for patients presenting with acute hypoxemic respiratory failure (AHRF), during intubation, or during the post-extubation period. However, controversy arose from recent publications, and larger trials are still required to clarify the position of HFNC in the ICU, and help define the subgroups of patients presenting with AHRF that are most likely to benefit from HFNC therapy.
[Mh] Termos MeSH primário: Cânula
Unidades de Terapia Intensiva
Oxigenoterapia/instrumentação
[Mh] Termos MeSH secundário: Adulto
Extubação
Seres Humanos
Oxigenoterapia/efeitos adversos
Oxigenoterapia/métodos
Respiração com Pressão Positiva
Insuficiência Respiratória/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


  2 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29466596
[Au] Autor:Fan E; Brodie D; Slutsky AS
[Ad] Endereço:Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
[Ti] Título:Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment.
[So] Source:JAMA;319(7):698-710, 2018 02 20.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Acute respiratory distress syndrome (ARDS) is a life-threatening form of respiratory failure that affects approximately 200 000 patients each year in the United States, resulting in nearly 75 000 deaths annually. Globally, ARDS accounts for 10% of intensive care unit admissions, representing more than 3 million patients with ARDS annually. Objective: To review advances in diagnosis and treatment of ARDS over the last 5 years. Evidence Review: We searched MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews from 2012 to 2017 focusing on randomized clinical trials, meta-analyses, systematic reviews, and clinical practice guidelines. Articles were identified for full text review with manual review of bibliographies generating additional references. Findings: After screening 1662 citations, 31 articles detailing major advances in the diagnosis or treatment of ARDS were selected. The Berlin definition proposed 3 categories of ARDS based on the severity of hypoxemia: mild (200 mm Hg
[Mh] Termos MeSH primário: Respiração Artificial/métodos
Síndrome do Desconforto Respiratório do Adulto/diagnóstico
Síndrome do Desconforto Respiratório do Adulto/terapia
[Mh] Termos MeSH secundário: Adulto
Algoritmos
Seres Humanos
Respiração com Pressão Positiva
Guias de Prática Clínica como Assunto
Radiografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.21907


  3 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28464911
[Au] Autor:Duiverman ML; Maagh P; Magnet FS; Schmoor C; Arellano-Maric MP; Meissner A; Storre JH; Wijkstra PJ; Windisch W; Callegari J
[Ad] Endereço:Department of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. m.l.duiverman@umcg.nl.
[Ti] Título:Impact of High-Intensity-NIV on the heart in stable COPD: a randomised cross-over pilot study.
[So] Source:Respir Res;18(1):76, 2017 May 02.
[Is] ISSN:1465-993X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although high-intensity non-invasive ventilation has been shown to improve outcomes in stable COPD, it may adversely affect cardiac performance. Therefore, the aims of the present pilot study were to compare cardiac and pulmonary effects of 6 weeks of low-intensity non-invasive ventilation and 6 weeks of high-intensity non-invasive ventilation in stable COPD patients. METHODS: In a randomised crossover pilot feasibility study, the change in cardiac output after 6 weeks of each NIV mode compared to baseline was assessed with echocardiography in 14 severe stable COPD patients. Furthermore, CO during NIV, gas exchange, lung function, and health-related quality of life were investigated. RESULTS: Three patients dropped out: two deteriorated on low-intensity non-invasive ventilation, and one presented with decompensated heart failure while on high-intensity non-invasive ventilation. Eleven patients were included in the analysis. In general, cardiac output and NTproBNP did not change, although individual effects were noticed, depending on the pressures applied and/or the co-existence of heart failure. High-intensity non-invasive ventilation tended to be more effective in improving gas exchange, but both modes improved lung function and the health-related quality of life. CONCLUSIONS: Long-term non-invasive ventilation with adequate pressure to improve gas exchange and health-related quality of life did not have an overall adverse effect on cardiac performance. Nevertheless, in patients with pre-existing heart failure, the application of very high inspiratory pressures might reduce cardiac output. TRIAL REGISTRATION: The trial was registered in the Deutsches Register Klinischer Studien (DRKS-ID: DRKS00007977 ).
[Mh] Termos MeSH primário: Ventilação não Invasiva/efeitos adversos
Ventilação não Invasiva/métodos
Respiração com Pressão Positiva/métodos
Doença Pulmonar Obstrutiva Crônica/terapia
Qualidade de Vida
Disfunção Ventricular Esquerda/diagnóstico
Disfunção Ventricular Esquerda/etiologia
[Mh] Termos MeSH secundário: Idoso
Causalidade
Estudos Cross-Over
Estudos de Viabilidade
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Respiração com Pressão Positiva/efeitos adversos
Prevalência
Doença Pulmonar Obstrutiva Crônica/complicações
Doença Pulmonar Obstrutiva Crônica/diagnóstico
Fatores de Risco
Volume Sistólico
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12931-017-0542-9


  4 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28742783
[Au] Autor:Biais M; Larghi M; Henriot J; de Courson H; Sesay M; Nouette-Gaulain K
[Ti] Título:End-Expiratory Occlusion Test Predicts Fluid Responsiveness in Patients With Protective Ventilation in the Operating Room.
[So] Source:Anesth Analg;125(6):1889-1895, 2017 12.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: End-expiratory occlusion test (EEOT) has been proposed to predict fluid responsiveness in mechanically ventilated intensive care unit patients. The utility of this test during low-tidal-volume ventilation remains uncertain. This study aimed to determine whether hemodynamic variations induced by EEOT could predict the effect of volume expansion in patients with protective ventilation in the operating room. METHODS: Forty-one patients undergoing neurosurgery were included. Stroke volume and pulse pressure variations were continuously recorded using pulse contour analysis before and immediately after a 30-second EEOT and after volume expansion (250 mL saline 0.9% given over 10 minutes). Patients with an increase in stroke volume ≥ 10% after volume expansion were defined as responders. RESULTS: Twenty patients were responders to fluid administration. EEOT induced a significant increase in stroke volume, which was correlated with the stroke volume changes induced by volume expansion (r = 0.55, P < .0001). A 5% increase in stroke volume during EEOT discriminated responders to volume expansion with a sensitivity of 100% (95% confidence interval [CI], 83%-100%), a specificity of 81% (95% CI, 58%-95%), a positive predictive value of 84% (95% CI, 64%-96%), and a negative predictive value of 100% (95% CI, 80%-100%). The gray zone ranged from 4% to 8%, including 17% of patients. The best pulse pressure variation threshold was 9%, with a sensitivity of 60% (95% CI, 36%-81%) and specificity of 86% (95% CI, 64%-97%). The area under the receiver operating characteristics curve generated for changes in stroke volume induced by EEOT (0.91, 95% CI, 0.81-1.00) was significantly higher than the one obtained for pulse pressure variations (0.75, 95% CI, 0.60-0.90); P < .05. CONCLUSIONS: Changes in stroke volume index induced by EEOT can predict fluid responsiveness in patients with protective ventilation in the operating room. This test may have potential applications.
[Mh] Termos MeSH primário: Expiração/fisiologia
Hidratação/métodos
Salas Cirúrgicas/métodos
Respiração Artificial/métodos
Volume Sistólico/fisiologia
Volume de Ventilação Pulmonar/fisiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Respiração com Pressão Positiva/métodos
Valor Preditivo dos Testes
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002322


  5 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28742775
[Au] Autor:da Silva Ramos FJ; Hovnanian A; Souza R; Azevedo LCP; Amato MBP; Costa ELV
[Ti] Título:Estimation of Stroke Volume and Stroke Volume Changes by Electrical Impedance Tomography.
[So] Source:Anesth Analg;126(1):102-110, 2018 01.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Electrical impedance tomography (EIT) is a noninvasive imaging method that identifies changes in air and blood volume based on thoracic impedance changes. Recently, there has been growing interest in EIT to measure stroke volume (SV). The objectives of this study are as follows: (1) to evaluate the ability of systolic impedance variations (ΔZsys) to track changes in SV in relation to a baseline condition; (2) to assess the relationship of ΔZsys and SV in experimental subjects; and (3) to identify the influence of body dimensions on the relationship between ΔZsys and SV. METHODS: Twelve Agroceres pigs were instrumented with transpulmonary thermodilution catheter and EIT and were mechanically ventilated in a random order using different settings of tidal volume (VT) and positive end-expiratory pressure (PEEP): VT 10 mL·kg and PEEP 10 cm H2O, VT 10 mL·kg and PEEP 5 cm H2O, VT 6 mL·kg and PEEP 10 cm H2O, and VT 6 mL·kg and PEEP 5 cm H2O. After baseline data collection, subjects were submitted to hemorrhagic shock and successive fluid challenges. RESULTS: A total of 204 paired measurements of SV and ΔZsys were obtained. The 4-quadrant plot showed acceptable trending ability with a concordance rate of 91.2%. Changes in ΔZsys after fluid challenges presented an area under the curve of 0.83 (95% confidence interval, 0.74-0.92) to evaluate SV changes. Conversely, the linear association between ΔZsys and SV was poor, with R from linear mixed model of 0.35. Adding information on body dimensions improved the linear association between ΔZsys and SV up to R from linear mixed model of 0.85. CONCLUSIONS: EIT showed good trending ability and is a promising hemodynamic monitoring tool. Measurements of absolute SV require that body dimensions be taken into account.
[Mh] Termos MeSH primário: Impedância Elétrica
Volume Sistólico/fisiologia
Tomografia/métodos
[Mh] Termos MeSH secundário: Animais
Estudos Cross-Over
Feminino
Respiração com Pressão Positiva/métodos
Distribuição Aleatória
Choque Hemorrágico/diagnóstico por imagem
Choque Hemorrágico/fisiopatologia
Suínos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002271


  6 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29175966
[Au] Autor:Ekström M
[Ad] Endereço:Department of Clinical Sciences, Division of Respiratory Medicine and Allergology, Lund University, Lund, Sweden.
[Ti] Título:Non-invasive positive pressure ventilation should be considered in patients with COPD and persistent hypercapnia at least 2 weeks after resolution of acute respiratory failure.
[So] Source:Evid Based Nurs;21(1):12, 2018 01.
[Is] ISSN:1468-9618
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Hipercapnia
Ventilação não Invasiva
[Mh] Termos MeSH secundário: Seres Humanos
Respiração com Pressão Positiva
Doença Pulmonar Obstrutiva Crônica
Insuficiência Respiratória
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1136/eb-2017-102789


  7 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28459338
[Au] Autor:Guérin C; Richard JC
[Ad] Endereço:1 Hôpital de la Croix-Rousse Lyon, France and.
[Ti] Título:Lung Recruitment Assessment.
[So] Source:Am J Respir Crit Care Med;195(9):1275-1276, 2017 05 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pulmão
Síndrome do Desconforto Respiratório do Adulto
[Mh] Termos MeSH secundário: Seres Humanos
Respiração com Pressão Positiva
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201610-2018LE


  8 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28459332
[Au] Autor:Gattinoni L; Cressoni M; Chiumello D
[Ad] Endereço:1 University of Göttingen Göttingen, Germany and.
[Ti] Título:Reply: Lung Recruitment Assessment.
[So] Source:Am J Respir Crit Care Med;195(9):1276-1277, 2017 05 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pulmão
Síndrome do Desconforto Respiratório do Adulto
[Mh] Termos MeSH secundário: Seres Humanos
Respiração com Pressão Positiva
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201610-2154LE


  9 / 15803 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28459336
[Au] Autor:Fan E; Del Sorbo L; Goligher EC; Hodgson CL; Munshi L; Walkey AJ; Adhikari NKJ; Amato MBP; Branson R; Brower RG; Ferguson ND; Gajic O; Gattinoni L; Hess D; Mancebo J; Meade MO; McAuley DF; Pesenti A; Ranieri VM; Rubenfeld GD; Rubin E; Seckel M; Slutsky AS; Talmor D; Thompson BT; Wunsch H; Uleryk E; Brozek J; Brochard LJ; American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine
[Ti] Título:An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome.
[So] Source:Am J Respir Crit Care Med;195(9):1253-1263, 2017 May 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This document provides evidence-based clinical practice guidelines on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). METHODS: A multidisciplinary panel conducted systematic reviews and metaanalyses of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. RESULTS: For all patients with ARDS, the recommendation is strong for mechanical ventilation using lower tidal volumes (4-8 ml/kg predicted body weight) and lower inspiratory pressures (plateau pressure < 30 cm H O) (moderate confidence in effect estimates). For patients with severe ARDS, the recommendation is strong for prone positioning for more than 12 h/d (moderate confidence in effect estimates). For patients with moderate or severe ARDS, the recommendation is strong against routine use of high-frequency oscillatory ventilation (high confidence in effect estimates) and conditional for higher positive end-expiratory pressure (moderate confidence in effect estimates) and recruitment maneuvers (low confidence in effect estimates). Additional evidence is necessary to make a definitive recommendation for or against the use of extracorporeal membrane oxygenation in patients with severe ARDS. CONCLUSIONS: The panel formulated and provided the rationale for recommendations on selected ventilatory interventions for adult patients with ARDS. Clinicians managing patients with ARDS should personalize decisions for their patients, particularly regarding the conditional recommendations in this guideline.
[Mh] Termos MeSH primário: Respiração Artificial/normas
Síndrome do Desconforto Respiratório do Adulto/terapia
[Mh] Termos MeSH secundário: Adulto
Oscilação da Parede Torácica/normas
Oxigenação por Membrana Extracorpórea/normas
Seres Humanos
Respiração com Pressão Positiva/métodos
Respiração com Pressão Positiva/normas
Decúbito Ventral
Respiração Artificial/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171212
[Lr] Data última revisão:
171212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201703-0548ST


  10 / 15803 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29054228
[Au] Autor:Mehdiratta N; Archer M; Stewart M; Dennis B; Grogan E
[Ad] Endereço:Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: nmehdiratta@gmail.com.
[Ti] Título:Novel Airway and Ventilator Management of Tracheobronchial Disruption After Blunt Trauma.
[So] Source:Ann Thorac Surg;104(5):e359-e361, 2017 Nov.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Tracheobronchial injuries can be difficult to diagnose and manage, especially in the presence of polytrauma. A 50-year-old woman presented as a Level I trauma activation after being struck by a motor vehicle. Initial evaluation demonstrated intracranial hemorrhage and multiple chest injuries, including multilevel bilateral rib fractures, pneumomediastinum, and concern for tracheobronchial injury. After initial stabilization, bronchoscopy was performed and demonstrated an injury to the carina. We report a novel airway and ventilation strategy in the setting of concomitant tracheobronchial injury after severe blunt chest trauma in which extracorporeal support is contraindicated.
[Mh] Termos MeSH primário: Brônquios/lesões
Traumatismos Torácicos/diagnóstico
Traumatismos Torácicos/terapia
Traqueia/lesões
Ferimentos não Penetrantes/complicações
[Mh] Termos MeSH secundário: Acidentes de Trânsito
Broncoscopia/métodos
Terapia Combinada
Feminino
Seguimentos
Seres Humanos
Escala de Gravidade do Ferimento
Meia-Idade
Traumatismo Múltiplo/diagnóstico
Traumatismo Múltiplo/cirurgia
Respiração com Pressão Positiva/métodos
Radiografia Torácica/métodos
Medição de Risco
Traumatismos Torácicos/etiologia
Centros de Traumatologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171022
[St] Status:MEDLINE



página 1 de 1581 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde