LEDA TOMIKO YAMADA DA SILVEIRA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina
SVFOFITO-62, Hospital Universitário
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
SVFOFITO-62, Hospital Universitário
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
17 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 17
conferenceObject A review of mobile voiding diary apps: Content and functionality features(2018) VACCARI, N.; SILVEIRA, L.; HADDAD, J.; BARACAT, E.; BERTOLINI, M. A.; FERREIRA, E.conferenceObject Intensive Care Unit Physiotherapy Session Length Is Associated with the Number of Patients Requiring Care: A Longitudinal Panel Study(2022) FU, C.; SILVEIRA, L. T. Y.; POLITI, M. T.; COLOMBO, A. S.conferenceObject Occurrence Of Systemic And Pulmonary Complications In Patients Undergoingtracheostomy(2013) RAMOS, M. C. S.; SILVA, J. M.; MAFRA, M.; SILVEIRA, L.; CARRASCOSA, T.; TANAKA, C.; FU, C.conferenceObject Functional status of patients readmitted to ICU(2013) SILVEIRA, Leda T. Y.; SILVA, Janete M.; MAFRA, Jose M. S.; RAMOS, Michele C. S.; TANAKA, Clarice; FU, CarolinaconferenceObject Inter-evaluator reliability and validity of the Dualpex PLUS device in women with urinary incontinence(2020) CARRO, D.; PORTO, D.; SAWADA, T.; SILVEIRA, L.; LUNARDI, A.; DELLAQUILA, A.; HADDAD, J.; BARACAT, E.; FERREIRA, E.conferenceObject Effect of two devices to facilitate the perception of pelvic floor contraction in sitting position in women with urinary incontinence: a comparative analysis(2020) SAWADA, T.; PORTO, D.; CARRO, D.; SILVEIRA, L.; LUNARDI, A.; HADDAD, J.; BARACAT, E.; GIARRETA, F.; FERREIRA, E.- RECRUITMENT MANEUVER MIGHT BE AN OPTION FOR PATIENTS WITH HYPOXEMIA AND ATELECTASIS Reply(2019) MIURA, Mieko Claudia; CARVALHO, Carlos Roberto Ribeiro de; SILVEIRA, Leda Tomiko Yamada da; REGENGA, Marisa de Moraes; DAMIANI, Lucas Petri; FU, Carolina
- The effects of recruitment maneuver during noninvasive ventilation after coronary bypass grafting: A randomized trial(2018) MIURA, Mieko Claudia; CARVALHO, Carlos Roberto Ribeiro de; SILVEIRA, Leda Tomiko Yamada da; REGENGA, Marisa de Moraes; DAMIANI, Lucas Petri; FU, CarolinaObjective: Pulmonary impairment is a common complication after coronary artery bypass graft procedure and may be prevented or treated by noninvasive ventilation. Recruitment maneuvers include sustained airway pressure with high levels of positive end-expiratory pressure in patients with hypoxemia, favoring homogeneous pulmonary ventilation and oxygenation. This study aimed to evaluate whether noninvasive ventilation with recruitment maneuver could safely improve oxygenation in patients with atelectasis and hypoxemia who underwent a coronary artery bypass grafting procedure. Methods: Thirty-four patients admitted to our intensive care unit undergoing mechanical ventilation after surgery, with ratio of arterial oxygen partial pressure to fraction of inspired oxygen < 300 and radiologic atelectasis score >= 2, were included. The control group consisted of 16 randomized patients and the recruitment group consisted of 18 patients. After extubation, noninvasive ventilation was applied for 30 minutes 3 times a day with positive end-expiratory pressure of 8 cm H2O. The recruitment group received recruitment maneuver with positive end-expiratory pressure of 15 cm H2O and 20 cm H2O for 2 minutes each during noninvasive ventilation. We analyzed the arterial oxygen partial pressure in room air, radiologic atelectasis score, hemodynamic stability, and adverse events from extubation until discharge. Results: Arterial oxygen partial pressure increased 12.6% +/- 6.8 % in the control group and 23.3 % +/- 8.5 % in the recruitment group (P < .001). The radiologic atelectasis score was completely improved for 94.4% of the recruitment group with no adverse events, whereas 87.5 % of the control group presented some atelectasis (P < .001). Conclusions: Noninvasive ventilation with recruitment maneuvers is safe, improves oxygenation, and reduces atelectasis in patients undergoing coronary artery bypass.
- Decline in functional status after intensive care unit discharge is associated with ICU readmission: a prospective cohort study(2019) SILVEIRA, Leda Tomiko Yamada da; SILVA, Janete Maria da; TANAKA, Clarice; FU, CarolinaObjectives To compare the functional status at intensive care unit (ICU) discharge of patients who were later readmitted to the ICU and patients discharged home and to verify whether a decline in functional status is associated with ICU readmission. Design Prospective cohort study. Setting ICU at a tertiary teaching hospital. Participants Patients admitted to the ICU, >= 18 years old, submitted to invasive mechanical ventilation (IMV), and discharged to the ward. Interventions Functional assessment at ICU discharge. Discharge Group (DG) (patients discharged home) and Readmission Group (RG) (patients who returned to the ICU) were compared with Mann-Whitney and Chi-square or Exact Fisher tests. Multiple logistic regression verified association. Main outcome measures Barthel Index, key pinch strength, clinical and demographic data. Results Patients in the readmission group presented lower Barthel Index [Median 40 (IQR 20-75) vs 60 (33-83), P= 0.033], greater relative variation (pre and post ICU) of the Barthel Index (P = 0.04), lower key pinch strength [3.4 (1.8-4.5) vs 4.5 (2.7-6.8) kg.f, P = 0.006] and higher APACHE II [18 (12-22) vs 15 (11-20), P = 0.027]. Multiple regression found that the relative variation of the Barthel Index was independently associated with ICU readmission (P <0.001), as well as higher APACHE II (P=0.020), shorter IMV duration (P <0.001) and ICU admission without clear diagnosis (P= 0.020). The Hosmer-Lemeshow test indicated good adjustment of the model (P= 0.99). Conclusion Readmitted patients presented poorer functional status and lower pinch strength. Relative variation of the Barthel Index was associated with ICU readmission despite other factors, as was higher APACHE II, shorter IMV duration and admission without clear diagnosis.
- Effect of therapeutic Swedish massage on anxiety level and vital signs of Intensive Care Unit patients(2017) SILVA, Tatiana Alves da; SCHUJMANN, Debora Stripari; SILVEIRA, Leda Tomiko Yamada da; CAROMANO, Fatima Aparecida; FU, CarolinaObjective: To evaluate how Swedish massage affects the level of anxiety and vital signs of Intensive Care Unit (ICU) patients. Methods: Quasi-experimental study. Inclusion criteria: ICU patients, 18-50 years old, cooperative, respiratory and hemodynamic stable, not under invasive mechanical ventilation. Exclusion criteria: allergic to massage oil, vascular or orthopedic post-operative, skin lesions, thrombosis, fractures. A 30-min Swedish massage was applied once. Variables: arterial pressure, heart rate, respiratory rate, S-STAI questionnaire. Timing of evaluation: pre-massage, immediately post-massage, 30 min post-massage. Comparison: T-test, corrected by Bonferroni method, level of significance of 5%, confidence interval of 95%. Results: 48 patients included, 30 (62.5%) female, mean age 55.46 (15.70) years old. Mean S-STAI pre-massage: 42.51 (9.48); immediately post-massage: 29.34 (6.37); 30 min post-massage: 32.62 (8.56), p < 0.001 for all comparison. Mean vital signs achieved statistical significance between pre-massage and immediately post-massage. Conclusion: Swedish massage reduced anxiety of ICU patients immediately and 30 min post-massage. Vital signs were reduced immediately post-massage.