FABIA DINIZ SILVA
Projetos de Pesquisa
Unidades Organizacionais
LIM/09 - Laboratório de Pneumologia, Hospital das Clínicas, Faculdade de Medicina
8 resultados
Resultados de Busca
Agora exibindo 1 - 8 de 8
conferenceObject Variability Of Neurally-Adjusted Ventilatory Assist (nava) Compared To Pressure Support Ventilation (psv) During Protective Mechanical Ventilation In Patients With Acute Respiratory Distress Syndrome (ards)(2016) DINIZ-SILVA, F.; ALENCAR, A. M.; MORIYA, H. T.; SILVA, L. C. M.; VALENZUELA, F. F.; SUKI, B.; FERREIRA, J. C.conferenceObject Knowledge, Attitudes And Practices Among Critical Care Professionals Towards Patient-Ventilator Asynchrony: A Pilot Survey(2017) SOUSA, M. L. A.; FELTRIM, M. I. Z.; DINIZ-SILVA, F.; HAYASHI, F. K.; CARVALHO, C. R. R.; FERREIRA, J. C.- Comparison between technical parameters recommended by regulatory agencies and relevant institutions for ventilatory therapy equipment used in patients with COVID-19(2021) SOUZA, D. B. de; FRONDANA, F. V.; SILVA, F. D.Background: Patients contaminated with the new coronavirus, SARS-CoV-2, and who develop the severe form of the disease require ventilatory support to maintain adequate gas exchange. The objective of this systematic review was to establish reference parameters of ventilator therapy used in the various levels of severity of adult patients affected by COVID-19 to assist health professionals and hospital managers who will purchase this equipment. Methods: It used four databases: Medline, Cochrane Central, Scielo, and Pubmed. Restrictions applied as to the language, restricted to English, and to the patient’s profile, only adults affected by SARS-CoV-2. The review process was carried out by three independent reviewers using the PRISMA-P method. Results: Nineteen articles were included, in addition to the recommendations of the Brazilian Association of Intensive Care Medicine (Brazil), Federal Commission for Protection against Health Risks (Mexico), Medicines and Healthcare Products Regulatory Agency (UK), Pan American Health Organization, and World Health Organization. The types of ventilatory therapies found in the articles eligible for this study were continuous positive airway pressure (CPAP), non-invasive ventilation (NIV), and invasive mechanical ventilation (IMV). For each ventilatory therapy, the parameters presented in the article and the recommendations of regulatory agencies and relevant institutions were compared and analyzed. Conclusion: It was possible to suggest a relationship between the respiratory support strategy adopted by the clinical team and the clinical conditions of the patient infected with SARS-CoV-2. The included studies used ventilation modes and parameters within the specifications and recommendations of relevant regulatory agencies and institutions. However, some minor differences were observed in the instruction presented among the agencies more related to the recommended ventilation modes. Further studies are needed. © 2021, Sociedade Brasileira de Engenharia Biomedica.
conferenceObject Use Of Neurally Adjusted Ventilatory Assist And Pressure Support Ventilation To Delivery Protective Mechanical Ventilation In Patients With Acute Respiratory Distress Syndrome: A Randomized Crossover Clinical Trial(2015) DINIZ-SILVA, F.; MORIYA, H. T.; ALENCAR, A. M.; AMATO, M. B. P.; CARVALHO, C. R. R.; FERREIRA, J. C.- Performance of Noninvasive Ventilation Masks in a Lung Model of COPD Exacerbation(2019) MACEDO, Bruno Rocha de; REGO, Francinni Mambrini Pires; SILVA, Fabia Diniz; PINAFFI, Juliana Valerio; FERREIRA, Juliana CarvalhoBACKGROUND: Noninvasive ventilation (NIV) reduces intubation and mortality in patients with COPD exacerbation who present with respiratory failure, and the type of mask may affect its success. Our objective was to compare the performance of 3 different NIV masks in a lung model. METHODS: We set the lung simulator mechanics and respiratory rate, and tested a small oronasal mask, a total face mask, and a large oronasal mask. We added CO2 at a constant rate into the system and monitored the end-tidal carbon dioxide. We used a mechanical ventilator to deliver NW in 8 different combinations of inspiratory effort, pressure support, and expiratory positive airway pressure. We measured end-tidal carbon dioxide mask leakage, tidal volume, trigger time, time to achieve 90% of the inspiratory target during inspiration, and excess inspiratory time. RESULTS: We presented the mean +/- SD of the 8 simulated conditions for each mask. The mean +/- SD leakage was higher for the total face mask (51 +/- 6 L/min) than for the small oronasal mask (37 +/- 5 L/min) and for the large oronasal mask (21 +/- 3 L/min), P < .001; but end-tidal carbon dioxide and tidal volume were similar. The mean +/- SD 90% of the inspiratory target during inspiration was faster for the small oronasal mask (585 +/- 49 ms) compared with the large oronasal (647 +/- 107 ms) and total face mask (851 +/- 105 ms), P < .001, all other variables were similar. CONCLUSIONS: In this model, we found that the type of mask had no impact on CO2 washout or on most synchrony variables.
conferenceObject Using The Electric Activity Of The Diaphragm (eadi) To Monitor Nppv Unloading After Extubation In A Patient With Severe COPD(2014) MIETHKE-MORAIS, A.; DINIZ-SILVA, F.; ALENCAR, A. M.; MORIYA, H. T.; HIROTA, A. S.; CARUSO, P.; COSTA, E. L. V.; CARVALHO, C. R. R.; FERREIRA, J. C.conferenceObject Patient-Ventilator Interaction In Neurally Adjusted Ventilatory Assist (nava) And Pressure Support (psv) During Spontaneous Breathing Trials(2014) FERREIRA, J. C.; DINIZ-SILVA, F.; MORIYA, H. T.; ALENCAR, A. M.; AMATO, M. B. P.; CARVALHO, C. R. R.conferenceObject Variability Of Neurally-Adjusted Ventilatory Assist (nava) Compared To Pressure Support Ventilation (psv) During The Weaning Phase Of Mechanical Ventilation(2013) FERREIRA, J. C.; SILVA, F. D.; MORIYA, H. T.; ALENCAR, A. M.; AMATO, M. B. P.; CARVALHO, C. R. R.