LETICIA ZUMPANO CARDENAS

(Fonte: Lattes)
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Lattes
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Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina
LIM/09 - Laboratório de Pneumologia, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 10 de 28
  • conferenceObject
    Diaphragmatic dysfunction evaluated by ultrasound correlates with dyspnea, exercise and quality of life in interstitial lung disease
    (2016) SANTANA, Pauliane; CARDENAS, Leticia; FERREIRA, Jeferson; IAMONTI, Vinicius; RAMOS, Ozires; JAEGER, Thomas; ALBUQUERQUE, Andre; CARVALHO, Carlos; CARUSO, Pedro
  • conferenceObject
    Comparison of thoracoabdominal asynchrony estimated via optolectronic and inductive respiratory plethymographies
    (2014) PEREIRA, Mayra Caleffi; PORRAS, Desiderio Cano; CLAUDINO, Renata Cleia; CARDENAS, Leticia; PLETSCH, Renata; SANTANA, Pauliane; IAMONTI, Vinicius; MALONIR, Renan; CARVALHO, Carlos R. R.; CARVALHO, Celso; ALBUQUERUQE, Andre L. P.
  • conferenceObject
    Comparison of thoracoabdominal synchrony using two methods in healthy subjects, chronic obstructive and interstitial lung disease
    (2016) PEREIRA, Mayra Caleffi; FERREIRA, Jeferson; IAMONTI, Vinicius; TREVISAN, Patricia; APANAVICIUS, Andre; SANTANA, Pauliane; CARDENAS, Leticia; CARVALHO, Carlos Roberto Ribeiro de; CARUSO, Pedro; ALBUQUERQUE, Andre Luis Pereira de
  • conferenceObject
    Volitional and non-volitional strength, synchrony and inspiratory force reserve in fibrosing interstitial lung disease at rest and during exercise
    (2015) SANTANA, Pauliane V.; CARDENAS, Leticia Z.; RAMOS, Ozires; FERREIRA, Jeferson G.; JAEGER, Thomas N.; TREVISAN, Patricia; MACCHIONE, Marcelo C.; CARVALHO, Carlos R. R.; ALBUQUERQUE, Andre L. P.; CARUSO, Pedro
  • conferenceObject
    An integrative and comprehensive approach to evaluate lung mechanics in seated and upright positions
    (2012) ALBUQUERQUE, Andre; CARUSO, Pedro; PLETSCH, Renata; SANTANA, Pauliane; CARDENAS, Leticia; APANAVICIUS, Andre; ROZIN, Gabriel; MACCHIONE, Marcelo; SALGE, Joao Marcos; CARVALHO, Carlos
  • conferenceObject
    Respiratory work and its components during exercise in interstitial lung disease, COPD and controls
    (2015) FERREIRA, Jeferson George; CARDENAS, Leticia Zumpano; MACCHIONE, Marcelo; SANTANA, Pauliane; MALONI, Renan; PEREIRA, Mayra Caleffi; CARVALHO, Carlos Roberto R.; CARUSO, Pedro; ALBUQUERQUE, Andre
  • article 30 Citação(ões) na Scopus
    Accuracy of Invasive and Noninvasive Parameters for Diagnosing Ventilatory Overassistance During Pressure Support Ventilation*
    (2018) PLETSCH-ASSUNCAO, Renata; PEREIRA, Mayra Caleffi; FERREIRA, Jeferson George; CARDENAS, Leticia Zumpano; ALBUQUERQUE, Andre Luis Pereira de; CARVALHO, Carlos Roberto Ribeiro de; CARUSO, Pedro
    Objective: Evaluate the accuracy of criteria for diagnosing pressure overassistance during pressure support ventilation. Design: Prospective clinical study. Setting: Medical-surgical ICU. Patients: Adults under mechanical ventilation for 48 hours or more using pressure support ventilation and without any sedative for 6 hours or more. Overassistance was defined as the occurrence of work of breathing less than 0.3 J/L or 10% or more of ineffective inspiratory effort. Two alternative overassistance definitions were based on the occurrence of inspiratory esophageal pressure-time product of less than 50 cm H2O s/min or esophageal occlusion pressure of less than 1.5 cm H2O. Interventions: The pressure support was set to 20 cm H2O and decreased in 3-cm H2O steps down to 2 cm H2O. Measurements and Main Results: The following parameters were evaluated to diagnose overassistance: respiratory rate, tidal volume, minute ventilation, peripheral arterial oxygen saturation, rapid shallow breathing index, heart rate, mean arterial pressure, change in esophageal pressure during inspiration, and esophageal and airway occlusion pressure. In all definitions, the respiratory rate had the greatest accuracy for diagnosing overassistance (receiver operating characteristic area = 0.92; 0.91 and 0.76 for work of breathing, pressure-time product and esophageal occlusion pressure in definition, respectively) and always with a cutoff of 17 incursions per minute. In all definitions, a respiratory rate of less than or equal to 12 confirmed overassistance (100% specificity), whereas a respiratory rate of greater than or equal to 30 excluded overassistance (100% sensitivity). Conclusion: A respiratory rate of 17 breaths/min is the parameter with the greatest accuracy for diagnosing overassistance. Respiratory rates of less than or equal to 12 or greater than or equal to 30 are useful clinical references to confirm or exclude pressure support overassistance.
  • conferenceObject
    Comparison of respiratory muscle recruitments between maximal voluntary contraction and strenuous exercise
    (2013) SANTANA, Pauliane; CARDENAS, Leticia; PLETSCH, Renata; FERREIRA, Jeferson; ORLANDIM, Luiz; ANDRE, Albuquerque; CARLOS, Carvalho; TREVIZAN, Patricia; MALONI, Renan; CARUSO, Pedro
  • article 13 Citação(ões) na Scopus
    Mechanisms of exercise limitation in patients with chronic hypersensitivity pneumonitis
    (2018) DIAS, Olivia Meira; BALDI, Bruno Guedes; FERREIRA, Jeferson George; CARDENAS, Leticia Zumpano; PENNATI, Francesca; SALITO, Caterina; CARVALHO, Carlos Roberto Ribeiro; ALIVERTI, Andrea; ALBUQUERQUE, Andre Luis Pereira de
    Small airway and interstitial pulmonary involvements are prominent in chronic hypersensitivity pneumonitis (cHP). However, their roles on exercise limitation and the relationship with functional lung tests have not been studied in detail. Our aim was to evaluate exercise performance and its determinants in cHP. We evaluated maximal cardiopulmonary exercise testing performance in 28 cHP patients (forced vital capacity 57 +/- 17% pred) and 18 healthy controls during cycling. Patients had reduced exercise performance with lower peak oxygen production (16.6 (12.3-19.98) mL.kg(-1).min(-1) versus 25.1 (16.9-32.0), p=0.003), diminished breathing reserve (% maximal voluntary ventilation) (12 (6.4-34.8)% versus 41 (32.7-50.8)%, p<0.001) and hyperventilation (minute ventilation/carbon dioxide production slope 37 +/- 5 versus 31 +/- 4, p<0.001). All patients presented oxygen desaturation and augmented Borg dyspnoea scores (8 (5-10) versus 4 (1-7), p=0.004). The prevalence of dynamic hyperinflation was found in only 18% of patients. When comparing cHP patients with normal and low peak oxygen production (<84% pred, lower limit of normal), the latter exhibited a higher minute ventilation/carbon dioxide production slope (39 +/- 5.0 versus 34 +/- 3.6, p=0.004), lower tidal volume (0.84 (0.78-0.90) L versus 1.15 (0.97-1.67) L, p=0.002), and poorer physical functioning score on the Short form-36 health survey. Receiver operating characteristic curve analysis showed that reduced lung volumes (forced vital capacity %, total lung capacity % and diffusing capacity of the lung for carbon dioxide %) were high predictors of poor exercise capacity. Reduced exercise capacity was prevalent in patients because of ventilatory limitation and not due to dynamic hyperinflation. Reduced lung volumes were reliable predictors of lower performance during exercise.
  • conferenceObject
    Comparison of thoracoabdominal asynchrony estimated via optolectronic and inductive respiratory plethymographies
    (2014) PEREIRA, Mayra Caleffi; PORRAS, Desiderio Cano; CLAUDINO, Renata Cleia; CARDENAS, Leticia; PLETSCH, Renata; SANTANA, Pauliane; LAMONTI, Vinicius; MALONIR, Renan; CARVALHO, Carlos R. R.; CARVALHO, Celso; ALBUQUERUQE, Andre L. P.