EDUARDO LEITE VIEIRA COSTA
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/09 - Laboratório de Pneumologia, Hospital das Clínicas, Faculdade de Medicina
LIM/09 - Laboratório de Pneumologia, Hospital das Clínicas, Faculdade de Medicina
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bookPart 0 Citação(ões) na Scopus Noninvasive ventilation interface: Influence on patient-ventilator interaction(2020) TUCCI, M. R.; COSTA, E. L. V.; FERREIRA, J. C.; NAKAMURA, M. A. M.; SOUSA, M. L. de AraújoNoninvasive ventilation (NIV) is an efficient treatment for acute respiratory failure (ARF), especially for hypercapnic patients and those with congestive heart failure. In patients at high risk of extubation failure, NIV can also be used prophylactically to avoid reintubation. Unfortunately, NIV failure can occur in up to 40% of patients, half of the time due to issues associated with the interface. In this chapter, we discuss the performance of the NIV interfaces in adult patients with ARF, the factors associated with NIV failures and strategies to avoid interface problems. We discuss the use of different types of interface, including the oronasal mask, total-face mask, and helmet and we discuss on what conditions we favor the use of each one. Additionally, we detail the influence of the ventilator type, ventilator settings, and amount of leak on NIV tolerance. © 2020 Nova Science Publishers, Inc.- Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography(2012) COSTA, E. L. V.; BORGES, J. B.; MELO, A.; SUAREZ-SIPMANN, F.; TOUFEN, C. Jr.; BOHM, S. H.; AMATO, M. B. P.Objective: To present a novel algorithm for estimating recruitable alveolar collapse and hyperdistension based on electrical impedance tomography (EIT) during a decremental positive end-expiratory pressure (PEEP) titration. Design: Technical note with illustrative case reports. Setting: Respiratory intensive care unit. Patient: Patients with acute respiratory distress syndrome. Interventions: Lung recruitment and PEEP titration maneuver. Measurements and results: Simultaneous acquisition of EIT and X-ray computerized tomography (CT) data. We found good agreement (in terms of amount and spatial location) between the collapse estimated by EIT and CT for all levels of PEEP. The optimal PEEP values detected by EIT for patients 1 and 2 (keeping lung collapse \10%) were 19 and 17 cmH2O, respectively. Although pointing to the same non1dependent lung regions, EIT estimates of hyperdistension represent the functional deterioration of lung units, instead of their anatomical changes, and could not be compared directly with static CT estimates for hyperinflation. Conclusions: We described an EIT-based method for estimating recruitable alveolar collapse at the bedside, pointing out its regional distribution. Additionally, we proposed a measure of lung hyperdistension based on regional lung mechanics. © Springer-Verlag Berlin Heidelberg 2006, 2009, 2012.
bookPart Suporte extracorpóreo cardiovascular e respiratório(2020) PARK, Marcelo; AZEVEDO, Luciano César Pontes de; COSTA, Eduardo Leite VieirabookPart Tomografia por emissão de pósitrons e tomografia de impedância elétrica(2016) TUCCI, Mauro Roberto; COSTA, Eduardo Leite Vieira; AMATO, Marcelo Britto PassosbookPart Suporte extracorpóreo cardiovascular e respirtório(2012) PARK, Marcelo; AZEVEDO, Luciano Cesar Pontes; COSTA, Eduardo Leite Vieira