Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/1825 |
Resumo: | Introduction: The VMNI has been showing an adjuvant treatment resource for patients with stable COPD or exacerbation. However little is known about the action that the NIV promotes in thoracic and abdominal and mobility if it is able to promote improvement of asynchrony. Objectives: to evaluate the effects of the NIV in thoracic and abdominal mobility, comparing variables in spontaneous breathing and during the use of NIV in patients with COPD by OEP. Methods: Two groups of individuals (GC with 14 healthy and COPD with 16 patients) were assessed in relation to the thoracic-abdominal asynchrony, respiratory and ??contrubui????o variables of each thoracic compartment using a Plethysmograph SPOS System (BTS, Italy) in spontaneous breathing and with two VMNI modes. Results: Patients with COPD evaluated presented ATA in home, we also observed that the COPD asynchrony in all compartments in relation to healthy, which in turn has always maintained its AF next to zero and when it observes only the COPD group, using both methods of VMNI promote decrease of asynchrony in compartment CTS vs. ABD and the key changes found in the COPD group are related to the distribution of aid and action of each compartment toracico. Conclusion: There are ATA in patients with COPD, even at home, the degree of airway obstruction of these patients correlates with the presence of asynchronous Thoracoabdominal, the use of VMNI in the mode continuous positive airway pressure is able to improve thoracic abdominal synchrony in patients with COPD, as well as the use of some blood pressure to A6 led and that the VMNI is able to promote changes in compartmental contribution without promoting significant changes in respiratory variables in patients with COPD compared with age-matched healthy. |
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Costa, DirceuCosta, DirceuSampaio, Luciana Maria Malos??Corso, Simone DalCarvalho, Celso Ricardo FernandesYamaguti, Wellington P. dos S.Dias, Fernanda Dultra2018-06-21T18:36:20Z2016-12-18Dias, Fernanda Dultra. Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC. 2016. 89 f. Tese( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1825Introduction: The VMNI has been showing an adjuvant treatment resource for patients with stable COPD or exacerbation. However little is known about the action that the NIV promotes in thoracic and abdominal and mobility if it is able to promote improvement of asynchrony. Objectives: to evaluate the effects of the NIV in thoracic and abdominal mobility, comparing variables in spontaneous breathing and during the use of NIV in patients with COPD by OEP. Methods: Two groups of individuals (GC with 14 healthy and COPD with 16 patients) were assessed in relation to the thoracic-abdominal asynchrony, respiratory and ??contrubui????o variables of each thoracic compartment using a Plethysmograph SPOS System (BTS, Italy) in spontaneous breathing and with two VMNI modes. Results: Patients with COPD evaluated presented ATA in home, we also observed that the COPD asynchrony in all compartments in relation to healthy, which in turn has always maintained its AF next to zero and when it observes only the COPD group, using both methods of VMNI promote decrease of asynchrony in compartment CTS vs. ABD and the key changes found in the COPD group are related to the distribution of aid and action of each compartment toracico. Conclusion: There are ATA in patients with COPD, even at home, the degree of airway obstruction of these patients correlates with the presence of asynchronous Thoracoabdominal, the use of VMNI in the mode continuous positive airway pressure is able to improve thoracic abdominal synchrony in patients with COPD, as well as the use of some blood pressure to A6 led and that the VMNI is able to promote changes in compartmental contribution without promoting significant changes in respiratory variables in patients with COPD compared with age-matched healthy.Introdu????o: A VMNI vem se mostrando um recurso adjuvante ao tratamento de pacientes com DPOC est??vel ou na exacerba????o.No entanto pouco se sabe sobre a a????o que a VNI promove na mobilidade t??raco abdominal e se ?? capaz de promover melhora da assincronia respirat??ria. Objetivos: Avaliar os efeitos da VNI na mobilidade e sincronia t??raco-abdominal, comparando as vari??veis em respira????o espont??nea e durante o uso de VNI em pacientes com DPOC por meio da OEP. M??todo: Dois grupos de indiv??duos (GC com 14 saud??veis e DPOC com 16 pacientes) foram avaliados em rela????o ?? assincronia toraco-abdominal, ??s vari??veis respirat??rias e ??contrubui????o de cada compartimento tor??cico, utilizando-se um pletism??grafo OEP System (BTS, Italy) em respira????o espont??nea e com aplica????o de dois modos de VMNI. Resultados: Os pacientes com DPOC avaliados apresentaram ATA em repouso, observou-se tamb??m que o DPOC apresentou assincronia em todos os compartimentos em rela????o ao Saud??vel, que por sua vez sempre manteve seu AF pr??ximo a zero e quando se observa somente o grupo DPOC, o uso de ambas as modalidades de VMNI promovem diminui????o da assincronia no compartimento CTS vs ABD e as principais altera????es encontradas no grupo DPOC est??o relacionadas a distribui????o da contribui????o e a????o de cada compartimento toracico. Conclus??o: H?? ATA em pacientes com DPOC, mesmo em situa????o de repouso, o grau de obstru????o das vias a??reas desses pacientes n??o se correlaciona com a presen??a de assincronia toracoabdominal, o uso de VMNI no modo press??o positiva cont??nua nas vias a??reas ?? capaz de melhorar a sincronia t??raco-abdominal em pacientes com DPOC, assim como a utiliza????o de alguns n??veis press??ricos de Bilevel e que a VMNI ?? capaz de promover altera????es na contribui????o compartimental sem promover altera????es significativas nas vari??veis respirat??rias nos pacientes com DPOC comparando com saud??veis pareados por idade.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-06-21T18:36:20Z No. of bitstreams: 1 Fernanda Dultra Dias.pdf: 1137972 bytes, checksum: 8be1c4f185164e0cb296225d70598e1b (MD5)Made available in DSpace on 2018-06-21T18:36:20Z (GMT). No. of bitstreams: 1 Fernanda Dultra Dias.pdf: 1137972 bytes, checksum: 8be1c4f185164e0cb296225d70598e1b (MD5) Previous issue date: 2016-12-18application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??deDPOC??ngulo de faseassincronia-toraco-abdominalCOPDphase angleasynchrony-thoracic-abdominalCIENCIAS DA SAUDEEfeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOCEffects of non-invasive ventilation in thoraco-abdominal mobility in patients with COPDinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALFernanda Dultra Dias.pdfFernanda Dultra Dias.pdfapplication/pdf1137972http://localhost:8080/tede/bitstream/tede/1825/2/Fernanda+Dultra+Dias.pdf8be1c4f185164e0cb296225d70598e1bMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1825/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/18252018-06-21 15:36:20.699oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2018-06-21T18:36:20Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
dc.title.alternative.eng.fl_str_mv |
Effects of non-invasive ventilation in thoraco-abdominal mobility in patients with COPD |
title |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
spellingShingle |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC Dias, Fernanda Dultra DPOC ??ngulo de fase assincronia-toraco-abdominal COPD phase angle asynchrony-thoracic-abdominal CIENCIAS DA SAUDE |
title_short |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
title_full |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
title_fullStr |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
title_full_unstemmed |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
title_sort |
Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC |
author |
Dias, Fernanda Dultra |
author_facet |
Dias, Fernanda Dultra |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Costa, Dirceu |
dc.contributor.referee1.fl_str_mv |
Costa, Dirceu |
dc.contributor.referee2.fl_str_mv |
Sampaio, Luciana Maria Malos?? |
dc.contributor.referee3.fl_str_mv |
Corso, Simone Dal |
dc.contributor.referee4.fl_str_mv |
Carvalho, Celso Ricardo Fernandes |
dc.contributor.referee5.fl_str_mv |
Yamaguti, Wellington P. dos S. |
dc.contributor.author.fl_str_mv |
Dias, Fernanda Dultra |
contributor_str_mv |
Costa, Dirceu Costa, Dirceu Sampaio, Luciana Maria Malos?? Corso, Simone Dal Carvalho, Celso Ricardo Fernandes Yamaguti, Wellington P. dos S. |
dc.subject.por.fl_str_mv |
DPOC ??ngulo de fase assincronia-toraco-abdominal |
topic |
DPOC ??ngulo de fase assincronia-toraco-abdominal COPD phase angle asynchrony-thoracic-abdominal CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
COPD phase angle asynchrony-thoracic-abdominal |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: The VMNI has been showing an adjuvant treatment resource for patients with stable COPD or exacerbation. However little is known about the action that the NIV promotes in thoracic and abdominal and mobility if it is able to promote improvement of asynchrony. Objectives: to evaluate the effects of the NIV in thoracic and abdominal mobility, comparing variables in spontaneous breathing and during the use of NIV in patients with COPD by OEP. Methods: Two groups of individuals (GC with 14 healthy and COPD with 16 patients) were assessed in relation to the thoracic-abdominal asynchrony, respiratory and ??contrubui????o variables of each thoracic compartment using a Plethysmograph SPOS System (BTS, Italy) in spontaneous breathing and with two VMNI modes. Results: Patients with COPD evaluated presented ATA in home, we also observed that the COPD asynchrony in all compartments in relation to healthy, which in turn has always maintained its AF next to zero and when it observes only the COPD group, using both methods of VMNI promote decrease of asynchrony in compartment CTS vs. ABD and the key changes found in the COPD group are related to the distribution of aid and action of each compartment toracico. Conclusion: There are ATA in patients with COPD, even at home, the degree of airway obstruction of these patients correlates with the presence of asynchronous Thoracoabdominal, the use of VMNI in the mode continuous positive airway pressure is able to improve thoracic abdominal synchrony in patients with COPD, as well as the use of some blood pressure to A6 led and that the VMNI is able to promote changes in compartmental contribution without promoting significant changes in respiratory variables in patients with COPD compared with age-matched healthy. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-12-18 |
dc.date.accessioned.fl_str_mv |
2018-06-21T18:36:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Dias, Fernanda Dultra. Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC. 2016. 89 f. Tese( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1825 |
identifier_str_mv |
Dias, Fernanda Dultra. Efeitos da ventila????o mec??nica n??o invasiva na mobilidade e assincronia t??raco-abdominal em pacientes com DPOC. 2016. 89 f. Tese( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
url |
http://bibliotecatede.uninove.br/handle/tede/1825 |
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por |
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por |
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Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o |
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