scholarly journals Efeito agudo da ventilação não invasiva associada ao exercício físico sobre parâmetros cardiovasculares e respiratórios: um estudo de caso

2018 ◽  
Vol 87 (2) ◽  
Author(s):  
Guilherme Rosa ◽  
Tais Paes Guedes ◽  
Thiago de Andrade Silva ◽  
Fábio Dutra Pereira
Keyword(s):  
Blood Pressure ◽  
Physical Exercise ◽  
Double Product ◽  
Peripheral Oxygen Saturation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Respiratory Parameters ◽  
Cardiac Variability ◽  
Study Heart Rate

Introdução: O método de suprimento de ventilação não invasivo (VNI) durante a realização de exercícios físicos tem sido utilizado como uma ferramenta auxiliar no tratamento de pacientes com doenças pulmonares. A literatura mostra que ainda há escassez de dados acerca dos efeitos da utilização da VNI durante a realização do exercício físico sobre os parâmetros cardiorrespiratórios.Objetivo: Avaliar o efeito do exercício físico associado a VNI sobre parâmetros cardiovasculares e respiratórios.Métodos: Participou deste estudo de caso um indivíduo do sexo masculino, saudável, com 27 anos de idade. Foram mensurados: frequência cardíaca (FC), variabilidade cardíaca (VFC), saturação periférica de oxigênio (SPO2), pressão arterial sistólica (PAS) e diastólica (PAD) e duplo produto (DP). Foram realizados dois treinos cardiorrespiratórios em esteira ergométrica, um sem VNI e o outro com VNI. As sessões de treinamento contemplaram duração de 40 min divididos em 5 min de aquecimento com intensidade entre 50% e 55% da FC reserva, 30 min de fase específica com intensidade entre 60% e 85% da FC reserva, e 5 min de desaquecimento com intensidade de 50% a 55% da FC reserva. Para avaliar as alterações das variáveis desfecho, foi estimada a variação percentual pelo coeficiente de variação.Resultados: A realização do exercício com VNI provocou alterações nos parâmetros cardiovasculares e respiratórios analisados, com destaque para redução da VFC (Δ%= -64,14) e PAD (Δ%= -45,82) em comparação à realização sem VNI.Conclusão:  Os resultados do presente estudo sugerem que a realização do exercício físico com VNI pode beneficiar as respostas dos parâmetros cardiovasculares e respiratórios. Os resultados foram discutidos.Acute Effect of Non-Invasive Ventilation Associated with Physical Exercise on Cardiovascular and Respiratory Parameters: a Case StudyIntroduction: The noninvasive ventilation (NIV) method during physical exercise has been used as an auxiliary tool in the treatment of patients with pulmonary diseases. However, there is a lacune on the knowledge about cardiorespiratory parameters effects of NIV during physical exercise.Objective: To evaluate the effect of physical exercise associated with NIV on cardiovascular and respiratory parameters.Methods: A healthy, 27-year-old male was enrolled in this case study. Heart rate (HR), cardiac variability (HRV), peripheral oxygen saturation (SPO2), systolic blood pressure (SBP) and diastolic blood pressure (DBP) and double product (SD) were measured. Two cardiorespiratory treadmills were performed on treadmill, one without NIV and the other with NIV. The training sessions included 40 min duration divided in 5 min of heating with intensity between 50% and 55% of reserve HR, 30 min of specific phase with intensity between 60% and 85% of reserve HR, and 5 min of cooling with intensity of 50% to 55% of reserve FC. To express the changes of the variables, the percentage change was estimated by the coefficient of variation.Results: The exercise with NIV caused changes in cardiovascular and respiratory parameters, with a reduction in HRV (Δ% = -64.14) and DBP (Δ% = -45.82) in comparison with non-NIV.Conclusion: Our findings suggested that physical exercise with NIV use may benefit in association with exercise in relation to cardiovascular and respiratory parameters. The results were discussed.

Non-invasive ventilation improves peripheral oxygen saturation and reduces fatigability of quadriceps in patients with COPD

Respirology ◽  
2009 ◽  
Vol 14 (4) ◽  
pp. 537-544 ◽  
Author(s):  
Audrey BORGHI-SILVA ◽  
Luciana DI THOMMAZO ◽  
Camila B.F. PANTONI ◽  
Renata G. MENDES ◽  
Tania DE FÁTIMA SALVINI ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Invasive Ventilation ◽  
Peripheral Oxygen Saturation ◽  
Non Invasive ◽  
Non Invasive Ventilation

scholarly journals Physiotherapy approach after lung transplantation in a critically ill COVID-19 patient: a case report

2021 ◽  
Author(s):  
Veronica Rossi ◽  
Serena Tammaro ◽  
Martina Santambrogio ◽  
Mariangela Retucci ◽  
Francesca Gallo ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Lung Transplantation ◽  
Early Mobilization ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Bilateral Lung Transplantation ◽  
Non Invasive Ventilation ◽  
Respiratory Parameters ◽  
Bilateral Lung

This study describes the case of an 18-years-old male affected by severe COVID-19, who was receiving bilateral lung transplantation (LT), after 71 days of mechanical ventilation and 55 days of veno-venous extracorporeal membrane oxygenation. From post-operative day 2, early mobilization and physiotherapy treatments were performed. Weaning from mechanical ventilation, the use of non-invasive ventilation and tracheostomy management were included in the treatment. Forty-five days after LT the patient was discharged at home, showing improvements in terms of functional and respiratory parameters, quality of life and mood. While evidences about physiotherapy treatments in lung transplantation post severe COVID-19 remain limited, early approach and a multidisciplinary team may be considered key elements for functional recovery of these subjects.

scholarly journals ARTERIAL HYPERTENSION-NON INVASIVE DIAGNOSIS

2006 ◽  
Vol 13 (01) ◽  
pp. 000-000
Author(s):  
MILAN ADAMEK
Keyword(s):  
Blood Pressure ◽  
Early Stage ◽  
Blood Pressure Measurement ◽  
Interventricular Septum ◽  
Recovery Period ◽  
Posterior Wall ◽  
Exercise Stress ◽  
Double Product ◽  
Non Invasive ◽  
Arterial Blood

Aims & Objectives: This study was designated to find andto characterize similarities andf differencies between two groups of patiens. One group were patients with establishedarterial hypertension / AH / and the second one were patients with new diagnosis of AH or who have so called highnormal blood pressure / BP / or who had randomly found elevated blood pressure once time in their history but,therefore they had normal BP on check examinations, they were left without treatment. The main goal of the study wasto show that the groups are similar in important parameters, which may be of clinical importance / decision abouttreatment / and to find which of the non invasive examinations, with exception of classical BP measurements, may stillplay the important role in setting the diagnosis of AH in early stage of the disease. And the second main goal of thestudy was to show that measurement of BP under basal conditions may sometimes be insufficient for decision makingif the patient is hypertonic or not. Methods: Following methods and measurements were used to obtain necessaryparameters – arterial blood pressure measurement, echocardiographic examination to obtain values as left ventriculardiameter in systole and diastole, interventricular septum and posterior wall thickness in systole and diastole, ejectionfraction - Teichholz, interventricular septum and posterior wall excursions, left atrial diameter, measurement of speedof aortic ejection, E/A index, isovolumic relaxation time, carotid myointimal thickening, carotid pulse velocity, time topeak of carotid upstroke and ambulatory blood pressure and electrocardiogram monitoring, measurement of bloodpressure reaction on exercise stress testing and in recovery period post exercise and double product.

scholarly journals A Comparison of Leak Synchronized Nasal SIMV Methods and Leak Compensated Nasal SIMV in Newborns with Respiratory Distress Syndrome

2021 ◽  
pp. 18-21
Author(s):  
Ahmet Özdemir ◽  
Mustafa Ali Akın ◽  
Osman Baştug ◽  
Tamer Güneş
Keyword(s):  
Blood Pressure ◽  
Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Gestational Age ◽  
Distress Syndrome ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Significant Difference

The aim of the present study was to compare the efficacy of leak compensated nasal SIMV (LCnSIMV) and leak synchronized nasal SIMV (LSnSIMV) modes in order to reduce the need for endotracheal intubation and associated complications in newborns with respiratory distress. This randomized, prospective study was conducted on 50 infants (25 per group) with gestational age below 34 weeks and/or below 2000 grams who have been admitted to NICU of Erciyes University Hospital because of respiratory distress syndrome (RDS) and need for mechanical ventilation. Infants with congenital heart disease, nasopharyngeal pathology (coanal atresia and cleft palate-lip) were excluded. Infants monitored on mechanical ventilator after surfactant were randomly assigned to LCnSIMV and LSnSIMV groups before extubation. SPO2/FiO2 (S/F), peak heart rate (PHR), respiration rate per minute (RRM), and arterial blood pressure (aBP) values of patients were recorded. Gestational age, birth weight, gender, RDS, patent ductus arteriosus (PDA) requiring treatment, presence of intraventricular bleeding (IVH), retinopathy of prematurity (ROP), bronchopulmonary dysplasia (BPD), necrotizing enterocolitis (NEC) were recorded. The patients enrolled in the study were female by 48% and male by 52%. There was not any statistically significant difference between groups for gender, postnatal age and birth weight. There was detected statistically significant difference between LCnSIMV and LSnSIMV groups for non-invasive ventilation period and re-intubation rate (p=0.04 and p=0.03, respectively). There was detected statistically significant difference between LCnSIMV and LSnSIMV groups for SpO2 and S/F rates at 60 minutes (p=0.03 and p=0.01, respectively). There was not any difference between groups for blood pressure, PDA, IVH, ROP, BPD, NEC, sepsis and air leak. It may be appropriate to prefer the LSnSIMV method in patients with respiratory distress syndrome who need non-invasive ventilation in the pre-extubation period by considering the patient-ventilator compliance for positive effect in terms of mechanical clinical variables.

Lung transplantation for silicosis: a case study

2019 ◽  
Vol 28 (Volume 28 Issue 2) ◽  
pp. 13-17
Author(s):  
Kate McEwen ◽  
Lyndell Brodie
Keyword(s):  
Lung Transplantation ◽  
Medication Management ◽  
Social Situation ◽  
Non Invasive ◽  
Transplantation Surgery ◽  
Non Invasive Ventilation ◽  
The Social ◽  
End Stage

Lung transplantation has become a well-established treatment for a variety of end-stage pulmonary diseases. Silicosis is a rare indication for lung transplantation; however, there is currently no other treatment available for the disease in its end stages. This case study presents a 52-year-old man who presented with silicosis for lung transplantation. His in-hospital recovery journey is examined and discussion is provided about his experience of complications, including type 2 respiratory failure and non-compliance with non-invasive ventilation therapy. The patient education and support provided, particularly related to medication management following transplantation surgery, if of key importance during the transplant recipient’s recovery. The social situation and its implications for both the patient and their family should also be considered. Both these aspects are also explored in the context of the case presented.

scholarly journals Effects of physical exercise on a multiparous patient in the prepartum period. Case study

2020 ◽  
pp. 121-139
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Gestational Diabetes ◽  
Physical Exercise ◽  
Lumbar Pain ◽  
Glucose Levels ◽  
Gestational Period ◽  
Normal Limits ◽  
Blood Glucose Levels

Starting from the premise that physical exercise in the prepartum period is associated with benefits for both the mother and foetus, the purpose of this paper is to highlight the evolution of gestational periods of a patient during two different pregnancies. The proposed case study presents a comparative analysis of the prepartum and postpartum periods of a 33-year-old patient, considering that she had a sedentary lifestyle during the first pregnancy, while in the prepartum period related to the second pregnancy, the patient actively participated in a physical exercise programme adjusted to each trimester of pregnancy. The main objectives of the training programme focused on correcting postural defects caused by the first pregnancy, maintaining blood glucose levels within normal limits and preventing the recurrence of gestational diabetes, but also reducing blood pressure fluctuations. Patient evaluation took place 12 weeks after both the first and second childbirth and consisted in assessing her quality of life during the two gestational periods through questionnaires, anthropometric measurements and specific fitness tests. The obtained results showed that, following the practice of physical exercise during the gestational period of the second pregnancy, the patient managed to maintain her blood glucose levels within normal limits without suffering this time from gestational diabetes (a pre-existing condition at her first pregnancy) and no longer had either fluctuations in blood pressure or lumbar pain caused by the exacerbation of her lumbar lordosis during the first gestational period.

Mobility Assessment and Rehabilitation in a Case of an Old Person Suffering Triple Humeral Fracture

2016 ◽  
Vol 841 ◽  
pp. 347-352
Author(s):  
Laura Diana Cotoros ◽  
Anca Elena Stanciu
Keyword(s):  
Blood Pressure ◽  
Elderly People ◽  
High Blood Pressure ◽  
Life Quality ◽  
Humeral Fracture ◽  
The Other ◽  
Non Invasive ◽  
Mobility Assessment ◽  
The Eu

As the concern for the welfare of elderly people is rather poor in our country, unlike the other countries in the EU, it is a legitimate priority to look for improvements of the situation. Therefore the paper aims at presenting a non-invasive and creative procedure that allows the assessment and helps the rehabilitation of elderly people who suffer various physical traumas and are also affected by other diseases like high blood pressure, osteoporosis, osteoarthritis, etc. A case study is developed as a model for other future assessments and procedures in order to open new opportunities for the improvement of elderly people life quality.

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