Publications by authors named "Wagner Souza Leite"
Peripheral acute fatigue (PAF) is defined as when the skeletal muscle is incapable of generating power. We aimed to investigate the acute effects of traditional Chinese acupuncture (TCA) and dry needling (DN) over PAF induced on the biceps brachii of untrained healthy volunteers. We conducted a randomized, single-blind controlled clinical trial.
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- This study investigates the effectiveness of nebulized bronchodilators during mechanical ventilation in critically ill patients with obstructive pulmonary disease using Electrical Impedance Tomography (EIT) to analyze lung ventilation.
- The results indicated that nebulization improved total lung ventilation in both controlled and spontaneous ventilation modes, while also increasing airflow in certain lung regions.
- However, there were no significant differences among the different ventilation modes, and the study highlights the need for further research to consider factors such as muscular effort and patient duration on ventilators.
Background: Surface Electromyography (sEMG) has been used to monitor respiratory muscle function and contractility in several clinical situations, however there is the lack of standardization for the analysis and processing of the signals.
Objective: To summarize the respiratory muscles most assessed by sEMG in the critical care setting and the assessment procedure details employed on those muscles regarding electrode placement, signal acquisition, and data analysis.
Methods: A systematic review of observational studies was registered on PROSPERO (number CRD42022354469).
Article Synopsis
- The study aimed to examine muscle loss in critically ill COVID-19 patients on mechanical ventilation by measuring muscle thickness and cross-sectional area using ultrasound on Days 1, 3, 5, and 7 post-admission.
- Analysis of 5460 ultrasound images from 30 patients revealed significant muscle thickness decreases, particularly in the lower limbs and specific abdominal muscles, with the most notable losses occurring between Days 1 to 5.
- Results indicate that peripheral and abdominal muscle loss is progressive in the first week of mechanical ventilation, with greater losses observed in the quadriceps and rectus femoris muscles.
Background: Respiratory muscle strength in patients with an artificial airway is commonly assessed as the maximal inspiratory pressure (MIP) and is measured using analogue or digital manometers. Recently, new electronic loading devices have been proposed to measure respiratory muscle strength. This study evaluates the agreement between the MIPs measured by a digital manometer and those according to an electronic loading device in patients being weaned from mechanical ventilation.
View Article and Find Full Text PDFWhole-Body Vibration Associated with Strength Training on the Lower-Limb Blood Flow and Mobility in Older Adults with Type 2 Diabetes: A Study Protocol for a Randomized Controlled Trial.
Diagnostics (Basel)
June 2022
Vascular endothelium insults caused by high serum glucose levels affect the oxygen supply to tissues, via the microvascular endothelium, resulting in an increased perfusion heterogeneity. These insults may lead to the underuse of blood capillaries, while other vessels are overused and effectively overload their oxygen supply capacity, which eventually causes damages to distal parts of the peripheral nervous system. Therefore, the proprioceptive and exteroceptive feedback information will be gradually lost and contribute to a mobility reduction.
View Article and Find Full Text PDFEffectiveness of Whole-Body Vibration Combined with Multicomponent Training on the Risk of Falls and Quality of Life in Elderly Women with Osteoporosis: Study Protocol for a Randomized Controlled Clinical Trial.
Biology (Basel)
February 2022
Osteoporosis and the risk of falls increase the risk of fractures and events of falls. Prescriptions and programs for different forms of exercise have different impacts on the risk of falls, and exercises from multiple categories of whole-body vibration can be effective. This study aims to evaluate the effectiveness of whole-body vibration (WBV) protocol combined with multicomponent training (MCT) in elderly women with osteoporosis and their history of falls.
View Article and Find Full Text PDFIntroduction And Aim: Studies regarding asynchrony in patients in the cardiac postoperative period are still only a few. The main objective of our study was to compare asynchronies incidence and its index (AI) in 3 different modes of ventilation (volume-controlled ventilation [VCV], pressure-controlled ventilation [PCV] and pressure-support ventilation [PSV]) after ICU admission for postoperative care.
Methods: A prospective parallel randomised trialin the setting of a non-profitable hospital in Brazil.
Objective: To compare the impact of two fast-track strategies regarding the extubation time and removal of invasive mechanical ventilation in adults after cardiac surgery on clinical and hospital outcomes.
Methods: This was a retrospective cohort study with patients undergoing cardiac surgery. Patients were classified according to the extubation time as the Control Group (extubated 6 hours after admission to the intensive care unit, with a maximum mechanical ventilation time of 18 hours), Group 1 (extubated in the operating room after surgery) and Group 2 (extubated within 6 hours after admission to the intensive care unit).