Influência do dreno pleural sobre a dor, capacidade vital e teste de caminhada de seis minutos em pacientes submetidos à ressecção pulmonar

Lima, Vanessa Pereira de; Bonfim, Daniela; Risso, Thais; Paisani, Denise de Moraes; Fiore, Julio F.; Chiavegato, Luciana Dias; Faresin, Sônia Maria

doi:10.1590/s1806-37132008001200004

Cited by 17 publications

(13 citation statements)

References 16 publications

(17 reference statements)

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“…Several studies showed similar results to our study (21-23). However, some studies reported a lower sensitivity of about 20% to 50% (20, 21, 24).…”

Section: Discussionsupporting

confidence: 92%

“…In fact, the procedures used for bacilloscopy by such studies, were all rather indirect smear microscopy tests and the variety in their sensitivity may have been due to common laboratory errors. Lima et al compared smear microscopy with the LJ culture method and found a kappa coefficient of 0.62, which was almost the same as that found by our study (0.583) (23). …”

Section: Discussionsupporting

confidence: 90%

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Comparison of Culture and PCR Methods for Diagnosis of Mycobacterium tuberculosis in Different Clinical Specimens

Gholoobi

Masoudi-Kazemabad

Meshkat

et al. 2014

Jundishapur J Microbiol

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Background:Tuberculosis remains a global epidemic, especially in developing countries, including Iran. Rapid diagnosis of active Mycobacterium tuberculosis infection plays a critical role in controlling the spread of tuberculosis. Conventional methods may take up to several weeks or longer to produce results. In addition to multiplicity of steps involved in conventional detection, including isolation, identification and drug susceptibility testing, the slow growth rate of M. tuberculosis is also responsible for this lengthy time.Objectives:The aim of this study was to compare the polymerase chain reaction (PCR) and culture methods for the detection of M. tuberculosis in different clinical specimens.Materials and Methods:This study was performed on different samples (urine, gastric aspirate, bronchoalveolar lavage, pleural fluid, cerebrospinal fluid, ascetic fluid and joint fluid specimens) of tuberculosis suspected patients. M. tuberculosis DNA was extracted directly from different samples using two different protocols. Next, PCR was performed using three sets of specific primers to detect members of Mycobacterium genus, M. tuberculosis complex and non-tuberculosis Mycobacteria. The results were then compared with that of the culture method, which is considered as the gold standard method.Results:The concordance rate between the three sets of primers was calculated and IS6110/buffer PCR method showed good agreement with the LJ culture method (κ = 0.627, P < 0.0001). The sensitivity of IS6110/buffer PCR was 58.33%, with specificity of 77.78%; the positive and negative predictive values were 100% and 78.26%, respectively. Buffer method for DNA extraction was proved to give a higher accuracy to PCR in comparison with the boiling method.Conclusions:PCR method is a valuable, cost-effective and alternative tool for quick diagnosis of active tuberculosis in different clinical specimens.

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“…Several studies showed similar results to our study (21-23). However, some studies reported a lower sensitivity of about 20% to 50% (20, 21, 24).…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Comparison of Culture and PCR Methods for Diagnosis of Mycobacterium tuberculosis in Different Clinical Specimens

Gholoobi

Masoudi-Kazemabad

Meshkat

et al. 2014

Jundishapur J Microbiol

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“…In the analysis on the analogue pain scale, there was no significant difference between the values, but they decreased after the operation and this may have been related to removal of the drains. The study by Lima et al 23 evaluated the influence of the thoracic drain on the reported pain and found that drain removal resulted in decreased analogue pain scores, which suggests that presence of a chest tube is an important factor associated with pain and functional limitations.…”

Section: Discussionmentioning

confidence: 99%

Continuous positive airway pressure (CPAP) after lung resection: a randomized clinical trial

et al. 2014

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CONTEXT AND OBJECTIVE: Noninvasive mechanical ventilation during the postoperative period (PO) following lung resection can restore residual functional capacity, improve oxygenation and spare the inspiratory muscles. The objective of this study was to assess the efficacy of continuous positive airway pressure (CPAP) associated with physiotherapy, compared with physiotherapy alone after lung resection. DESIGN AND SETTING: Open randomized clinical trial conducted in the clinical hospital of Universidade Estadual de Campinas. METHOD: Sessions were held in the immediate postoperative period (POi) and on the first and second postoperative days (PO1 and PO2), and the patients were reassessed on the discharge day. CPAP was applied for two hours and the pressure adjustment was set between 7 and 8.5 cmH 2 O. The oxygenation index (OI), Borg scale, pain scale and presence of thoracic drains and air losses were evaluated. RESULTS: There was a significant increase in the OI in the CPAP group in the POi compared to the Chest Physiotherapy (CP) group, P = 0.024. In the CP group the OI was significantly lower on PO1 (P = 0,042), than CPAP group. The air losses were significantly greater in the CPAP group in the POi and on PO1 (P = 0.001, P = 0.028), but there was no significant difference between the groups on PO2 and PO3. There was a statistically significant difference between the groups regarding the Borg scale in the POi (P < 0.001), but there were no statistically significant differences between the groups regarding the pain score. CONCLUSION: CPAP after lung resection is safe and improves oxygenation, without increasing the air losses through the drains. CLINICAL TRIAL REGISTRATION: NCT01285648RESUMO CONTEXTO E OBJETIVO: A ventilação mecânica não invasiva no período pós-operatório (PO) de ressecção pulmonar pode restaurar a capacidade residual funcional, melhorar a oxigenação e poupar os múscu-los inspiratórios. O objetivo deste estudo foi avaliar a eficácia da CPAP associada à fisioterapia comparada à fisioterapia unicamente após ressecção pulmonar. ESTUDO E LOCAL: Ensaio clínico randomizado aberto, realizado no Hospital das Clínicas da Universidade Estadual de Campinas. MÉTODO: Os atendimentos foram realizados nos PO imediato (POi), primeiro e segundo (PO1, PO2) dias, e a reavaliação na alta hospitalar. A CPAP foi aplicada durante duas horas e o ajuste pressórico estabelecido entre 7 e 8,5 cmH 2 O. Foram analisados índice de oxigenação (IO), escala de Borg e de dor, presença e perda aérea dos drenos torácicos. RESULTADOS: No grupo CPAP ocorreu aumento significativo do IO no POi (P = 0,024), comparado com o grupo fisioterapia respiratória. Houve redução significativa do IO no PO1 (P = 0,042) para o grupo fisioterapia respiratória, comparando-se à CPAP. A perda aérea foi significativamente maior para o grupo CPAP no POi e PO1 (0,001; 0,028), mas nos PO2 e no PO3 não houve diferença significativa entre os grupos. Foi verificada diferença significativa entre os grupos para a escala de Borg no POi (P < 0,001), porém...

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“…As in other studies [13][14][15][16] , the VC was measured by use of an analogue ventilometer (Ohmeda Respirometer ® , model RM 121, Japan). During this procedure, the patients sat down with their feet supported and nostrils occluded by a nose clip.…”

Section: Methodsmentioning

confidence: 99%

Ventilação não invasiva no pós-operatório imediato de derivação gastrojejunal com bypass em Y de Roux

Pessoa¹,

Araújo²,

Pinheiro³

et al. 2010

Rev. bras. fisioter.

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Influência do dreno pleural sobre a dor, capacidade vital e teste de caminhada de seis minutos em pacientes submetidos à ressecção pulmonar

Abstract: The results of the present study suggest that the presence of a chest tube is a factor significantly associated with postoperative pain and functional limitation in patients submitted to pulmonary resection.

Cited by 17 publications

References 16 publications

Comparison of Culture and PCR Methods for Diagnosis of Mycobacterium tuberculosis in Different Clinical Specimens

Comparison of Culture and PCR Methods for Diagnosis of Mycobacterium tuberculosis in Different Clinical Specimens

Continuous positive airway pressure (CPAP) after lung resection: a randomized clinical trial

Ventilação não invasiva no pós-operatório imediato de derivação gastrojejunal com bypass em Y de Roux

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