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High positive end-expiratory pressure renders spontaneous effort noninjurious

…, Y Koyama, T Yoshida, GM Plens… - American journal of …, 2018 - atsjournals.org
Rationale: In acute respiratory distress syndrome (ARDS), atelectatic solid-like lung tissue
impairs transmission of negative swings in pleural pressure (Ppl) that result from …

Expiratory muscle activity counteracts PEEP and is associated with fentanyl dose in ARDS patients

GM Plens, MT Droghi, GC Alcala… - American Journal of …, 2024 - atsjournals.org
Rationale: Hypoxemia during mechanical ventilation might be worsened by expiratory muscle
activity, which reduces end-expiratory lung volume through lung collapse. A proposed …

Expiratory Muscle Activity Counteracts Positive End-Expiratory Pressure and Is Associated with Fentanyl Dose in Patients with Acute Respiratory Distress Syndrome.

GM Plens, MT Droghi, GC Alcala… - American Journal of …, 2024 - search.ebscohost.com
Rationale: Hypoxemia during mechanical ventilation might be worsened by expiratory muscle
activity, which reduces end-expiratory lung volume through lung collapse. A proposed …

Effect of cardiogenic oscillations on trigger delay during pressure support ventilation

GM Plens, CCA Morais, MA Nakamura, PN Souza… - Respiratory …, 2018 - rc.rcjournal.com
BACKGROUND: Sensitive flow or pressure triggers are usually applied to improve ventilator
response time. Conversely, too sensitive triggers can incur risk of auto-triggering, a type of …

Controlled Mechanical Ventilation: Modes and Monitoring

ELV Costa, GM Plens, CCA Morais - Mechanical Ventilation from …, 2022 - Springer
Mechanical ventilation in the absence of patient effort is delivered by the ventilator with
control of one variable from the equation of motion, either volume or pressure. Volume and …

Monitoring Spontaneous Effort During Mechanical Ventilation: Are Our Tools Good Enough?

GCM Plens, ELV Costa - Respiratory Care, 2021 - rc.rcjournal.com
After decades of experimental and clinical research on lung injury during mechanical ventilation,
cyclic overdistention caused by high transpulmonary pressures imposed onto the lungs …

[HTML][HTML] Perception of usefulness of laboratory tests ordering by internal medicine residents in ambulatory setting: A single-center prospective cohort study

…, JMC Monteiro, GCM Plens, M Ferreira Junior… - Plos one, 2021 - journals.plos.org
The demand for high value health care uncovered a steady trend in laboratory tests ordering
and inappropriate testing practices. Residents’ training in laboratory ordering practice …

[HTML][HTML] Caring for patients at risk of ARDS: the role of driving pressure

GCM Plens, ELV Costa - Jornal Brasileiro de Pneumologia, 2021 - SciELO Brasil
Lung-protective strategies in patients with ARDS on mechanical ventilation (MV) are associated
with reduced mortality.(1-3) Adherence to these strategies has improved progressively …

[HTML][HTML] Nephrobronchial fistula: a diagnostic challenge in a patient with IgG4-related disease

GCM Plens, GP Bridi, ECT Nascimento… - Jornal Brasileiro de …, 2023 - SciELO Brasil
IgG4-related disease is an immune-mediated condition characterized by the infiltration of
several organs, including the lungs, pancreas, bile ducts, kidneys, thyroid, and central nervous …

Oral manifestations during chemotherapy for acute lymphoblastic leukemia: a case report.

MF Gomes, KR Kohlemann, G Plens… - Quintessence …, 2005 - search.ebscohost.com
A 14-year-old, male patient was referred for the treatment of mucositis, idiopathic facial
asymmetry, and candidiasis. The patient had been undergoing chemotherapy for 5 years for …
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