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Dive into the research topics where Antonio A.M. Castro is active.

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Featured researches published by Antonio A.M. Castro.


Respiratory Medicine | 2013

Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients

Antonio A.M. Castro; Suleima Ramos Calil; Súsi Andréa Freitas; Alexandre B. Oliveira; Elias Ferreira Porto

INTRODUCTION Although physiotherapy is an integral part of the multiprofessional team in most ICUs there is only limited evidence concerning the effectiveness of its procedures. The objectives of this study were to verify if physiotherapy care provided within 24 h/day for hospitalized patients in the ICU reduce the length of stay, mechanical ventilation support, pulmonary infection and mortality compared to a physiotherapy care provided within 6 h/day. METHODS A cohort study was designed to assess differences between one hospital where patients were given physiotherapy care for 24 h/day and another hospital with only 6 h/day. We considered the following as outcome measurements: clinical diagnosis, medication in use, presence of associated diseases, APACHE II and SOFA scores, ICU and mechanical ventilation length of stay, development of pulmonary infections and survival. RESULTS One hundred and forty-six patients were enrolled. Patients admitted in the service A presented a lower length of stay in mechanical ventilation (p < 0.0001), ICU stay (p = 0.0003), respiratory infections (p = 0.0043) than patients admitted in service B. No difference was found for APACHE II score (p = 0.8) and SOFA scores (p = 0.2) between groups. The mortality risk was OR 1.3 (1.01-2.33) (p = 0.04) for patients in the service B. CONCLUSION The presence of a physiotherapist in the intensive care unit contributes decisively to the early recovery of the patient, reducing mechanical ventilation support need, number of hospitalization days, incidence of respiratory infection and risk of mortality.


Chest | 2010

Upper Limb Exercises Using Varied Workloads and Their Association With Dynamic Hyperinflation in Patients With COPD

Marcelo Colucci; Felipe Cortopassi; Elias Ferreira Porto; Antonio A.M. Castro; Eduardo Colucci; Vinicius C. Iamonti; Gerson F. de Souza; Oliver Augusto Nascimento; José Roberto Jardim

BACKGROUND Increased ventilation during upper limb exercises (ULE) in patients with COPD is associated with dynamic hyperinflation (DH) and a decrease in inspiratory capacity (IC). The best level of ULE load training is still unknown. Our objective was to evaluate the dynamic hyperinflation development during ULE using three constant workloads. METHODS This was a prospective, randomized protocol involving 24 patients with severe COPD (FEV(1) < 50%) performing an endurance symptom-limited arm exercise of up to 20 min in an arm cycloergometer with different workloads (50%, 65%, and 80% of the maximal load). Ventilation, metabolic, and lung function variables (static IC pre-exercise and postexercise) were measured. RESULTS DH was observed during exercises with 65% (-0.23 L) and 80% (-0.29 L) workloads (P < .0001). Total time of exercise with 80% workload (7.6 min) was shorter than with 50% (12.5 min) (P < .0005) and with 65% (10.1 min; not significant). Oxygen consumption percent predicted (VO(2)) (P < .01) was lower with 50% workload than with 80%. Eighty percent workload showed lower work efficiency (VO(2) [mL/kg]/exercise time) than the other two workloads (P < .0001). CONCLUSION Different workloads during upper limb exercises showed a direct influence over dynamic hyperinflation and the endurance exercise duration.


Revista Brasileira De Terapia Intensiva | 2008

Análise comparativa da complacência do sistema respiratório em três diferentes posições no leito (lateral, sentada e dorsal) em pacientes submetidos à ventilação mecânica invasiva prolongada

Elias Ferreira Porto; Antonio A.M. Castro; José Renato de Oliveira Leite; Saul Vitoriano Miranda; Auristela Lancauth; Claudia Kümpel

OBJECTIVES: This study is justified by the fact that in clinical practice, changes occur in patients positioning in the bed during hospitalization in intensive care unity, its necessary better understanding about possible adverse effects that such changes might cause mainly on the respiratory system condition. The objective this study was to evaluate if the patients positioning in bed can to alter the pulmonary complacency. METHODS: All included patients were submitted to mechanical ventilation and were sedated and curarized respiratory system compliance was assessed in three different positioning: lateral, dorsal and sitting. After an alveolar recruitment maneuver, patients were placed to a position throughout two hours, and in the last five minutes the data was collected from the mechanical ventilator display. RESULTS: twenty eight patients were prospectively assessed. Values of respiratory system compliance in the lateral position were 37,07 ± 12,9 in the dorsal were 39,2 ± 10,5 and in the sitting 43,4 ± 9,6 mL/cmH2O. There were a statistical difference when we compared to the sitting and dorsal with lateral positioning for respiratory system compliance (p = 0.0052) and tidal volume (p < 0.001). There was a negative correlation between mean values of positive end expiratory pressure a respiratory system compliance (r = 0.59, p = 0.002). The FIO2 administered was 0.6 for the lateral positioning and 0.5 for the dorsal and sitting positioning (p = 0.049). CONCLUSIONS: That body positioning in patients restrained to a bed and submitted to invasive mechanical ventilation leads to pulmonary compliance, tidal volume and SpO2 oscillations. In the sitting position the pulmonary compliance is higher than in others positions.


Journal of Cardiopulmonary Rehabilitation and Prevention | 2017

Comparative Postural Control in COPD Patients and Healthy Individuals During Dynamic and Static Activities

Elias Ferreira Porto; Cristiane O. Pradella; Carolina Chiusoli de M. Rocco; Mario Chueiro; Rafaella Q. Maia; Fernando F. Ganança; Antonio A.M. Castro; Oliver Augusto Nascimento; José Roberto Jardim

PURPOSE: Patients with chronic obstructive pulmonary disease (COPD) have body balance deficits, with consequent fall risk. It is possible that body sway in patients with COPD affects their ability to perform daily activities. The purpose of this study was to determine whether body balance is similar in patients with COPD and healthy persons when performing static and dynamic activities. In addition, we wanted to assess whether impairment of balance is related to the presence of falls in patients with COPD. METHODS: This is a cross-sectional study, in which every spirometric classification in patients with COPD (mild, moderate, severe, and very severe degrees) and age-matched healthy subjects was assessed. Subjects who were current smokers and patients who underwent physical training in the last 6 months prior to the start of the study were excluded. Static balance was assessed by computerized posturography and dynamic body balance using the Berg Balance Scale. RESULTS: Ninety-three patients with COPD and 39 healthy persons were evaluated. Mean age was 67.3 (10.8) and 65.1 (9.7) years and mean forced expiratory volume in 1 second (FEV1) was 50.4 (19.0) and 89.2 (23.6) for patients with COPD and healthy individuals, respectively. The impairment of body balance was higher for the group of patients with COPD (P = .0005). Patients with greater impairment in body balance had greater incidence of falls, and body balance was more affected with age in patients with COPD than in healthy persons. CONCLUSION: Impairment of body balance is more frequent in patients with COPD than in healthy persons while performing dynamic activities, and a greater incidence of falls activities was also found for this group.


Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Università di Napoli, Secondo ateneo | 2016

Comprehensive exercise training improves ventilatory muscle function and reduces dyspnea perception in patients with COPD.

F. Cortopassi; Antonio A.M. Castro; Elias Ferreira Porto; Marcelo Colucci; G. Fonseca; L. Torre-Bouscoulet; Vinicius C. Iamonti; José Roberto Jardim


american thoracic society international conference | 2010

Why Some COPD Patients Improve Quality Of Life (HRQL) More Than Others After A Comprehensive Pulmonary Rehabilitation Program

Vinicius C. Iamonti; Elias Ferreira Porto; Antonio A.M. Castro; Marcelo Colucci; Felipe Cortopassi; Oliver Augusto Nascimento; José Roberto Jardim


Journal of Cardiopulmonary Rehabilitation and Prevention | 2018

Variability in Quality of Life Outcomes Following a Pulmonary Rehabilitation Program in Patients With COPD

Elias Ferreira Porto; Antonio A.M. Castro; Felipe Cortopassi; Gerson F. de Souza; José Roberto Jardim


Respiratory Medicine | 2015

Reply to the Letter to the Editor: "Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients".

Antonio A.M. Castro; Elias Ferreira Porto


american thoracic society international conference | 2012

Energy Expedinture Measurement In Activities Of Daily Living Accomplished By COPD Patients

José Roberto Jardim; Antonio A.M. Castro; Elias Ferreira Porto; Vinicius C. Iamonti; Ivan Ivanaga; Marcos Saraiva; Andrea K. Carvalho; Oliver Augusto Nascimento


american thoracic society international conference | 2012

Glittre Activity Of Daily Living (GADL) Test Is Related To Dyspnea Enhancement In COPD Patients

Gerson F. de Souza; Graciane Laender Moreira; Vinicius C. Iamonti; Beatriz Martins Manzano; Antonio A.M. Castro; Elias Ferreira Porto; Ana Carolina C. Pinto; Luiza Gabriela P. Gomes; Oliver Augusto Nascimento; José Roberto Jardim

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Elias Ferreira Porto

Federal University of São Paulo

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José Roberto Jardim

Federal University of São Paulo

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Vinicius C. Iamonti

Federal University of São Paulo

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Oliver Augusto Nascimento

Federal University of São Paulo

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Gerson F. de Souza

Federal University of São Paulo

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Marcelo Colucci

Federal University of São Paulo

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Claudia Kümpel

Federal University of São Paulo

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Andrea K. Carvalho

Federal University of São Paulo

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