Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
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Randomized Controlled Trial
Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience.
To describe the implementation of a robotic thoracic surgery program at a public tertiary teaching hospital and to analyze its initial results. ⋯ A implantação de um programa de cirurgia torácica robótica, quando há integração e treinamento adequado de todas as equipes envolvidas, é factível e pode reduzir a morbidade e a mortalidade.
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Editorial Comment
Corticosteroids for the prevention of ventilator-induced lung injury?
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To determine whether the level of physical activity in daily life (PADL) is associated with pulmonary function in adult smokers. ⋯ Our results suggest that there is no consistent association between physical inactivity and pulmonary function in adult smokers. Smoking history should be given special attention in COPD prevention strategies, as should cardiovascular and metabolic comorbidities.
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Pulmonary rehabilitation (PR) improves exercise capacity in most but not all COPD patients. The factors associated with treatment success and the role of chest wall mechanics remain unclear. We investigated the impact of PR on exercise performance in COPD with severe hyperinflation. ⋯ In severe COPD, PR appears to improve oxygen consumption and reduce VCO2, with a commensurate decrease in respiratory drive, changes reflected in the operating chest wall volumes. Patients with severe post-exercise hyperinflation and leg fatigue might be unable to improve their maximal performance despite completing a PR program.