Atualmente é pesquisadora do Laboratório da Respiração - RespLab (2007- atual) e Professora do Cento Universitário Christus - UNICHRISTUS (2004 - atual). Tem experiência na área de Fisiologia Humana, Metodologia Científica e Patologia Geral, com ênfase em Fisiologia da Respiração e Muscular, atuando principalmente nos seguintes temas: Fisiologia, Ensino em Fisiologia, Perfis Epidemiológicos, Fisiologia Muscular e Respiratória, DPOC, VNI, Fisioterapia Cardiopulmonar e Fisioterapia Baseada em Evidencias.
EDUCATION
Graduação em Fisioterapia pela Universidade de Fortaleza - UNIFOR (2000), Aprimoramento em Fisioterapia Hospitalar pelo Hospital Universitário Walter Cantídeo - HUWC/UFC (2001), Especialização em Ciências Fisiológicas (2003) e Mestrado Acadêmico em Ciências Fisiológicas pela Universidade Estadual do Ceará - UECE, com área de concentração em Fisiologia Respiratória na UFRJ (2004) e Doutorado Acadêmico em Ciências Médicas pela Universidade Federal do Ceará - UFC, com área de concentração em Medicina Intensiva - VNI (2011).
RESEARCH INTERESTS
Fisiologia Humana
Fisioterapia
Ensino Superior
Educação
Pneumologia
Fisioterapia cardiorrespiratória
Metodologia Cientifica
Patologia Humana
Effect of an automatic triggering and cycling system on comfort and patient-ventilator synchrony during pressure support ventilation Renata dos S. Vasconcelos, Luíz Henrique de P. Melo, Raquel P. Sales, Liégina S. Marinho, Flávio C. Deulefeu, Ricardo C. Reis, Mirizana Alves-de-Almeida, Marcelo A. Holanda Respiration, 2014 <b><i>Background:</i></b> The digital Auto-Trak™ system is a technology capable of automatically adjusting the triggering and cycling mechanisms during pressure support ventilation (PSV). <b><i>Objective:</i></b> To compare Auto-Trak with conventional settings in terms of patient-ventilator synchrony and discomfort. <b><i>Methods:</i></b> Twelve healthy volunteers underwent PSV via the mouth by breathing through an endotracheal tube. In the conventional setting, a pressure support of 8 cm H<sub>2</sub>O with flow cycling (25% peak inspiratory flow) and a sensitivity of 1 cm H<sub>2</sub>O was adjusted. In Auto-Trak the triggering and cycling were automatically set. Discomfort, effort of breathing, and the asynchrony index (AI) were assessed. In a complementary bench study, the inspiratory and expiratory time delays were quantified for both settings in three mechanical models: ‘normal', obstructive (COPD), and restrictive (ARDS), using the ASL 5000 simulator. <b><i>Results:</i></b> In the volunteer study the AI and the discomfort scores did not differ statistically between the two settings. In the bench investigation the use of Auto-Trak was associated with a greater triggering delay in the COPD model and earlier expiratory cycling in the ARDS model but with no asynchronic events. <b><i>Conclusions:</i></b> Use of the Auto-Trak system during PSV showed similar results in comparison to the conventional adjustments with respect to patient-ventilator synchrony and discomfort in simulated conditions of invasive mechanical ventilation.
Continuous positive airway pressure effects on regional lung aeration in patients with COPD: A high-resolution CT scan study Marcelo A. Holanda, Simone C.B. Fortaleza, Mirizana Alves-de-Almeida, Georgia F.P. Winkeler, Ricardo C. Reis, John H.S. Felix, José W.O. Lima, Eanes D.B. Pereira Chest, 2010 BACKGROUND The effects of nasal continuous positive airway pressure (CPAP) on the lung parenchyma of patients with COPD, to our knowledge, have never been assessed by high-resolution CT (HRCT) scanning. METHODS HRCT scans were obtained at the apex, hilum, and basis of the lungs at functional residual capacity while on spontaneous respiration and at the end of CPAP trials of 5 cm water (H(2)O), 10 cm H(2)O, and 15 cm H(2)O in 11 stable patients with COPD and eight healthy volunteers. Lung aeration was assessed by quantitative density parameters and by qualitative analysis of each CT image after processing by means of a density-based color-mask computational algorithm. The quantitative parameters were density histograms, the relative area of the lungs with attenuation values < -950 Hounsfield units (percentage of hyperaerated areas) and the 15th percentile (the density value separating the 15% voxels of least density). RESULTS A CPAP of 5 cm H(2)O caused little increase in lung aeration in both groups, but in some patients with COPD, CPAP deflated some regions of the lungs. CPAP levels of 10 cm H(2)O and 15 cm H(2)O increased the emphysematous zones in all sectors of the lungs, including dorsal and apical regions in patients with COPD compared to little hyperaeration predominantly in the ventral areas in healthy volunteers. CONCLUSIONS Nasal CPAP causes variable effects on regional lung aeration in relation to the applied pressure and the regional distribution of emphysema in patients with COPD. Low pressure levels may cause regional lung deflation in some patients. High levels increase the emphysematous areas wherever they are located inside the lungs.
RECENT SCHOLAR PUBLICATIONS
Caracterização do perfil assistencial dos pacientes atendidos em uma Unidade de Intercorrência Oncológica CNP Fernandes, MLCC Ximenes, MA de Almeida Revista Contexto & Saúde 20 (40), 5-11 , 2020 2020.0 Citations: 4
Características epidemiológicas, clínicas e tratamento ofertado a jovens com acidente vascular cerebral FNQ Farias, MA de Almeida Saúde (Santa Maria) , 2019 2019.0 Citations: 4
Epidemiological characteristics, clinics and treatment offered to young people with vascular cerebral accidents FNQ Farias, MA Almeida 2019.0
Saúde FNQFQ Farias, MA de Almeida Revista Saúde (Sta. Maria) 45 (1) , 2019 2019.0
Short-term effects of non-invasive ventilation on cerebral blood flow and cognitive function in COPD MA Holanda, M Alves-de-Almeida, JWO Lima, TCD Taunay, FAA Gondim, ... Respiratory Physiology & Neurobiology 258, 53-59 , 2018 2018.0 Citations: 1
Conhecimento e aplicação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde por fisioterapeutas de Fortaleza CC Castro, CN Pinto, MA Almeida Revista Fisioterapia & Saúde Funcional , 2015 2015.0 Citations: 12
Effect of an automatic triggering and cycling system on comfort and patient-ventilator synchrony during pressure support ventilation RS Vasconcelos, LHP Melo, RP Sales, LS Marinho, FC Deulefeu, ... Respiration 86 (6), 497-503 , 2013 2013.0 Citations: 27
Front & Back Matter RS Vasconcelos, LHP Melo, RP Sales, LS Marinho, FC Deulefeu, ... Respiration 86 (6) , 2013 2013.0
The acute effects of postural change and non-invasive ventilation breathing on the regional distribution of lung ventilation: An electrical impedance tomography study NP de Sousa, LS Marinho, LT Monteiro, AM Sampaio, VPD Bastos, ... European Respiratory Journal 40 (Suppl 56) , 2012 2012.0
Ocorrência de doenças Cardiovasculares e Pulmonares em pacientes com Artrite Reumatóide MA Almeida, BV Rodrigues, AS Oliveira, RA Marques, TM Holanda, ... Revista Fisioterapia & Saúde Funcional , 2012 2012.0 Citations: 2
Knowledge and experience of physiotherapists on non-invasive ventilation ICM Santiago, FMS Meireles, CP Kuehner, M Alves-de-Almeida Brazilian Journal in Health Promotion 24 (3), 214-220 , 2011 2011.0
Repercussões agudas da ventilação não invasiva sobre o fluxo sanguíneo cerebral e a função cognitiva de pacientes com doença pulmonar obstrutiva crônica e indivíduos sadios MA Almeida 2011.0 Citations: 1
Conhecimento e experiência de fisioterapeutas sobre ventilação não invasiva IC de Mendonça Santiago, FMS Meireles, CP Kuehner, MA de Almeida Revista Brasileira em Promoção da Saúde 24 (3), 214-220 , 2011 2011.0 Citations: 3
ACUTE REACTIONS OF NON-INVASIVE VENTILATION ON CEREBRAL BLOOD FLOW AND THE COGNITIVE FUNCTION OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND SOUND INDIVIDUALS MA DE ALMEIDA UNIVERSIDADE FEDERAL DO CEARÁ FACULDADE DE MEDICINA , 2011 2011.0
Continuous positive airway pressure effects on regional lung aeration in patients with COPD: a high-resolution CT scan study MA Holanda, SCB Fortaleza, M Alves-de-Almeida, GFP Winkeler, ... Chest 138 (2), 305-314 , 2010 2010.0 Citations: 40
Short-term Effects Of Non-invasive Ventilation On Cerebral Blood Flow And Cognitive Function In COPD Patients And In Healthy Volunteers M Alves-de-Almeida, FAA Gondim, TCD Taunay, FF Costa, GTC Penha, ... B44. THE LATEST AND GREATEST IN NON-INVASIVE VENTILATION, A3063-A3063 , 2010 2010.0
Panorama da fisioterapia no pré e pós operatório de laparotomia em um hospital e maternidade de Fortaleza ICM Santiago, TM Holanda, PHF Maia, AS Oliveira, LRA Oliveira, ... Brazilian Journal of Physical Therapy 14 (Suppl.), 119-119 , 2010 2010.0
XVIII Encontro de Iniciação à Pesquisa D de Macêdo Franco, TM Holanda, PH Maia, EMM Rocha, CMS Viana, ...
Avaliação da funcionalidade de pacientes queimados submetidos à fisioterapia após alta hospitalar CNP Fernades¹, FFP de Carvalho, NM de Andrade, CP Kuehner, ... Revista científica dos profissionais de fisioterapia, 67 , 0
MOST CITED SCHOLAR PUBLICATIONS
Continuous positive airway pressure effects on regional lung aeration in patients with COPD: a high-resolution CT scan study MA Holanda, SCB Fortaleza, M Alves-de-Almeida, GFP Winkeler, ... Chest 138 (2), 305-314 , 2010 2010.0 Citations: 40
Effect of an automatic triggering and cycling system on comfort and patient-ventilator synchrony during pressure support ventilation RS Vasconcelos, LHP Melo, RP Sales, LS Marinho, FC Deulefeu, ... Respiration 86 (6), 497-503 , 2013 2013.0 Citations: 27
Conhecimento e aplicação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde por fisioterapeutas de Fortaleza CC Castro, CN Pinto, MA Almeida Revista Fisioterapia & Saúde Funcional , 2015 2015.0 Citations: 12
Caracterização do perfil assistencial dos pacientes atendidos em uma Unidade de Intercorrência Oncológica CNP Fernandes, MLCC Ximenes, MA de Almeida Revista Contexto & Saúde 20 (40), 5-11 , 2020 2020.0 Citations: 4
Características epidemiológicas, clínicas e tratamento ofertado a jovens com acidente vascular cerebral FNQ Farias, MA de Almeida Saúde (Santa Maria) , 2019 2019.0 Citations: 4
Conhecimento e experiência de fisioterapeutas sobre ventilação não invasiva IC de Mendonça Santiago, FMS Meireles, CP Kuehner, MA de Almeida Revista Brasileira em Promoção da Saúde 24 (3), 214-220 , 2011 2011.0 Citations: 3
Ocorrência de doenças Cardiovasculares e Pulmonares em pacientes com Artrite Reumatóide MA Almeida, BV Rodrigues, AS Oliveira, RA Marques, TM Holanda, ... Revista Fisioterapia & Saúde Funcional , 2012 2012.0 Citations: 2
Short-term effects of non-invasive ventilation on cerebral blood flow and cognitive function in COPD MA Holanda, M Alves-de-Almeida, JWO Lima, TCD Taunay, FAA Gondim, ... Respiratory Physiology & Neurobiology 258, 53-59 , 2018 2018.0 Citations: 1
Repercussões agudas da ventilação não invasiva sobre o fluxo sanguíneo cerebral e a função cognitiva de pacientes com doença pulmonar obstrutiva crônica e indivíduos sadios MA Almeida 2011.0 Citations: 1
Epidemiological characteristics, clinics and treatment offered to young people with vascular cerebral accidents FNQ Farias, MA Almeida 2019.0
Saúde FNQFQ Farias, MA de Almeida Revista Saúde (Sta. Maria) 45 (1) , 2019 2019.0
Front & Back Matter RS Vasconcelos, LHP Melo, RP Sales, LS Marinho, FC Deulefeu, ... Respiration 86 (6) , 2013 2013.0
The acute effects of postural change and non-invasive ventilation breathing on the regional distribution of lung ventilation: An electrical impedance tomography study NP de Sousa, LS Marinho, LT Monteiro, AM Sampaio, VPD Bastos, ... European Respiratory Journal 40 (Suppl 56) , 2012 2012.0
Knowledge and experience of physiotherapists on non-invasive ventilation ICM Santiago, FMS Meireles, CP Kuehner, M Alves-de-Almeida Brazilian Journal in Health Promotion 24 (3), 214-220 , 2011 2011.0
ACUTE REACTIONS OF NON-INVASIVE VENTILATION ON CEREBRAL BLOOD FLOW AND THE COGNITIVE FUNCTION OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND SOUND INDIVIDUALS MA DE ALMEIDA UNIVERSIDADE FEDERAL DO CEARÁ FACULDADE DE MEDICINA , 2011 2011.0
Short-term Effects Of Non-invasive Ventilation On Cerebral Blood Flow And Cognitive Function In COPD Patients And In Healthy Volunteers M Alves-de-Almeida, FAA Gondim, TCD Taunay, FF Costa, GTC Penha, ... B44. THE LATEST AND GREATEST IN NON-INVASIVE VENTILATION, A3063-A3063 , 2010 2010.0
Panorama da fisioterapia no pré e pós operatório de laparotomia em um hospital e maternidade de Fortaleza ICM Santiago, TM Holanda, PHF Maia, AS Oliveira, LRA Oliveira, ... Brazilian Journal of Physical Therapy 14 (Suppl.), 119-119 , 2010 2010.0
XVIII Encontro de Iniciação à Pesquisa D de Macêdo Franco, TM Holanda, PH Maia, EMM Rocha, CMS Viana, ...
Avaliação da funcionalidade de pacientes queimados submetidos à fisioterapia após alta hospitalar CNP Fernades¹, FFP de Carvalho, NM de Andrade, CP Kuehner, ... Revista científica dos profissionais de fisioterapia, 67 , 0