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https://www.readbyqxmd.com/read/27737419/brazilian-guidelines-in-critical-care-let-s-face-this-challenge
#1
Thiago Costa Lisboa, Alexandre Biasi Cavalcanti, Suzana Margareth Ajeje Lobo
No abstract text is available yet for this article.
September 2016: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/27556709/nurses-knowledge-to-identify-early-acute-kidney-injury
#2
Roseli Aparecida Matheus do Nascimento, Murillo Santucci Cesar Assunção, João Manoel Silva, Cristina Prata Amendola, Taysa Martindo de Carvalho, Emerson Quintino Lima, Suzana Margareth Ajeje Lobo
OBJECTIVE: To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. METHOD: A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment. RESULTS: 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87...
May 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27468858/eus-guided-intrahepatic-portosystemic-shunt-with-direct-portal-pressure-measurements-a-novel-alternative-to-transjugular-intrahepatic-portosystemic-shunting
#3
Allison R Schulman, Marvin Ryou, Hiro Aihara, Wasif Abidi, Austin Chiang, Pichamol Jirapinyo, Ayman Sakr, Eduarda Ajeje, Michele B Ryan, Christopher C Thompson
BACKGROUND AND AIMS: Transjugular intrahepatic portosystemic shunting involves the creation of a low-resistance channel between the portal vein (PV) and the hepatic vein (HV), and is routinely performed under angiography. The aims were to evaluate (1) safety and technical feasibility; (2) procedural duration; and (3) subjective workload assessment of EUS-guided intrahepatic portosystemic shunt (EIPS). METHODS: Five Yorkshire pigs were used in the study. The HV or inferior vena cava (IVC) was identified using a linear-array echoendoscope and accessed with a 19-G FNA needle preloaded with a digital pressure wire...
July 26, 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25920616/prevalence-of-non-alcoholic-fatty-liver-disease-and-steatohepatitis-risk-factors-in-patients-undergoing-bariatric-surgery
#4
Shinhiti Morita, Dalísio De Santi Neto, Flávio Hiroshi Ananias Morita, Nina Kimie Morita, Suzana Margareth Ajeje Lobo
BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) associated with obesity comprises pathological changes ranging from steatosis to steatohepatitis; these can evolve to cirrhosis and hepatocellular carcinoma. OBJECTIVES: The objectives of this study are to assess the prevalence of and predictive markers for steatohepatitis in obese patients undergoing bariatric surgery. METHODS: A prospective study of 184 morbidly obese patients undergoing bariatric surgery formed the study cohort...
December 2015: Obesity Surgery
https://www.readbyqxmd.com/read/25909313/septic-shock-a-major-cause-of-hospital-death-after-intensive-care-unit-discharge
#5
Matheus Gomes Giacomini, Márcia Valéria Caldeira Angelucci Lopes, Joelma Villafanha Gandolfi, Suzana Margareth Ajeje Lobo
OBJECTIVE: To assess the causes and factors associated with the death of patients between intensive care unit discharge and hospital discharge. METHODS: The present is a pilot, retrospective, observational cohort study. The records of all patients admitted to two units of a public/private university hospital from February 1, 2013 to April 30, 2013 were assessed. Demographic and clinical data, risk scores and outcomes were obtained from the Epimed monitoring system and confirmed in the electronic record system of the hospital...
January 2015: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25909308/what-happens-to-the-fluid-balance-during-and-after-recovering-from-septic-shock
#6
Andrea Regina Lopes Cunha, Suzana Margareth Ajeje Lobo
OBJECTIVE: We aimed to evaluate the cumulative fluid balance during the period of shock and determine what happens to fluid balance in the 7 days following recovery from shock. METHODS: A prospective and observational study in septic shock patients. Patients with a mean arterial pressure ≥ 65 mmHg and lactate < 2.0 mEq/L were included < 12 hours after weaning from vasopressor, and this day was considered day 1. The daily fluid balance was registered during and for seven days after recovery from shock...
January 2015: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25316640/-brazilian-consensus-of-monitoring-and-hemodynamic-support-part-v-hemodynamic-support
#7
Suzana Margareth Ajeje Lobo, Ederlon Rezende, Ciro Leite Mendes, Alvaro Rea-Neto, Cid Marcos David, Fernando Suparregui Dias, Guilherme Schettino
BACKGROUND AND OBJECTIVES: Shock occurs when the circulatory system cannot maintain adequate cellular perfusion. If this condition is not reverted irreversible cellular injury establishes. Shock treatment has as its initial priority the fast and vigorous correction of mean arterial pressure and cardiac output to maintain life and avoid or lessen organic dysfunctions. Fluid challenge and vasoactive drugs are necessary to warrant an adequate tissue perfusion and maintenance of function of different organs and systems, always guided by cardiovascular monitorization...
June 2006: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25316639/-brazilian-consensus-of-monitoring-and-hemodynamic-support-part-iv-tissue-perfusion-evaluation
#8
Alvaro Réa-Neto, Ederlon Rezende, Ciro Leite Mendes, Cid Marcos David, Fernando Suparregui Dias, Guilherme Schettino, Suzana Margareth Ajeje Lobo
BACKGROUND AND OBJECTIVES: The main cardiovascular function is to maintain the adequate perfusion e oxygen delivery to the cells. Physiologically, this is controlled by the cellular metabolic rate. The critically ill patients are in high danger of tissue hipoperfusion and this is directly related to cellular injury and organ dysfunction. Therefore, the tissue perfusion monitoring makes part and is indissociated of hemodynamic evaluation of the critically ill patient and is indicated to all this patients...
June 2006: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310331/-brazilian-consensus-of-monitoring-and-hemodynamic-support-part-iii-alternative-methods-for-cardiac-output-monitoring-and-volemia-estimation
#9
Guilherme Schettino, Rezende Ederlon, Ciro Leite Mendes, Alvaro Réa-Neto, Cid Marcos David, Suzana Margareth Ajeje Lobo, Alberto Barros, Eliézer Silva, Gilberto Friedman, José Luiz Gomes do Amaral, Marcelo Park, Maristela Monachini, Mirella Cristine de Oliveira, Murillo Santucci César Assunção, Nelson Akamine, Patrícia Veiga C Mello, Renata Andréa Pietro Pereira, Rubens Costa Filho, Sebastião Araújo, Sérgio Félix Pinto, Sérgio Ferreira, Simone Mattoso Mitushima, Sydney Agareno, Yuzeth Nóbrega de Assis Brilhante
BACKGROUND AND OBJECTIVES: Cardiac output and preload as absolute data do not offer helpful information about the hemodynamic of critically ill patients. However, monitoring the response of these variables to volume challenge or inotropic drugs is a very useful tool in the critical care setting, particularly for patients with signs of tissue hypoperfusion. Although PAC remains the " gold standard" to measure cardiac output and preload, new and alternative technologies were developed to evaluate these hemodynamic variables...
March 2006: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310330/-part-ii-basic-hemodynamic-monitoring-and-the-use-of-pulmonary-artery-catheter
#10
Fernando Suparregui Dias, Ederlon Rezende, Ciro Leite Mendes, Alvaro Réa-Neto, Cid Marcos David, Guilherme Schettino, Suzana Margareth Ajeje Lobo, Alberto Barros, Eliézer Silva, Gilberto Friedman, José Luiz Gomes do Amaral, Marcelo Park, Maristela Monachini, Mirella Cristine de Oliveira, Murillo Santucci César Assunção, Nelson Akamine, Patrícia Veiga C Mello, Renata Andréa Pietro Pereira, Rubens Costa Filho, Sebastião Araújo, Sérgio Félix Pinto, Sérgio Ferreira, Simone Mattoso Mitushima, Sydney Agareno, Yuzeth Nóbrega de Assis Brilhante
BACKGROUND AND OBJECTIVES: Monitoring of vital functions is one of the most important tools in the management of critically ill patients. Nowadays is possible to detect and analyze a great deal of physiologic data using a lot of invasive and non-invasive methods. The intensivist must be able to select and carry out the most appropriate monitoring technique according to the patient requirements and taking into account the benefit/risk ratio. Despite the fast development of non invasive monitoring techniques, invasive hemodynamic monitoring using Pulmonary Artery Catheter still is one of the basic procedures in Critical Care...
March 2006: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25303549/nursing-care-adverse-events-at-an-intensive-care-unit
#11
Lucia Marinilza Beccaria, Roseli Aparecida Matheus Pereira, Lígia Márcia Contrin, Suzana Margareth Ajeje Lobo, Diene Henri Longui Trajano
OBJECTIVE: The understanding of adverse events may simplify the inquiry regarding the quality of nursing care, presuming a foregrounding role in evaluating health services. The aim of the study was to identify adverse events in nursing care in an intensive care unit. METHODS: Data were collected using an appropriate form known as problem-oriented record (POR) over a 10-month period; patients were monitored throughout their intensive care unit stay. RESULTS: Over the study period, 550 adverse events were recorded as follows: 26 concerned the "five rights" related to drug administration; 23 to non-administered medication; 181 to inappropriate medication records; 28 to failure in infusion pump assembly; 17 to not performed inhalation; 8 to incorrect handling of needles and syringes; 53 to not performed nursing procedures; 46 to incorrect handling of therapeutic and diagnostic devices; 37 to alarms/warnings of devices used incorrectly; and 131 to failure in data recording by nurses...
August 2009: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25302429/outcomes-of-cancer-patients-admitted-to-brazilian-intensive-care-units-with-severe-acute-kidney-injury
#12
Márcio Soares, Suzana Margarete Ajeje Lobo, André Peretti Torelly, Patricia Veiga de Carvalho Mello, Ulisses Silva, José Mário Meira Teles, Eliézer Silva, Pedro Caruso, Gilberto Friedman, Paulo César Pereira de Souza, Alvaro Réa-Neto, Arthur Oswaldo Vianna, José Raimundo Azevedo, Erico Vale, Leila Rezegue, Michele Godoy, Marcelo Oliveira Maia, Jorge Ibrain Figueira Salluh
OBJECTIVES: Critically ill cancer patients are at increased risk for acute kidney injury, but studies on these patients are scarce and were all single centered conducted in specialized intensive care units. The objective was to evaluate the characteristics and outcomes in a prospective cohort of cancer patients admitted to several intensive care units with acute kidney injury. METHODS: Prospective multicenter cohort study conducted in intensive care units from 28 hospitals in Brazil over a two-month period...
September 2010: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/23918027/quality-of-life-of-severe-sepsis-survivors-after-hospital-discharge
#13
Ligia Marcia Contrin, Vania Del'Arco Paschoal, Lucia Marinilza Beccaria, Claudia Bernardi Cesarino, Suzana Margareth Ajeje Lobo
AIMS: to evaluate the quality of life in severe sepsis survivors, using specific QoL questionnaires: the EuroQol-5 Dimensions and the Visual Analogue Scale (EQ-VAS). METHOD: This case-control study was performed in patients discharged from a teaching hospital after being admitted to the ICU with severe sepsis. Medical records from 349 patients were retrieved from the hospital sepsis registry. Each patient with sepsis was considered as a case. Patients who were admitted immediately after the sepsis episode were considered as controls, provided that they did not have sepsis and survived the ICU admission...
May 2013: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/22844627/pediatric-multiple-sclerosis-a-challenging-demyelinating-disease-case-report-and-brief-review-of-the-literature
#14
Regina Célia Ajeje Pires de Albuquerque, Raquel Siqueira Leonel de Paula, Manuelina Mariana Capellari Macruz Brito, José Roberto Lopes Ferraz Filho, Lucas Crociati Meguins
Multiple sclerosis (MS) is an inflammatory, demyelinating, neurodegenerative disorder of the central nervous system (CNS) of unknown etiology. The peak onset is between age 20 and 40 years and usually affects more women than men. Although much knowledge has been achieved on the diagnosis and treatment of adult patients with MS, it remains a matter of debate and controversy in childhood. We present a case of MS in 9-year-old girl, review the current state of the knowledge on pediatric MS, and discuss the available tools for the diagnosis and treatment...
2012: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/21359419/prenatal-exposure-to-tobacco-and-alcohol-are-associated-with-chronic-daily-headaches-at-childhood-a-population-based-study
#15
Marco Antônio Arruda, Vincenzo Guidetti, Federica Galli, Regina Célia Ajeje Pires de Albuquerque, Marcelo Eduardo Bigal
The influence of prenatal events on the development of headaches at childhood has not been investigated and is the scope of our study. Of 2,173 children identified as the target sample, consents and analyzable data were provided by 1,440 (77%). Parents responded to a standardized questionnaire with a validated headache module and specific questions about prenatal exposures. Odds of chronic daily headache (CDH) were significantly higher when maternal tabagism was reported. When active and passive smoking were reported, odds ratio (OR) of CDH were 2...
February 2011: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/17057873/studying-the-evolution-and-the-magnetic-resonance-findings-of-reversible-posterior-leukoencephalopathy-in-children
#16
José Roberto Ferraz-Filho, José Alves Rocha-Filho, Tatiana Fantin Bichuette, Regina Celia Ajeje P de Albuquerque, Rafael Angelo Sanchez, Antonio Soares Souza
PURPOSE: To describe the evolution and the magnetic resonance imaging (MRI) findings of the reversible posterior leukoencephalopathy (RLPS) in children. METHOD: Nine children with neurologic symptoms and sudden increase of the arterial pressure were studied by brain MRI. RESULTS: All children evaluated had lesions seen on FLAIR-weighted images of the parietal-occipital regions. Other regions were also involved. Four patients presented restriction on diffusion-weighted images and only two with reduction of the apparent diffusion coefficient (ADC), which evolved with neurologic sequels and persistence of the lesions on the control examination...
September 2006: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/16021279/nutrition-in-acute-renal-failure
#17
REVIEW
Sérgio Mussi Guimarães, José Paulo Cipullo, Suzana Margareth Ajeje Lobo, Emmanuel de Almeida Burdmann
Nutritional status has been considered to be one of the possible determinants of mortality rates in cases of acute renal failure (ARF). However, most studies evaluating possible mortality indicators in ARF cases have not focused on the nutritional status, possibly because of the difficulties involved in assessing the nutritional status of critically ill patients. Although the traditional methods for assessing nutritional status are used for ARF patients, they are not the best choice in this population. The use of nutritional support for these patients has produced conflicting results regarding morbidity and mortality...
May 2, 2005: São Paulo Medical Journal, Revista Paulista de Medicina
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