A5088669310- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Intensive Care Unit Cognitive Disorders
- Hemodynamic Monitoring and Therapy
- Ultrasound in Clinical Applications
- COVID-19 Clinical Research Studies
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Sepsis Diagnosis and Treatment
- Airway Management and Intubation Techniques
- Long-Term Effects of COVID-19
- Non-Invasive Vital Sign Monitoring
- Neonatal Respiratory Health Research
- Mechanical Circulatory Support Devices
- Climate Change and Health Impacts
- COVID-19 and Mental Health
- Health, Nursing, Elderly Care
- Public Health in Brazil
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Trauma Management and Diagnosis
- Radiation Dose and Imaging
- Healthcare Regulation
- Anesthesia and Sedative Agents
- Linguistics and Education Research
- Obstructive Sleep Apnea Research
Hospital Israelita Albert Einstein
2013-2025
Hospital Alemão Oswaldo Cruz
2015-2019
Hospital São Paulo
2018
Hospital Sírio-Libanês
2014-2017
Universidade de São Paulo
2017
University Hospital of Geneva
2012-2015
University of Geneva
2013
Erasmus Hospital
2006-2008
Mechanical ventilation can be a life-saving intervention, but its implementation requires multidisciplinary approach, with an understanding of indications and contraindications due to the potential for complications. The management mechanical should part curricula during clinical training; however, trainees practicing professionals frequently report low confidence in managing ventilation, often seeking additional sources knowledge. Review articles, consensus statements practice guidelines...
Coagulation abnormalities in COVID-19 patients have not been addressed depth.To perform a longitudinal evaluation of coagulation profile admitted to the ICU with COVID-19.Conventional tests, rotational thromboelastometry (ROTEM), platelet function, fibrinolysis, antithrombin, protein C and S were measured at days 0, 1, 3, 7 14. Based on median total maximum SOFA score, divided two groups: ≤ 10 > 10.Thirty studied. Some conventional as aPTT, PT INR remained unchanged during study period,...
The perioperative management of patients undergoing cardiac surgery is highly complex and involves numerous factors. There a strong association between complications. Brazilian Surgical Identification Study (BraSIS 2) aims to assess the incidence death early postoperative complications, identify potential risk factors, examine both demographic characteristics epidemiology cardiovascular procedures. BraSIS 2 multicenter observational study who undergo are admitted intensive care unit. primary...
This retrospective multicenter cohort study compared characteristics and outcomes of 5,790 critically ill patients with COVID-19 in Brazil's public private intensive care units. Patients units exhibited greater disease severity, more frequent use organ support, higher mortality rates to those The risk in-hospital death was than twice as high ■ Public unit presented comorbidities severity at admission. required invasive support (e.g., mechanical ventilation, vasopressors, renal replacement...
The optimal ventilation strategy during cardiopulmonary resuscitation (CPR) is unknown. Chest compression (CC) generates circulation, while decompression, thoracic recoil negative pressure and venous return. Continuous flow insufflation of oxygen (CFI) allows noninterrupted CC positive airway (Paw). main objective this study was to assess the effects Paw compared with current recommended on intrathoracic (P IT ) variations, ventilation, lung volume. In a mechanical model, allowing thorax...
In December 2019, a series of patients with severe pneumonia were identified in Wuhan, Hubei province, China, who progressed to acute respiratory syndrome and distress syndrome. Subsequently, COVID-19 was attributed new betacoronavirus, the coronavirus 2 (SARS-CoV-2). Approximately 20% diagnosed as develop forms disease, including hypoxemic failure, syndrome, renal failure require intensive care. [...]
To describe clinical characteristics, resource use, outcomes, and to identify predictors of in-hospital mortality patients with COVID-19 admitted the intensive care unit.Retrospective single-center cohort study conducted at a private hospital in São Paulo (SP), Brazil. All consecutive adult (≥18 years) unit, between March 4, 2020 February 28, 2021 were included this study. Patients categorized survivors non-survivors according discharge.During period, 1,296 [median (interquartile range) age:...
To evaluate the intra- and inter-reliability ease of measuring quadriceps muscle thickness using bedside ultrasound.This is a prospective, observational study. The assessment was performed at two reference points quantified portable B-mode ultrasound in healthy volunteers. For standardization measurements validation image collections, team trained through theoretical practical classes, with 6-hour workload.A total 112 images were examined by coach compared trainees. Pearson's correlation...
Recommendations regarding ventilation during cardiopulmonary resuscitation (CPR) are based on a low level of scientific evidence. We hypothesized that practices about CPR might be heterogeneous and may differ worldwide. To address this question, we surveyed physicians from several countries their CPR.We used Web-based opinion survey. Links to the survey were sent by e-mail newsletters displayed Web sites medical societies involved in practice December 2013 March 2014.1,328 surveys opened,...
In BriefWe compared the characteristics and outcomes of 1,427 patients with COVID-19 admitted to intensive care unit during first second waves pandemic.Both had similar mortality rates need for invasive organ support, despite in wave being younger less severely ill at time admission.
Early exercise of critically ill patients may have beneficial effects on muscle strength, mass and systemic inflammation. During pressure support ventilation (PSV), a mismatch between demand assist could increase work breathing limit exercise. A better tolerance is possible with proportional mode (Proportional Assist Ventilation, PAV+ Neurally Adjusted Ventilatory Assist, NAVA). We examined whether, in patients, PSV different respiratory muscles unloading efficiency during Prospective pilot...
Point-of-care ultrasonography (POCUS) has recently become a useful tool that intensivists are incorporating into clinical practice. However, the incorporation of in critical care developing countries is not straightforward.Our objective was to investigate current practice and education regarding POCUS among Brazilian intensivists. A national survey administered using an electronic questionnaire. Questions were selected by Delphi method assessed topics included organizational issues,...