A5054303574- Sepsis Diagnosis and Treatment
- Intensive Care Unit Cognitive Disorders
- Ureteral procedures and complications
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Pancreatitis Pathology and Treatment
- Acute Kidney Injury Research
- Pancreatic and Hepatic Oncology Research
- Nutrition and Health in Aging
- Clinical Nutrition and Gastroenterology
- Potassium and Related Disorders
- Vitamin C and Antioxidants Research
- Pathogenesis and Treatment of Hiccups
- Public Health in Brazil
- Urinary Tract Infections Management
- Diet and metabolism studies
- Adrenal Hormones and Disorders
- Hemodynamic Monitoring and Therapy
- Clinical Reasoning and Diagnostic Skills
- Abdominal Surgery and Complications
- Dialysis and Renal Disease Management
- Vitamin K Research Studies
- Ultrasound in Clinical Applications
Hospital São Domingos
2012-2025
Universidade Federal do Rio Grande do Sul
2010
Associação de Medicina Intensiva Brasileira
2008
American Society for Parenteral and Enteral Nutrition
2007
Objective: Outcomes of low-risk patients may be affected by the overall acuity ICU to which they were admitted. Studies addressing this topic are very scarce and underlying mechanisms supporting association remain incompletely understood. Here, we investigated effects (defined as mean Simplified Acute Physiology Score 3 all admitted in bimester a given patient was admitted) organizational factors on outcomes with low risk dying ICUs. Design: Retrospective cohort study. Setting: One hundred...
Abstract Background We evaluated the efficacy of high protein intake and early exercise versus standard nutrition care routine physiotherapy on outcome critically ill patients. Methods randomized mechanically ventilated patients expected to stay in intensive unit (ICU) for 4 days. used indirect calorimetry determine energy expenditure guide caloric provision (HPE) group control group. Protein intakes were 1.48 g/kg/day 1.19 medians respectively; while former was submitted two daily sessions...
OBJETIVO: Avaliar a tendência da concentração plasmática e do clearance de procalcitonina (PCT-c) como biomarcadores prognóstico pacientes com sepse grave choque séptico, comparado um outro marcador precoce representado pelo número critérios SIRS no momento diagnóstico sepse. MÉTODOS: Estudo coorte prospectivo observacional onde foram incluídos séptico. A sérica foi determinada após 24 48 horas. Foram coletados dados demográficos, escore APACHE IV, SOFA na chegada, diagnóstico, sitio...
Physiotherapy is one of the most important components therapy for osteoarthritis knee. The objective this prospective case series was to assess efficiency a guidance manual patients with knee in relation pain, range movement , muscle strength and function, active goniometry, test function.Thirty-eight adults (>or= 45 years old) who were referred physiotherapy service at university hospital (Santa Casa de Misericórdia São Paulo) studied. Patients received practice specific physical exercises...
OBJECTIVE: To compare intensive insulin therapy to conventional glycemic control in patients with acute neurological injury evaluating outcome and morbimortality. METHOD: Patients two glycemias above 150 mg/dL 12 hours after admission were randomized receive (G1) or treatment (G2). We evaluated a subgroup of brain from July, 2004 June, 2006. RESULTS: G1 (n=31) received 70.5 (45.1-87.5) units insulin/day while G2 (n=19) 2 (0.6-14.1) units/day (p<0.0001). The median glycemia was comparable...
To evaluate differences in outcomes for an optimized calorie and high protein nutrition therapy versus standard care critically ill adult patients.We randomized patients expected to stay the intensive unit at least 3 days. In group, caloric intake was determined by indirect calorimetry, established 2.0 2.2g/kg/day. The control group received 25kcal/kg/day of calories 1.4 1.5g/kg/day protein. primary outcome physical component summary score obtained 6 months. Secondary included handgrip...
Cognitive dysfunction is an important long-term complication of critical illness associated with reduced quality life, increase in healthcare costs, and institutionalization. Delirium, acute form brain that common during has been shown to be cognitive dysfunction. The aim this prospective cohort study was estimate the prevalence severity unselected population medical surgical ICU patients.This observational included all adult patients admitted (13 beds) (32 ICUs a tertiary hospital over...
Society Of Critical Care Medicine 29Th Educational And Scientific Symposium; Orlando, Florida, Usa; February 11-15, 2000: Poster Presentations
To compare the effect of parenteral versus enteral nutritional support in severe acute pancreatitis, with respect to efficacy, safety, morbidity, mortality and length hospitalization.The study was comprised 31 patients, divided into a group (n=16) an (n=15), who met severity criteria for abdominal tomography (Balthazar classes C, D, E). The patients were compared by demographics, disease etiology, antibiotic prophylaxis, use or not somatostatin, support, complications progression.There no...
OBJETIVOS: Pacientes com câncer criticamente enfermos têm maior risco de lesão renal aguda, mas estudos envolvendo estes pacientes são escassos, e todos em centros únicos realizados unidades terapia intensiva especializadas. O objetivo deste estudo foi avaliar as características desfechos uma coorte prospectiva internados diversas aguda. MÉTODOS: Estudo prospectivo multicêntrico realizado 28 hospitais brasileiros um período dois meses. Foram utilizadas regressões logísticas univariada...
<title>Abstract</title> <bold>Background</bold> Sepsis and septic shock represent major challenges in terms of patient mortality. Despite numerous studies involving various drugs interventions, effective results have not been demonstrated. Recently, the role thiamine critically ill patients has gained attention. In this study, we aimed to assess impact supplemental on clinical outcomes with shock. <bold>Methods</bold> This retrospective before-after study included with: 1) an age ≥ 18 years...
The incidence of relative adrenal insufficiency (RAI) in patients with septic shock is high and has a significant impact on survival. purpose this study was to determine whether random cortisol concentration < 25 mg/dL as good low dose (1 mg) corticotrophin stimulation test the diagnosis RAI assessed by hemodynamic response hydrocortisone.Patients were randomized single determination or test. After blood collection determinations, hydrocortisone (100 mg every 8 hrs) administered for all...
Teniendo en común la pérdida involuntaria de orina, las fístulas uro-genitales y incontinencia urinaria esfuerzo, son sin embargo, entidades distintas desde el punto vista etiológico, pronóstico terapéutico.Desde un principio nos pareció difícil e injustificado su estudio conjunto, razón por cual resolvimos tratarlas separado, siendo capítulo " Fístulas uro-genitales" tratado B. Neme, otro colega "La esfuerzo".
Abstract Background: Multiple organ dysfunction syndrome (MODS) is an important cause of morbidity and mortality in the Intensive Care Unit (ICU). Sequential Organ Failure Assessment (SOFA) scores, determined upon ICU admission, can identify patients at risk unfavorable outcomes trigger assessment application interventional approaches, which effectiveness be evaluated by determining SOFA score trend after 48 hours. Herein, we impact admission ≥ 2 48-hour delta SOFA, on critically ill...
Abstract Background: Up to 20% of patients with COVID-19 get critically ill and require intensive care unit (ICU)admission. At hospital discharge, most still have physical mental limitations, which affect their quality life. Pulmonaryfunctional alterations in vary from the absence functional abnormalities restrictive diffusion impairments. We aimed describe pulmonary function as well impact on 6-minute walk test (6 MWT) SF-36 component summary (PCS) score at ≥ 3 months after discharge....