A5087646721- Dialysis and Renal Disease Management
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Acute Kidney Injury Research
- Muscle and Compartmental Disorders
- Body Contouring and Surgery
- Emergency and Acute Care Studies
- Ultrasound in Clinical Applications
- Public Health in Brazil
- Renal function and acid-base balance
- Central Venous Catheters and Hemodialysis
- Cardiac, Anesthesia and Surgical Outcomes
- Bee Products Chemical Analysis
- Palliative Care and End-of-Life Issues
- Health, Nursing, Elderly Care
- Electrolyte and hormonal disorders
- Insect and Pesticide Research
- Simulation-Based Education in Healthcare
- Climate Change and Health Impacts
- Intracranial Aneurysms: Treatment and Complications
- Innovations in Medical Education
- Family and Patient Care in Intensive Care Units
- Essential Oils and Antimicrobial Activity
- Geriatric Care and Nursing Homes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Hospital São Rafael
2008-2023
D’Or Institute for Research and Education
2021-2022
Hospital Pitangueiras
2022
Centro de Estudos e Pesquisas em Educação, Cultura e Ação Comunitária
2018-2021
University of Messina
2018-2021
Escola Bahiana de Medicina e Saúde Pública
2005-2018
Intensive Care Society
2018
Sociedade Brasileira de Oncologia Clínica
2017
Rafael Advanced Defense Systems (Israel)
2004
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) promotes challenging immune and inflammatory phenomena. Though various therapeutic possibilities have been tested against disease 2019 (COVID-19), the most adequate treatment has not yet established. Propolis is a natural product with considerable evidence of immunoregulatory anti-inflammatory activities, experimental data point to potential viral targets. We hypothesized that propolis can reduce negative effects COVID-19.In...
This study aimed to identify predictors of early (7-day) mortality in patients with septic acute kidney injury (AKI) who required continuous renal replacement therapy (CRRT). Prospective cohort 186 AKI undergoing CRRT at a tertiary hospital, from October 2005 November 2010. After multivariate adjustment, five variables were associated mortality: norepinephrine utilization, liver failure, medical condition, lactate level, and pre-dialysis creatinine level. These combined score, which...
The aim of the study was to assess clinical utility lactate measured at different time points predict mortality 48 hours and 28 days in septic patients with acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT). Consecutive critically ill AKI CRRT were prospectively studied. Variables collected initiation 24 later. In total, 186 analyzed. Overall 28% 69%. Initial lactate, proportion a clearance superior 10% between survivors [2.0 mmol/L, 1.95 mmol/L 18/45 (40%)]...
The Latin American Society of Nephrology and Arterial Hypertension's Dialysis Transplant Registry was chartered in 1991. It collects information on ESRD its treatment 20 countries the region. prevalence patients renal replacement therapy (RRT) increased from 129 pmp 1992 to 447 2004; 2004, 56% were hemodialysis, 23% peritoneal dialysis, 21% had a functioning kidney graft. highest rates reported Puerto Rico (1027 pmp), Chile (686 Uruguay (683 pmp). Hemodialysis widely used, except El...
Abstract Background Intradialytic hypotension, a complication of intermittent hemodialysis, decreases the efficacy dialysis and increases long-term mortality. This study was aimed to determine whether different predialysis ultrasound cardiopulmonary profiles could predict intradialytic hypotension. Methods prospective observational single-center performed in 248 critically ill patients with acute kidney injury undergoing hemodialysis. Immediately before vena cava collapsibility measured by...
Among candidate treatment options for COVID-19, propolis, produced by honey bees from bioactive plant exudates, has shown potential against viral targets and demonstrated immunoregulatory properties. We conducted a randomized, controlled, open-label, single center trial, with standardized propolis product (EPP-AF) on hospitalized adult COVID-19 patients. Patients received standard care plus at an oral dose of 400mg/day (n=40) or 800mg/day (n=42) seven days, alone (n=42). Standard included...
To assess the effect of implementation a palliative care program on do-not-resuscitate orders and intensive unit utilization during terminal hospitalizations.
To study different prognostic indexes in acute renal failure (ARF) patients admitted to an intensive care unit (ICU).Prospective, cohort study. Individual Severity Score-Acute Tubular Necrosis (ISS-ATN) obtained prospectively and retrospectively, Acute Physiologic Chronic Health Evaluation (APACHE II) Score, APACHE II Risk, Lung Injury Score (LIS), Number of Organ Failures (NOF) were calculated for each patient. The outcome analyzed was death the ICU. Discrimination evaluated by area under...
Background:In patients with end-stage renal disease, the use of cuffed, tunneled dialysis catheters for hemodialysis has become integral to treatment plans. Fluoroscopy is a widely accepted method insertion and positioning cuffed catheters, because it easy use, accurate reliable, relatively low incidence complications. The purpose our study was evaluate feasibility catheter placement without fluoroscopy but dynamic ultrasound-imaging-based guided technique. Methods:From January 2015 December...
Patients on haemodialysis (HD) present a significant inflammatory status, which has pronounced negative impact their outcomes. Propolis is natural resin with anti-inflammatory and immunomodulatory properties. We assessed the safety of standardized Brazilian green propolis extract (EPP-AF®) status in patients under conventional HD. were assigned to receive 200 mg/day EPP-AF® for 4 weeks followed by without drug, changes plasma levels interleukins (ILs), interferon gamma (IFN-γ), tumour...
Renal replacement therapy is recommended to be initiated immediately in patients with life-threatening acute kidney injury (AKI)−related symptoms. Ultrasound-guided insertion of hemodialysis catheter for vascular access.1Frykholm P. Pikwer A. Hammarskjöld F. et al.Clinical guidelines on central venous catheterisation.Acta Anaesthesiol Scand. 2014; 58: 508-524Crossref PubMed Scopus (132) Google Scholar, 2Lamperti M. Bodenham A.R. Pittiruti al.International evidence-based recommendations...
ABSTRACT Background: Simulations are becoming widely used in medical education, but there is little evidence of their effectiveness on neurocritical care. Because acute stroke a neurological emergency demanding prompt attention, it promising candidate for simulation training. Objective: To assess the impact realistic course clinicians’ self-perception confidence management stroke. Methods: We conducted controlled, before-after study. For our intervention, 17 healthcare professionals...
Background. Studies conducted in several countries have indicated that the survival of patients undergoing renal replacement therapy (RRT) depends on attributed cause end-stage disease (ESRD). Objectives. This study was to evaluate association between ESRD and mortality risk RRT Brazil. Methods. We analyzed 88,881 from Brazilian Ministry Health Registry who were April 1997 July 2000. Cox proportional hazards models used estimate relative (RR) death with secondary diabetes mellitus (DM),...
Objectives Prognostication is an essential ability to clinicians. Nevertheless, it has been shown be quite variable in acutely ill patients, potentially leading inappropriate care. We aimed assess the accuracy of physician’s prediction hospital mortality deteriorating patients referred for urgent intensive care unit (ICU) admission. Methods Prospective cohort ICU admission academic, tertiary hospital. Physicians’ prognosis assessments were recorded at referral. Prognosis was assessed as...
Metabolic acid–base disorders, especially metabolic acidosis, are common in critically ill patients who require renal replacement therapy. Continuous veno-venous hemodiafiltration (CVVHDF) achieves profound changes status, but acidosis can remain unchanged or even deteriorate some patients. The objective of this study is to understand the variables with septic associated acute kidney injury (SA-AKI) during CVVHDF and determine how they relate clinical outcome. Observational 200 subjects...
Silveira, Marcelo D.; de Souza, Sergio P.; Dultra, Isadora G.; Santos, Ludmila B.; Lopes, Marcelo; Conceição, Luis M.; Batista, Paulo benigno Passos, Rogerio Author Information