Cristiano Augusto Franke
A5045158271- Organ Donation and Transplantation
- Organ Transplantation Techniques and Outcomes
- Renal Transplantation Outcomes and Treatments
- Cardiac Arrest and Resuscitation
- Grief, Bereavement, and Mental Health
- Palliative Care and End-of-Life Issues
- Transplantation: Methods and Outcomes
- Liver Disease and Transplantation
- Nosocomial Infections in ICU
- Healthcare Regulation
- Health, psychology, and well-being
- Antibiotic Use and Resistance
- Family and Patient Care in Intensive Care Units
- Disaster Response and Management
- Anesthesia and Sedative Agents
- Blood donation and transfusion practices
- Epilepsy research and treatment
- Neonatal Respiratory Health Research
- Sepsis Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Burn Injury Management and Outcomes
- Palliative and Oncologic Care
- Injury Epidemiology and Prevention
- Reproductive Health and Technologies
- Anesthesia and Neurotoxicity Research
Hospital de Clínicas de Porto Alegre
2014-2024
Brazilian Research in Intensive Care Network
2023
Universidade Federal do Rio Grande do Sul
2019-2021
Hospital de Clínicas
2019
Brazilian Medical Association
2012
Associação de Medicina Intensiva Brasileira
2011
familiar, da manutenção clínica do doador falecido e de contraindicações mal atribuídas.
Limited data is available to evaluate the burden of device associated healthcare infections (HAI) [central line bloodstream infection (CLABSI), catheter urinary tract (CAUTI), and ventilator pneumonia (VAP)] in low and-middle-income countries. Our aim investigate population attributable mortality fraction absolute difference HAI a broad critically ill patients from Brazil. Multicenter cohort study September 2019 December 2023 with prospective individual patient collection. VAP, CLABSI, CAUTI...
There is a relative shortage of appropriate organs available for transplantation. The diagnosis brain death, suitable family approach and the maintenance deceased donor are fundamental in addressing this issue. intensive care physician plays key role donor, thereby reducing losses increasing number successful transplants.
A atuação do intensivista durante a manutenção potencial doador falecido na busca da redução de perdas doadores e aumento efetivação transplantes não se restringe aos aspectos hemodinâmicos. O adequado controle endócrino-metabólico é essencial para aporte energético tecidos hidro-eletrolítico, favorecendo inclusive estabilidade hemodinâmica. abordagem das alterações hematológicas igualmente importante considerando as implicações prática transfusional inapropriada. Ressalta-se ainda o papel...
Abstract Objective To contribute to updating the recommendations for brain-dead potential organ donor management. Method A group of 27 experts, including intensivists, transplant coordinators, surgeons, and epidemiologists, joined a task force formed by General Coordination Office National Transplant System/Brazilian Ministry Health (CGSNT-MS), Brazilian Association Intensive Care Medicine (AMIB), Organ Transplantation (ABTO), Research in Network (BRICNet). The questions were developed...
A morte encefálica induz várias alterações fisiopatológicas que podem causar lesões em rins, pulmões, coração e fígado. Portanto, a atuação do intensivista durante manutenção potencial doador falecido exige cuidados específicos com estes órgãos visando sua maior viabilidade para transplantes. O manejo hemodinâmico cuidadoso, os ventilatórios de higiene brônquica minimizam perda rins pulmões o transplante. avaliação da condição morfológica funcional auxilia na transplantável deste órgão. Por...
Introduction There is an increasing demand for multi-organ donors organ transplantation programmes. This study protocol describes the Donation Network to Optimise Organ Recovery Study, a planned cluster randomised controlled trial that aims evaluate effectiveness of implementation evidence-based, goal-directed checklist brain-dead potential donor management in intensive care units (ICUs) reducing loss due cardiac arrest. Methods and analysis The will include ICUs at least 60 Brazilian sites...
The philosophy of organ allocation is the result two seemingly irreconcilable principles: utilitarianism and distributive justice. process donation transplantation in Brazil reveals large inequalities between regions units Federation, from harvesting organs to their implantation. In this context, lung performed only a few centers country still treatment with limited long-term results. harvested for procedures defined mainly by chronology, criterion that not linked necessity, which justice,...
To contribute to updating the recommendations for brain-dead potential organ donor management.A group of 27 experts, including intensivists, transplant coordinators, surgeons, and epidemiologists, answered questions related following topics were divided into mechanical ventilation, hemodynamics, endocrine-metabolic management, infection, body temperature, blood transfusion, checklists use. The outcomes considered cardiac arrests, number organs removed or transplanted as well function /...
This article describes the intensive care unit’s experience of a teaching hospital in Southern Brazil during COVID-19 pandemic. Medical staff’s exhaustion and impossibility communication between patients families motivated creative larger intervention system. Physicians from other units volunteered to become communicating force, bridge intensivists patients’ keep them informed about patient’s medical status, assist their evolving needs. The project developed such way that weekly online...
Importance The effectiveness of goal-directed care to reduce loss brain-dead potential donors cardiac arrest is unclear. Objective To evaluate the an evidence-based, checklist in clinical management intensive unit (ICU). Design, Setting, and Participants Donation Network Optimize Organ Recovery Study (DONORS) was open-label, parallel-group cluster randomized trial Brazil. Enrollment follow-up were conducted from June 20, 2017, November 30, 2019. Hospital ICUs that reported 10 or more brain...
Abstract Background The quality of clinical care brain-dead potential organ donors may help reduce donor losses caused by irreversible or unreversed cardiac arrest and increase the number organs donated. We sought to determine whether an evidence-based, goal-directed checklist for management in intensive units (ICUs) can arrest. Methods/design DONORS study is a multicentre, cluster-randomised controlled trial with 1:1 allocation ratio designed compare intervention group (goal-directed...
Background and aims: Nowadays, children continue to die because of scarcity available organs for transplants. Policies increase the notification brain death (BD) impact positively process organ donation transplantations in pediatric patients. Aims: To describe evolution BD diagnosis experience a reference general hospital PICU an interval 6 years. Methods: Were selected retrospective study medical records (<18years) admitted referral Brazilian between 2007 2012 that had confirmed BD....
Background: The effectiveness of evidence-based, goal-directed care to reduce losses brain-dead potential organ donors through cardiac arrest is unclear. DONORS aimed determine whether guiding clinical management with an evidence-based checklist can arrest.Methods: This open cluster randomized trial assigned adult intensive units from hospitals across Brazil 10 or more annual brain death reports guide the (intervention group) maintain usual without (control group). Intervention group was...