A5049099650- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Nausea and vomiting management
- Anesthesia and Sedative Agents
- Tracheal and airway disorders
- Esophageal and GI Pathology
- Pediatric Pain Management Techniques
- Obstructive Sleep Apnea Research
- Pain Management and Opioid Use
- Enhanced Recovery After Surgery
- Intraocular Surgery and Lenses
- Connective tissue disorders research
- Music Therapy and Health
- Cardiovascular and Diving-Related Complications
- Sharing Economy and Platforms
- Family and Patient Care in Intensive Care Units
- Hernia repair and management
- Gastroesophageal reflux and treatments
- Anesthesia and Neurotoxicity Research
- Vascular Anomalies and Treatments
- Neurosurgical Procedures and Complications
- Infant Development and Preterm Care
- Nerve Injury and Rehabilitation
- Intraoperative Neuromonitoring and Anesthetic Effects
Universidade de São Paulo
2022
Pontifícia Universidade Católica de São Paulo
2012-2022
Medicina
2016
Universidade de Sorocaba
2003-2009
Universidade Estadual Paulista (Unesp)
2007-2009
Sociedade Brasileira de Anestesiologia
2009
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2009
Mediterranean Universities Union
2004
State University of Medan
2004
Background Ketamine has been used as part of the multimodal analgesia technique in acute perioperative period. The effect intravenous small‐dose ketamine on quality recovery from patient point‐of‐view not assessed. We hypothesized that low‐dose would enhance following laparoscopic cholecystectomy under total anesthesia. Methods One hundred thirty five patients undergoing were enrolled this randomized, double‐blind placebo‐controlled trial. Subjects randomly assigned to one three groups:...
JUSTIFICATIVA E OBJETIVOS: A ansiedade pré-operatória na criança é caracterizada por tensão, apreensão, nervosismo e preocupação pode ser expressa de diversas formas. Alterações comportamento no pós-operatório como enurese noturna, distúrbios alimentares, apatia, insônia, pesadelos sono agitado podem resultado desta ansiedade. Em algumas crianças, estas alterações persistem até um ano. O objetivo deste trabalho avaliar os aspectos envolvidos com a que afeta pais durante o período antecede...
For patients undergoing regional anesthesia for orthopedic surgery, a common situation in our work environment, the quality of recovery may be influenced different ways, which justifies studies to identify possible predictive factors dissatisfaction. The aim this study was assess opinion on from lower limb surgeries. We also identified potential poor recovery.We evaluated surgeries and able participate study. Data related anesthesia, complications post-anesthetic care unit (PACU) ward were...
JUSTIFICATIVA E OBJETIVOS: Eventos considerados "menores" têm assumido papel fundamental na determinação da qualidade do serviço prestado área Anestesiologia. O objetivo presente estudo foi avaliar as principais preocupações dos pacientes em relação ao período pós-anestésico e testar a hipótese de que os efeitos mais indesejados podem ser influenciados por características demográficas. MÉTODO: Um questionário respondido 440 imediatamente antes avaliação pré-anestésica. Foram listados...
For patients undergoing regional anesthesia for orthopedic surgery, a common situation in our work environment, the quality of recovery may be influenced different ways, which justifies studies to identify possible predictive factors dissatisfaction. The aim this study was assess opinion on from lower limb surgeries. We also identified potential poor recovery.We evaluated surgeries and able participate study. Data related anesthesia, complications post-anesthetic care unit (PACU) ward were...
The use of low-pressure pneumoperitoneum seems to be capable reducing complications such as post-operative pain. However, the quality evidence supporting this conclusion is low. Both lack investigator blinding both intra-abdominal pressure and method neuromuscular blockade represent key sources bias. Hence, prospective, randomised, double-blind study aimed compare recovery (Questionnaire QoR-40) patients undergoing laparoscopic cholecystectomy under standard-pressure pneumoperitoneum. We...
Patients with ventriculoperitoneal shunt (VPS) represent an additional concern when neuroaxis block is indicated, especially in obstetrics. Currently, a consensus on the anesthetic technique of choice those cases does not exist literature. The objective this report was to describe case cesarean section under subarachnoid blockade patient VPS. This 28 years old pregnant at term, her second pregnancy, one prior delivery, seven ago, no history miscarriages, and pre-natal care without...
JUSTIFICATIVA E OBJETIVOS: Apesar da baixa incidência, a aspiração pulmonar do conteúdo gástrico pode ter conseqüências devastadoras para o indivíduo. A diminuição na função esfíncter esofágico e dos reflexos protetores das vias aéreas causadas pela depressão consciência, predispõe os pacientes esta grave complicação. Neste artigo, foi realizada uma revisão aspectos fisiológicos associados ao refluxo gastroesofágico, bem como métodos utilizados preveni-lo. CONTEÚDO: São feitos comentários...
Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber syndrome, is an autosomal dominant disorder characterized by mucocutaneous and visceral vascular dysplasia associated with frequent episodes of epistaxis gastrointestinal bleeding. The objective this report was to describe the anesthesia a patient syndrome. A 25 years old male underwent surgical correction orbital fracture. He had triad recurrent epistaxis, family history, telangiectasia, been diagnosed HHT....
"Minor" events have a fundamental role in the determination of quality Anesthesiology service. The objective present study was to evaluate main concerns patients regarding post-anesthetic period and test hypothesis that most undesirable effects can be influenced by demographic characteristics. Four hundred forty answered questionnaire immediately before pre-anesthetic evaluation. Possible immediate postoperative period, based on data gathered literature considering criterion frequency but...
Despite its low incidence, aspiration of pulmonary gastric contents may have devastating consequences. Esophageal sphincter function and protective airway reflexes decrease caused by conscience depression, predisposes patients to this severe complication. This article is a review physiological aspects associated gastroesophageal reflux, as well the methods prevent it.Comments are made about mechanisms involved in aspiration, consequences preventive methods, including recent preoperative...
Historically the fractures of proximal femur have been a challenge for orthopaedic surgeon, because high number hardware failures and mortality rate. The social medical importance these is increasing will be higher in future improved life expectancy osteoporosis. development new material as well design devices results treatment this kind fractures. plate was choice fractures, but incidence non-unions led to introduction Gamma nail which initiated revolution concept main target restore...
Preoperative pediatric anxiety is characterized by stress, worry, nervosism and concern may be expressed in different ways. Postoperative behavior changes, such as nocturnal enuresis, dietary problems, apathy, insomnia, nightmares agitated sleep results of this anxiety. In some children, these changes persist for one year. This study aimed at evaluating anxiety-related aspects affecting children parents the preoperative period, well pharmacological or non-pharmacological interventions to...
Intrathecal morphine is widely and successfully used to prevent postoperative pain after orthopedic surgery, but it frequently associated with side effects. The aim of this study was evaluate the effect dexamethasone or ondansetron when compared placebo reduce occurrence these undesirable effects and, consequently, improve quality recovery based on patient's perspective. Methods. One hundred thirty-five patients undergoing lower extremity surgery under spinal anesthesia using bupivacaine...
A anestesia peribulbar surgiu como uma opção mais segura quando comparada com o bloqueio retrobulbar intraconal. Ainda assim, a não pode ser considerada isenta de riscos. Inúmeras complicações foram descritas da aplicação dessa técnica. O presente relato tem objetivo descrever um caso raro caracterizado por amaurose e paralisia contralaterais tentativa se fazer peribulbar. Paciente masculino, 75 anos, estado físico ASA II, submetido à facectomia facoemulsificação implante lente intraocular....
Peribulbar anesthesia has emerged as a safer option compared with intraconal retrobulbar block. Still, peribulbar may not be considered without risk. Numerous complications have been described when performing this technique. This report aims to describe rare case of amaurosis and contralateral paralysis while attempting perform anesthesia. Male patient, 75-year old, physical status ASA II, undergoing cataract surgery by phacoemulsification intraocular lens implantation. Sedated fentanyl...
JUSTIFICATIVA E OBJETIVOS: A indução da anestesia por meio técnica de seqüência rápida é utilizada, principalmente, para proteger as vias aéreas, quando há risco aspiração do conteúdo gástrico. O objetivo deste artigo revisar a e os diferentes protocolos que buscam o uso racional dos fármacos disponíveis, visando condições ideais intubação traqueal, sem aumentar gástrico ou outras complicações. CONTEÚDO: Apresenta uma revisão com rápida, enfatizando hipnóticos, opióides bloqueadores...
JUSTIFICATIVA E OBJETIVOS: Nos últimos anos o número de novos usuários agentes ilícitos tem aumentado forma significativa em todo mundo. A maconha e a cocaína, além do álcool tabaco, têm sido os citados com freqüência, porém houve um aumento significativo outros psicoestimulantes ou alucinógenos, como Ecstasy, GHB, LSD metanfetamina, empregados objetivo intensificar as experiências sociais. O presente artigo foi discutir apresentação clínica, efeitos deletérios potenciais interações ato...
JUSTIFICATIVA E OBJETIVOS: Sellick descreveu a importância da pressão aplicada na cartilagem cricóide para prevenção regurgitação do conteúdo gástrico durante indução anestesia. Desde então manobra tem sido universalmente aceita pelos anestesiologistas como um passo fundamental com técnica de seqüência rápida. O presente artigo teve objetivo discutir as indicações, técnica, complicações e os motivos quais alguns autores têm contestado eficácia dessa técnica. CONTEÚDO: Foram revisadas...