A5056952841- Organ Transplantation Techniques and Outcomes
- Liver Disease and Transplantation
- Liver Disease Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Anesthesia and Sedative Agents
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hemodynamic Monitoring and Therapy
- Health and Medical Studies
- Blood transfusion and management
- Clinical Nutrition and Gastroenterology
- Blood donation and transfusion practices
- Anesthesia and Neurotoxicity Research
- Cardiac Arrest and Resuscitation
- Ethics in medical practice
- Surgical Simulation and Training
- Bariatric Surgery and Outcomes
- Non-Invasive Vital Sign Monitoring
- Restraint-Related Deaths
- Congenital Anomalies and Fetal Surgery
- Artificial Intelligence in Healthcare and Education
- Congenital Heart Disease Studies
- Trauma Management and Diagnosis
- Neurological Complications and Syndromes
- Abdominal Surgery and Complications
Hospital Israelita Albert Einstein
2003-2025
Hospital Alemão Oswaldo Cruz
2005
Hospital São Paulo
2004
NHS Blood and Transplant
2003
Baylor University Medical Center
1989-1990
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
1986
Perioperative bleeding and transfusion are important causes of morbidity mortality in patients undergoing liver transplantation. The aim this study is to assess whether viscoelastic tests-guided therapy with the use synthetic factor concentrates impact rates hemocomponents adult This an interventional before-after comparative study. Patients transplantation before implementation a protocol using thromboelastometry were compared after implementation. Primary outcome was any hemocomponents....
Pulmonary aspiration of gastric residues during anesthesia is a potentially fatal complication for which no specific treatment available. The primary way to prevent its occurrence in the context elective surgeries adherence fasting protocols. However, some clinical conditions can prolong emptying time, and risk may exist despite adequate fasting. Recognizing factors gastroparesis allows adoption preventive methods reduce morbidity mortality [...]
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...
ABSTRACT Perioperative monitoring of coagulation is vital to assess bleeding risks, diagnose deficiencies associated with hemorrhage, and guide hemostatic therapy in major surgical procedures, such as liver transplantation. Routine static tests demand long turnaround time do not platelet function; they are determined on plasma at a standard temperature 37°C; hence these ill-suited for intraoperative use. In contrast, methods which evaluate the viscoelastic properties whole blood,...
The effects of cold liver preservation with two solutions, EuroCollins and University Wisconsin, were compared in terms hepatic function hemodynamic parameters obtained intraoperatively during orthotopic transplantation. Data from 101 consecutive transplants analyzed retrospectively, comparing 50 grafts preserved EC 51 UW solution. Hepatic hemodynamics included portal venous arterial flows, determined an electromagnetic flowmeter. Vascular pressures, blood gases pH measurements directly the...
Introduction Robotic-assisted surgery (RAS) has emerged as an alternative minimally invasive surgical option. Despite its growing applicability, the frequent need for pneumoperitoneum and Trendelenburg position could significantly affect respiratory mechanics during RAS. AVATaR is international multicenter observational study aiming to assess incidence of postoperative pulmonary complications (PPC), characterise current practices mechanical ventilation (MV) evaluate a possible association...
Ramsay, Michael A. E. MD; Takaoka, Flavio Brown, Marc R. Rosenlöf, Paul BSc Author Information
Hydrothorax is a frequent finding in patients with end-stage liver disease. During the hepatectomy phase of transplantation, it often needed to evacuate large pleural effusions. The acute expansion collapsed lung can cause reexpansion pulmonary edema variable clinical significance. However, this complication has rarely been reported after transplantation. In conclusion, we report on an overwhelming during transplantation that rapidly led patient's demise and speculate if condition not under...
Perioperative risk factors and the incidence of ARDS were analyzed retrospectively in 198 patients who received 226 liver transplants. was diagnosed following 10 these transplant procedures (4.5%); 8/10 died. Clinical signs did not develop until 4th postoperative day (range 4–14th d). Sepsis syndrome occurred all patients. Blood blood product utilization similar non‐ARDS groups. The single‐graft recipients 2.7%, compared with 21% receiving 2 or more grafts. Intraoperative events could be...
Data collection for clinical research can be difficult, and electronic health record systems facilitate this process. The aim of study was to describe evaluate the secondary use records in data an observational study. We used Cerner Millennium®, software, following these steps: (1) crossing between study’s case report forms record; (2) development a manual method not recorded [...]
Including a medical residency program at philanthropic hospital with clinical team open to innovation, such as the one Hospital Israelita Albert Einstein often prompts questions about role of physicians on our and academic community in physician education.How can this be justified amid continuing increase programs for new specialties?In 2004 we implemented first adult intensive care.Today, 9 years later, have 74 residents training 11 active programs.In addition, three specialties will...