You searched for:"Antônio Luis Eiras Falcão"
We found (5) results for your search.-
Original Articles
Reintubation of patients submitted to cardiac surgery: a retrospective analysis
Rev Bras Ter Intensiva. 2017;29(2):180-187
Abstract
Original ArticlesReintubation of patients submitted to cardiac surgery: a retrospective analysis
Rev Bras Ter Intensiva. 2017;29(2):180-187
DOI 10.5935/0103-507X.20170028
Views3See moreABSTRACT
Objectives:
To analyze patients after cardiac surgery that needed endotracheal reintubation and identify factors associated with death and its relation with the severity scores.
Methods:
Retrospective analysis of information of 1,640 patients in the postoperative period of cardiac surgery between 2007 and 2015.
Results:
The reintubation rate was 7.26%. Of those who were reintubated, 36 (30.3%) underwent coronary artery bypass surgery, 27 (22.7%) underwent valve replacement, 25 (21.0%) underwent correction of an aneurysm, and 8 (6.7%) underwent a heart transplant. Among those with comorbidities, 54 (51.9%) were hypertensive, 22 (21.2%) were diabetic, and 10 (9.6%) had lung diseases. Among those who had complications, 61 (52.6%) had pneumonia, 50 (42.4%) developed renal failure, and 49 (51.0%) had a moderate form of the transient disturbance of gas exchange. Noninvasive ventilation was performed in 53 (44.5%) patients. The death rate was 40.3%, and mortality was higher in the group that did not receive noninvasive ventilation before reintubation (53.5%). Within the reintubated patients who died, the SOFA and APACHE II values were 7.9 ± 3.0 and 16.9 ± 4.5, respectively. Most of the reintubated patients (47.5%) belonged to the high-risk group, EuroSCORE (> 6 points).
Conclusion:
The reintubation rate was high, and it was related to worse SOFA, APACHE II and EuroSCORE scores. Mortality was higher in the group that did not receive noninvasive ventilation before reintubation.
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Original Article
Atrial natriuretic factor: is it responsible for hyponatremia and natriuresis in neurosurgery?
Rev Bras Ter Intensiva. 2016;28(2):154-160
Abstract
Original ArticleAtrial natriuretic factor: is it responsible for hyponatremia and natriuresis in neurosurgery?
Rev Bras Ter Intensiva. 2016;28(2):154-160
DOI 10.5935/0103-507X.20160030
Views0See moreABSTRACT
Objective:
To evaluate the presence of hyponatremia and natriuresis and their association with atrial natriuretic factor in neurosurgery patients.
Methods:
The study included 30 patients who had been submitted to intracranial tumor resection and cerebral aneurism clipping. Both plasma and urinary sodium and plasma atrial natriuretic factor were measured during the preoperative and postoperative time periods.
Results:
Hyponatremia was present in 63.33% of the patients, particularly on the first postoperative day. Natriuresis was present in 93.33% of the patients, particularly on the second postoperative day. Plasma atrial natriuretic factor was increased in 92.60% of the patients in at least one of the postoperative days; however, there was no statistically significant association between the atrial natriuretic factor and plasma sodium and between the atrial natriuretic factor and urinary sodium.
Conclusion:
Hyponatremia and natriuresis were present in most patients after neurosurgery; however, the atrial natriuretic factor cannot be considered to be directly responsible for these alterations in neurosurgery patients. Other natriuretic factors are likely to be involved.
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Original Articles – Clinical Research
The effects of orthostatism in adult intensive care unit patients
Rev Bras Ter Intensiva. 2012;24(1):64-70
Abstract
Original Articles – Clinical ResearchThe effects of orthostatism in adult intensive care unit patients
Rev Bras Ter Intensiva. 2012;24(1):64-70
DOI 10.1590/S0103-507X2012000100010
Views0See moreOBJECTIVE: To assess the consciousness level, pulmonary and hemodynamic effects of orthostatic position in intensive care patients. METHODS: This study was conducted from April 2008 to July 2009 in the Adult Intensive Care Unit, Hospital das Clínicas, Universidade Estadual de Campinas, São Paulo, Brazil. Fifteen patients were included who were mechanically ventilated for more than seven days and had the following characteristics: tracheotomized; receiving intermittent nebulization; maximal inspiratory pressure of less than -25 cm H2O; Tobin score less than 105; preserved respiratory drive; not sedated; partial arterial oxygen pressure greater than 70 mm Hg; oxygen saturation greater than 90%; and hemodynamically stable. With inclinations of 0º, 30º and 50º, the following parameters were recorded: consciousness level; blinking reflex; thoracoabdominal cirtometry; vital capacity; tidal volume; minute volume; respiratory muscle strength; and vital signs. RESULTS: No neurological level changes were observed. Respiratory rate and minute volume (V E) decreased at 30% and later increased at 50%; however, these changes were not statistically significant. Abdominal cirtometry and maximal expiratory pressure increased, but again, the changes were not statistically significant. Regarding maximal inspiratory pressure and vital capacity, statistically significant increases were seen in the comparison between the 50º and 0º inclinations. However, tidal volume increased with time in the comparisons between 30º and 0º and between 50º and 0º. Mean blood pressure increased only for the comparison of 50º versus 0º. Heart rate increased with time for the comparisons between 30º and 0º, between 50º and 0º and between 50º and 30º. CONCLUSION: Passive orthostatism resulted in improved tidal volume and vital capacity, maximal inspiratory pressure and increased heart rate and mean blood pressure in critically ill patients.
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Intra-abdominal hypertension associated with acute lung injury: effects on intracranial pressure
Rev Bras Ter Intensiva. 2011;23(2):117-119
Abstract
Intra-abdominal hypertension associated with acute lung injury: effects on intracranial pressure
Rev Bras Ter Intensiva. 2011;23(2):117-119
DOI 10.1590/S0103-507X2011000200002
Views0EDITORIAL Intra-abdominal hypertension associated with acute lung injury: effects on intracranial pressure […]See more -
Original Articles
Factors associated with increased mortality and prolonged length of stay in an adult intensive care unit
Rev Bras Ter Intensiva. 2010;22(3):250-256
Abstract
Original ArticlesFactors associated with increased mortality and prolonged length of stay in an adult intensive care unit
Rev Bras Ter Intensiva. 2010;22(3):250-256
DOI 10.1590/S0103-507X2010000300006
Views0See moreOBJECTIVE: The intensive care unit is synonymous of high severity, and its mortality rates are between 5.4 and 33%. With the development of new technologies, a patient can be maintained for long time in the unit, causing high costs, psychological and moral for all involved. This study aimed to evaluate the risk factors for mortality and prolonged length of stay in an adult intensive care unit. METHODS: The study included all patients consecutively admitted to the adult medical/surgical intensive care unit of Hospital das Clínicas da Universidade Estadual de Campinas, for six months. We collected data such as sex, age, diagnosis, personal history, APACHE II score, days of invasive mechanical ventilation orotracheal reintubation, tracheostomy, days of hospitalization in the intensive care unit and discharge or death in the intensive care unit. RESULTS: Were included in the study 401 patients; 59.6% men and 40.4% women, age 53.8±18.0. The mean intensive care unit stay was 8.2±10.8 days, with a mortality rate of 13.5%. Significant data for mortality and prolonged length of stay in intensive care unit (p <0.0001), were: APACHE II>11, OT-Re and tracheostomy. CONCLUSION: The mortality and prolonged length of stay in intensive care unit intensive care unit as risk factors were: APACHE>11, orotracheal reintubation and tracheostomy.
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KEY WORDS
Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis