You searched for:"Rafael Lisboa de Souza"
We found (5) results for your search.-
Original Article
New procedures for the confirmation of brain death in Brazil: results from the Central Estadual de Transplantes de Santa Catarina
Rev Bras Ter Intensiva. 2021;33(2):290-297
Abstract
Original ArticleNew procedures for the confirmation of brain death in Brazil: results from the Central Estadual de Transplantes de Santa Catarina
Rev Bras Ter Intensiva. 2021;33(2):290-297
DOI 10.5935/0103-507X.20210037
Views1See moreABSTRACT
Objective:
To analyze the impact of Resolution 2.173/2017 of the Federal Council of Medicine on results from the Central Estadual de Transplantes de Santa Catarina.
Methods:
This was a cross-sectional observational study of medical records of all patients (1,605) with suspected brain death notified to the Central Estadual de Transplantes de Santa Catarina; for this study, procedures to confirm this diagnosis were initiated between July 2016 and December 2017 and between January 2018 and June 2019. The median duration of the protocol in each period was considered for the comparison between the intervals. The collected data were transformed into rates (per million population). The mean rates for the periods before and after the implementation of the protocol were analyzed by Student’s t-test, and qualitative variables were analyzed by Pearson’s chi-squared test.
Results:
The mean duration of brain death confirmation procedures decreased more than 1 hour in the second period compared to the first period, with statistical significance (p = 0.001). The rates of harvested livers and transplanted pancreas, the number of notifications by hospital size and the rate of cardiac arrest in the macro-region of the Itajaí Valley were significantly different between the two periods.
Conclusion:
In the period after the new resolution on brain death, there was a reduction in the duration for diagnosis. However, other indicators did not change significantly, providing evidence for the multidimensional nature of the organ transplantation process in Santa Catarina and the need for further studies to better understand and optimize the process.
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Special Articles
Guidelines for the assessment and acceptance of potential brain-dead organ donors
Rev Bras Ter Intensiva. 2016;28(3):220-255
Abstract
Special ArticlesGuidelines for the assessment and acceptance of potential brain-dead organ donors
Rev Bras Ter Intensiva. 2016;28(3):220-255
DOI 10.5935/0103-507X.20160049
Views0See moreABSTRACT
Organ transplantation is the only alternative for many patients with terminal diseases. The increasing disproportion between the high demand for organ transplants and the low rate of transplants actually performed is worrisome. Some of the causes of this disproportion are errors in the identification of potential organ donors and in the determination of contraindications by the attending staff. Therefore, the aim of the present document is to provide guidelines for intensive care multi-professional staffs for the recognition, assessment and acceptance of potential organ donors.
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Special Articles
Guidelines for potential multiple organ donors (adult). Part III: organ-specific recommendations
Rev Bras Ter Intensiva. 2011;23(4):410-425
Abstract
Special ArticlesGuidelines for potential multiple organ donors (adult). Part III: organ-specific recommendations
Rev Bras Ter Intensiva. 2011;23(4):410-425
DOI 10.1590/S0103-507X2011000400005
Views0See moreBrain death (BD) alters the pathophysiology of patients and may damage the kidneys, the lungs, the heart and the liver. To obtain better quality transplant organs, intensive care physicians in charge of the maintenance of deceased donors should attentively monitor these organs. Careful hemodynamic, ventilatory and bronchial clearance management minimizes the loss of kidneys and lungs. The evaluation of cardiac function and morphology supports the transplant viability assessment of the heart. The monitoring of liver function, the management of the patient’s metabolic status and the evaluation of viral serology are fundamental for organ selection by the transplant teams and for the care of the transplant recipient
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Special Articles
Guidelines for potential multiple organ donors (adult): part I. Overview and hemodynamic support
Rev Bras Ter Intensiva. 2011;23(3):255-268
Abstract
Special ArticlesGuidelines for potential multiple organ donors (adult): part I. Overview and hemodynamic support
Rev Bras Ter Intensiva. 2011;23(3):255-268
DOI 10.1590/S0103-507X2011000300003
Views0See moreThere is a relative shortage of appropriate organs available for transplantation. The appropriate diagnosis of brain death, a suitable family approach and the maintenance of the deceased donor are fundamental in addressing this issue. The intensive care physician plays a key role in the maintenance of the deceased donor, thereby reducing losses and increasing the number of successful transplants
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Special Articles
Guidelines for potential multiple organ donors (adult): part II. Mechanical ventilation, endocrine metabolic management, hematological and infectious aspects
Rev Bras Ter Intensiva. 2011;23(3):269-282
Abstract
Special ArticlesGuidelines for potential multiple organ donors (adult): part II. Mechanical ventilation, endocrine metabolic management, hematological and infectious aspects
Rev Bras Ter Intensiva. 2011;23(3):269-282
DOI 10.1590/S0103-507X2011000300004
Views0See moreThe role of intensive care specialists in the maintenance of deceased potential donors is not restricted to hemodynamics. Appropriate endocrine-metabolic management is fundamental to maintaining energy support and hydroelectrolytic control, which cooperate for hemodynamic stability. Hematological changes are also important, especially considering the issues caused by inappropriate transfusions. In addition, this article discusses the role of appropriate protective ventilation to prevent inflammatory responses and to provide more transplantable lungs. Finally, judicious assessment of infections and antibiotic therapy is discussed
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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