Search

Your search keyword '"Extracorporeal membrane oxygenation"' showing total 4 results
Start Over Descriptor "Extracorporeal membrane oxygenation" Search Limiters Full Text Topic intensive care units Publication Year Range Last 3 years Language portuguese
4 results on '"Extracorporeal membrane oxygenation"'

1. Clinical characteristics and outcomes of patients with COVID-19 admitted to the intensive care unit during the first and second waves of the pandemic in Brazil: a single-center retrospective cohort study

Author

Thiago Domingos Corrêa, Thais Dias Midega, Ricardo Luiz Cordioli, Carmen Silvia Valente Barbas, Roberto Rabello Filho, Bruno Caldin da Silva, Moacyr Silva Júnior, Ricardo Kenji Nawa, Fabrício Rodrigues Torres de Carvalho, Gustavo Faissol Janot de Matos, Neide Marcela Lucinio, Rodrigo Dias Rodrigues, Raquel Afonso Caserta Eid, Bruno de Arruda Bravim, Adriano José Pereira, Bento Fortunato Cardoso dos Santos, João Renato Rebello Pinho, Andreia Pardini, Vanessa Damazio Teich, Claudia Regina Laselva, Miguel Cendoroglo Neto, Sidney Klajner, and Leonardo José Rolim Ferraz

Subjects
Coronavirus infections, COVID-19, SARS-CoV-2, Respiration, artificial, Noninvasive ventilation, Extracorporeal membrane oxygenation, Critical care outcomes, Mortality, Intensive care units, Medicine
Abstract

ABSTRACT Objective To describe and compare the clinical characteristics and outcomes of patients admitted to intensive care units during the first and second waves of the COVID-19 pandemic. Methods In this retrospective single-center cohort study, data were retrieved from the Epimed Monitor System; all adult patients admitted to the intensive care unit between March 4, 2020, and October 1, 2021, were included in the study. We compared the clinical characteristics and outcomes of patients admitted to the intensive care unit of a quaternary private hospital in São Paulo, Brazil, during the first (May 1, 2020, to August 31, 2020) and second (March 1, 2021, to June 30, 2021) waves of the COVID-19 pandemic. Results In total, 1,427 patients with COVID-19 were admitted to the intensive care unit during the first (421 patients) and second (1,006 patients) waves. Compared with the first wave group [median (IQR)], the second wave group was younger [57 (46-70) versus 67 (52-80) years; p

Published
2023
Full Text
View/download PDF

2. Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane

Author

Camila França Redivo, Evelise Lima, Anarégia de Pontes Ferreira, Paulo Rogério Scordamaglio, Silvia Vidal Campos, Yeh-Li Ho, and Ascédio José Rodrigues

Subjects
Extracorporeal membrane oxygenation, Bronchoscopy, Respiratory distress syndrome, Intensive care units, Medicine
Abstract

ABSTRACT Objective: To report the experience of performing bronchoscopy in patients who underwent supportive therapy with extracorporeal membrane oxygenation in whom the bronchoscopy was performed. Methods: This was a review of medical records of patients diagnosed with extracorporeal membrane oxygenation and who required diagnostic or therapeutic bronchoscopy. Records included were related to patients admitted to the intensive care unit of Hospital das Clínicas of Faculdade de Medicina of Universidade de São Paulo, between 2014 and 2020. Results: During the study, 16 bronchoscopies were performed in 8 patients admitted to the intensive care unit and who underwent supportive therapy with extracorporeal membrane oxygenation. The mean age of patients was 28.37 years. Four patients were women (50%). A total of 5 (31.25%) therapeutic bronchoscopies and 11 (68.75%) diagnostics were performed. In 5 of patients, material was collected: 4 samples of bronchoalveolar lavage, three collections of transbronchial biopsies, and 1 of endobronchial biopsies. No patient had radiological worsening or hemodynamic complications. One patient (6.25%) had transient desaturation. There was moderate bleeding after transbronchial biopsy in 1 (6.25%) procedure, which was resolved endoscopically. Conclusion: Patients undergoing extracorporeal membrane oxygenation can safely perform diagnostic or therapeutic bronchoscopy provided that they have a detailed indication. Procedures were performed by a specialized bronchoscopy team in intensive care environment and with the assistance of a qualified multidisciplinary team in membrane oxygenation therapy extracorporeal.

Published
2022
Full Text
View/download PDF

3. Clinical characteristics and outcomes of COVID-19 patients admitted to the intensive care unit during the first year of the pandemic in Brazil: a single center retrospective cohort study

Author

Thiago Domingos Corrêa, Thais Dias Midega, Karina Tavares Timenetsky, Ricardo Luiz Cordioli, Carmen Silvia Valente Barbas, Moacyr Silva Júnior, Bruno de Arruda Bravim, Bruno Caldin Silva, Gustavo Faissol Janot de Matos, Ricardo Kenji Nawa, Fabrício Rodrigues Torres de Carvalho, Verônica Neves Fialho Queiroz, Roberto Rabello Filho, Felipe Maia de Toledo Piza, Adriano José Pereira, Marcele Liliane Pesavento, Raquel Afonso Caserta Eid, Bento Fortunato Cardoso dos Santos, Andreia Pardini, Vanessa Damázio Teich, Claudia Regina Laselva, Miguel Cendoroglo Neto, Sidney Klajner, and Leonardo José Rolim Ferraz

Subjects
Coronavirus, COVID-19, Coronavirus infections, SARS-CoV-2, Betacoronavirus, Intensive care units, Respiration, artificial, Noninvasive ventilation, Extracorporeal membrane oxygenation, Critical care outcomes, Mortality, Medicine
Abstract

ABSTRACT Objective: To describe clinical characteristics, resource use, outcomes, and to identify predictors of in-hospital mortality of patients with COVID-19 admitted to the intensive care unit. Methods: Retrospective single-center cohort study conducted at a private hospital in São Paulo (SP), Brazil. All consecutive adult (≥18 years) patients admitted to the intensive care unit, between March 4, 2020 and February 28, 2021 were included in this study. Patients were categorized between survivors and non-survivors according to hospital discharge. Results: During the study period, 1,296 patients [median (interquartile range) age: 66 (53-77) years] with COVID-19 were admitted to the intensive care unit. Out of those, 170 (13.6%) died at hospital (non-survivors) and 1,078 (86.4%) were discharged (survivors). Compared to survivors, non-survivors were older [80 (70-88) versus 63 (50-74) years; p

Published
2021
Full Text
View/download PDF

4. CLINICAL OUTCOME OF PATIENTS UNDERGOING EXTRACORPOREAL MEMBRANE OXYGENATION AFTER MULTIDISCIPLINARY TRAINING

Author

Beatriz Murata Murakami, Mariana Fernandes de Souza, Bruno de Arruda Bravim, Pedro Paulo Levi Pereira, Camila Takao Lopes, Filipe Utuari de Andrade Coelho, and Eduarda Ribeiro dos Santos

Subjects
Medicine (General), Critical Care, tutoria, RT1-120, Nursing, Oxigenação por Membrana Extracorpórea, capacitação profissional, Unidades de Terapia Intensiva, R5-920, Extracorporeal Membrane Oxygenation, Professional Training, Cuidados Críticos, Capacitação Profissional, Tutoria, unidades de terapia intensiva, Mentoring, Intensive Care Units, Pacientes graves, equipe multiprofisisonal, enfermagem, Tutoría, Unidades de Cuidados Intensivos, Oxigenación por Membrana Extracorpórea, Capacitación Profesional, General Nursing, cuidados críticos, oxigenação por membrana extracorpórea, Public aspects of medicine, RA1-1270
Abstract

RESUMO Objetivo verificar a influência do treinamento da equipe multidisciplinar sobre o desfecho clínico de pacientes adultos submetidos à oxigenação por membrana extracorpórea Método estudo observacional, realizado em uma Unidade de Terapia Intensiva Adulto de um hospital na zona sul de São Paulo, no período de 2012 a 2020. A análise de sobrevida foi realizada pelo método de Kaplan-Meier e a probabilidade de mortalidade intra-hospitalar foi analisada por um modelo de regressão logística múltipla Resultados foram incluídos 72 pacientes, sendo 54 (75%) após o período de treinamento. Observou-se redução na mortalidade de 83,3% para 57,4% após o treinamento (p=0,047), com aumento na sobrevida em 90 dias de 31% após o treinamento Conclusão o impacto do treinamento na taxa de óbito intra-hospitalar e na sobrevida em 90 dias é um incentivo aos gestores hospitalares para adotar o modelo de capacitação com suas equipes, a fim de garantir uma assistência de melhor qualidade RESUMEN Objetivo comprobar la influencia del entrenamiento del equipo multidisciplinar en los resultados clínicos de los pacientes adultos sometidos a oxigenación por membrana extracorpórea Método estudio observacional, realizado en una Unidad de Cuidados Intensivos de Adultos de un hospital de la zona sur de São Paulo, entre 2012 y 2020. El análisis de supervivencia se realizó mediante el método de Kaplan-Meier y la probabilidad de mortalidad intrahospitalaria se analizó mediante un modelo de regresión logística múltiple Resultados Se incluyeron 72 pacientes, 54 (75%) tras el periodo de entrenamiento. Se observó una reducción de la mortalidad del 83,3% al 57,4% tras el entrenamiento (p=0,047), con un aumento de la supervivencia a 90 días del 31% tras el entrenamiento Conclusión el impacto de la formación en la tasa de mortalidad intrahospitalaria y en la supervivencia a los 90 días es un incentivo para que los gestores de los hospitales adopten el modelo de formación con sus equipos para garantizar una atención de mayor calidad ABSTRACT Objective to verify the influence of multidisciplinary team training on the clinical outcome of adult patients undergoing extracorporeal membrane oxygenation Method observational study, conducted in an Adult Intensive Care Unit of a hospital in the southern zone of São Paulo, from 2012 to 2020. Survival analysis was performed by the Kaplan-Meier method and the probability of in-hospital mortality was analyzed by a multiple logistic regression model Results 72 patients were included, 54 (75%) after the training period. A reduction in mortality from 83.3% to 57.4% was observed after training (p=0.047), with an increase in 90-day survival of 31% after training Conclusion the impact of training on in-hospital death rate and 90-day survival is an incentive for hospital managers to adopt the training model with their teams to ensure better quality care

Published
2021
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results