8 documents found, page 1 of 1
Abdominal Hypoperfusion and Acute Kidney Injury in the Critically Ill Patient w...
Pereira,Rui; Lopes,Diogo; Machado,Sara Brandão; Val-Flores,Luís; Caeiro,Fernando; Perdigoto,Rui; Marcelino,Paulo Alexandre; Saliba,FaouziAbstract Background: Reduced abdominal perfusion pressure (APP) is an underdiagnosed potential pathophysiological mechanism for acute kidney injury (AKI) in the patient with liver cirrhosis and ascites. This study aimed to analyze the prevalence of abdominal hypoperfusion (AhP) (APP <60 mm Hg) and the impact of APP on AKI in critically ill patients with liver cirrhosis. Methods: This was a post hoc analysis fro...
Risk Factors of Acute T -Cell Mediated and Borderline Rejection Diagnosed in Ea...
Roldão,Marisa; Vida,Ana Carlota; Dias,Joana Monteiro; Vieira,Miguel Bigotte; Magriço,Rita; Silva,Cecília; Caeiro,Fernando; Aires,Inês; Ferreira,AníbalAbstract Introduction: Acute graft rejection remains one of the main causes of graft dysfunction and premature loss. Understanding the factors affecting graft rejection is essential to promote graft survival. Our study aimed to determine the incidence and assess risk factors of acute T‑cell mediated rejection (TCMR) and borderline rejection in early protocol kidney transplant biopsies. Methods: Retrospective si...
The use of hemodialysis in hypercalcemic crisis secondary to primary hyperparat...
Marouço,Catarina Nazário; Caeiro,Fernando; Costa,Bernardo Marques da; Navarro,David; Magriço,Rita; Nolasco,FernandoABSTRACT Severe hypercalcemia can be either acute or decompensate from a chronic state to a medical emergency, the hypercalcemic crisis. The presence of symptoms such as altered mental status or potentially fatal ECG abnormalities demand an expeditious decrease in serum calcium levels. Standard medical therapy consists of vigorous volume replacement, calcitonin and, depending on the etiology, bisphosphonates, c...
Acute kidney injury associated with COVID-19 infection: a case report
Duarte,Tiago; Caeiro,Fernando; Góis,Mário; Matos,António; Viana,Helena; Vieira,César; Paulos,Jorge; Paixão,Paulo; Matos,Bruno; Germano,NunoABSTRACT SARS-Cov2 infection is a highly transmissible disease associated with serious pulmonary disease. Renal involvement is frequent and associated with poor prognosis; however, mechanisms of kidney injury are not well established. We present a SARS-Cov2 patient with severe acute kidney injury. Kidney biopsy findings revealed a pattern of acute tubular necrosis with isometric vacuolization of the proximal tu...
Neutropenic enterocolitis (typhlitis) in a kidney transplant patient: A case re...
Alves,Rita Valério; Falcão,Luís; Soares,Elsa; Mendes,Milena; Cotovio,Patrícia; Caeiro,Fernando; Aires,Inês; Silva,Cecília; Remédio,FranciscoTyphlitis is a clinical entity rare in adults, reported in immunosuppressed patients. It is a life-threatening condition that occurs in neutropenic patients due to compromised integrity of the bowel wall and its exact pathogenesis is not completely understood. We report a 35-year-old man with a post deceased donor renal and pancreas transplantation status who presented fever and febrile neutropenia. Three days ...
Simultaneous pancreas-kidney transplantation after liver transplantation: first...
Soares,Elsa; Alves,Rita Valério; Cotovio,Patrícia; Caeiro,Fernando; Aires,Inês; Bigotte,Miguel; Silva,Cecília; Pena,Ana; Bicho,Luís; Martins,AméricoSimultaneous kidney pancreas transplantation, if feasible, is the treatment of choice for the management of end-stage renal disease in patients with type 1 diabetes. This intervention can offer glycemic control and might also stabilize or even reverse some of the metabolic complications of diabetes. Chronic kidney disease has become a critical problem in orthotopic liver transplantation due to multiple risk fac...
Early renal protocol biopsies: for some but not for all renal transplant patients?
Navarro,David; Ferreira,Ana Carina; Caeiro,Fernando; Cotovio,Patricia; Aires,Ines; Silva,Cecilia; Remedio,Francisco; Ferreira,Anibal; Viana,HelenaSubclinical rejection following renal transplant is associated with worse outcomes, which can be prevented if recognized early. Protocol allograft biopsies have emerged as an option to identify and allow treatment of subclinical rejection, but optimal timing for their performance is not established. We retrospectively evaluated a cohort of 52 low immunological risk patients, who were submitted, from 2007 to 201...
Unusual solutions for catheter placement in haemodialysis patients
Caeiro,Fernando; Carvalho,Dulce; Brum,Sandra; Nolasco,FernandoBackground:Although vascular access is essential for adequate haemodialysis delivery, the systematic use of a patient's venous patrimony may eventually lead to exhaustion of suitable sites for placement of a new vascular access. Case Report: We present two cases of such patients. In the first one we inserted a 55cm catheter through the left external iliac vein, and a 40cm translumbar catheter was placed in the ...