12 documents found, page 1 of 2
Incidence, diagnosis, treatment methods, and outcomes of clinically suspected v...
Cunha,Marcela Juliano Silva; Pinto,Carlos Augusto Ventura; Guerra,João Carlos de Campos; Tachibana,Adriano; Portugal,Maria Fernanda CassinoAbstract Background Prothrombotic states have been associated with viral infections and the novel Sars-COV-2 infection has been associated with elevated D-dimer levels, although no causal relation has been clearly established. Objectives This study presents an epidemiological analysis of manifest VTE episodes in a group of patients hospitalized because of COVID-19. Methods Medical records of patients who presen...
A tromboelastometria identifica coagulopatia associada à insuficiência hepática...
Crochemore,Tomaz; Savioli,Felício Aragão; Guerra,João Carlos de Campos; Kalmar,Erika Maria do NascimentoRESUMO Este relato de caso detalha um caso grave de febre amarela complicada por insuficiência hepática e coagulação intravascular disseminada. A tromboelastometria foi capaz de identificar os distúrbios da coagulação e orientar o tratamento hemostático. Relatamos o caso de um homem com 23 anos de idade admitido na unidade de terapia intensiva com quadro com início abrupto de febre e dor muscular generalizada a...
Intensive support recommendations for critically-ill patients with suspected or...
Corrêa,Thiago Domingos; Matos,Gustavo Faissol Janot de; Bravim,Bruno de Arruda; Cordioli,Ricardo Luiz; Garrido,Alejandra del Pilar GallardoABSTRACT In December 2019, a series of patients with severe pneumonia were identified in Wuhan, Hubei province, China, who progressed to severe acute respiratory syndrome and acute respiratory distress syndrome. Subsequently, COVID-19 was attributed to a new betacoronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Approximately 20% of patients diagnosed as COVID-19 develop severe forms...
Bleeding management after implementation of the Hemorrhage Code (Code H) at the...
Jaures,Michele; Pigatti,Neila Maria Marques Negrini; Rodrigues,Roseny dos Reis; Fernandes,Fernanda Paulino; Guerra,João Carlos de CamposABSTRACT Objective To describe the implementation of a care protocol based on rapid response teams, for management and resolution of bleeding. Methods A hospital protocol called Hemorrhage Code (Code H) was devised and developed. In a flow line, a multidisciplinary team provides comprehensive, fast and effective care to the patient with a severe hemorrhagic condition. In another flow line, professionals based a...
Consensus on the investigation of thrombophilia in women and clinical management
Nascimento,Claudia Mac Donald Bley; Machado,Andréa Maria Novaes; Guerra,João Carlos de Campos; Zlotnik,Eduardo; Campêlo,Dirceu Hamilton CordeiroABSTRACT Objective To standardize the investigation and clinical management of women with laboratory and/or clinical abnormalities suggestive of thrombophilia, in order to optimize antithrombotic approach and indication of laboratory tests. Methodology A discussion was carried out among 107 physicians (gynecologists/obstetricians, hematologists and vascular surgeons) present at a forum held at the Hospital Isra...
A new era of thromboelastometry
Crochemore,Tomaz; Piza,Felipe Maia de Toledo; Rodrigues,Roseny dos Reis; Guerra,João Carlos de Campos; Ferraz,Leonardo José RolimABSTRACT Severe hemorrhage with necessity of allogeneic blood transfusion is common complication in intensive care unit and is associated with increased morbidity and mortality. Prompt recognition and treatment of bleeding causes becomes essential for the effective control of hemorrhage, rationalizing the use of allogeneic blood components, and in this way, preventing an occurrence of their potential adverse ef...
Implementation of vertical clinical pharmacist service on venous thromboembolis...
Haga,Celina Setsuko; Mancio,Cassio Massashi; Pioner,Micheline da Costa; Alves,Fabricia Aparecida de Lima; Lira,Andreia Ramos; Silva,João Severino daObjective : To describe the vertical clinical pharmacist service’s interventions in prevention of venous thromboembolism. Methods : This prospective study was done at a private hospital. From January to May 2012, the clinical pharmacist evaluated medical patients without prophylaxis for thromboembolism. If the patient fulfilled criteria for thromboembolism and did not have contraindications, the clinical pharma...
Vitamin D intoxication: case report
Marins,Tatiana Aporta; Galvão,Tatiana de Fátima Gonçalves; Korkes,Fernando; Malerbi,Domingos Augusto Cherino; Ganc,Arnaldo José; Korn,Davi; Wagner,JairoHypervitaminosis D is a rarely reported condition. In general it is only perceived when hypercalcemia is not resolved. The use of vitamin D has increased in recent years because of its benefits, but as a result, intoxication cases have occurred more frequently. This report describes a patient who presented worsening of renal function and hypercalcemia. After investigation, vitamin D intoxication was confirmed a...
Thrombocytopenia: diagnosis with flow cytometry and antiplatelet antibodies
Guerra,João Carlos de Campos; Kanayama,Ruth Hissae; Nozawa,Sonia Tsukasa; Ioshida,Márcia Regina; Takiri,Irina Yoko; Lazaro,Robson JoséObjective: To identify antiplatelet antibodies by flow cytometry (direct method) in patients with thrombocytopenia. Methods: Between January 1997 and March 2004 a total of 15100 patients were referred to the Centro de Hematologia de São Paulo for hematological investigation of several diagnoses (anemia, leukopenia, thrombocytopenia, coagulation abnormalities, adenomegaly, leukemia and others). Of those, 1057 we...
Correlation between flow cytometry and histologic findings: ten year experience...
Bezerra,Alanna Mara Pinheiro Sobreira; Pasqualin,Denise da Cunha; Guerra,João Carlos de Campos; Colombini,Marjorie ParisObjective: To demonstrate the advantages of correlating flow cytometry immunophenotyping with the pathology/ immunohistochemistry of lymph nodes or nodules in the diagnosis of lymphoproliferative diseases. Methods: A retrospective study was carried out of 157 biopsy or fine-needle aspiration lymph nodes/ nodule specimens taken from 142 patients, from 1999 and 2009. The specimens were simultaneously studied with...