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COVID-19: A Possible Cause of Spontaneous Pneumoperitoneum

Ramos, Patrícia Varela; Oliveira, Ana Maria; Simas, Ângela; Rocha Vera Cruz, Margarida

Introduction: Pneumoperitoneum is the presence of air within the peritoneal cavity and is mostly caused by organ rupture. Spontaneous pneumoperitoneum accounts 5% to 15% of the cases and occurs in the absence of organ damage. The pulmonary origin of pneumoperitoneum is unusual, and probably associated with mechanical ventilation and alveolar leak. In patients with coronavirus disease 2019 (COVID-19) there are s...


The PALliative MUlticenter Study in Intensive Care (PalMuSIC). Results From a M...

Correia, Iuri; Simas, Ângela; Chaves, Susana; Paixão, Ana Isabel; Catarino, Ana; Gonçalves-Pereira, João

Objective: Frailty is a clinically recognizable state of increased vulnerability common in critical medicine. When underrecognized, it may lead to invasive treatments that do not serve the patients’ best interest. Our aim was to evaluate the use of both palliative care consultation and invasive interventions in frail patients admitted to Intensive Care Units in Portugal. Methods: This was a prospective, observa...


Pneumocephalus Following an Accidental Dural Puncture, Treated Using Hyperbaric...

Marino, Flávio; Simões, André Ferreira; Simas, Ângela; Pereira, João Gonçalves

Introduction: Neuraxial techniques, including epidural anaesthesia, are often used for perioperative pain control and are generally safe. However, both transient, mild and even severe, life-threatening neurologic complications can occur. Case presentation: A seventy-eight-year-old man was admitted to the hospital for a radical nephrectomy plus transurethral resection due to kidney and bladder cancer. During the...


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