10 documents found, page 1 of 1
Radiocephalic Fistula Recovery Using the Forearm Basilic Vein: A Case Report
Alferes,Daniela; Pereira,Susana; Faria,Vitória; Ventura,Ana; Martins,Victor; Canedo,Alexandra; Almeida,ClaraABSTRACT Dysfunction of the arteriovenous fistula for hemodialysis is a challenge for the nephrologist and the vascular surgeon. Although experience is limited, the use of the forearm basilic vein as outflow of the radiocephalic fistula has been considered. We report the case of a 60-year-old male, with cardiovascular comorbidities and a history of ischemic complications induced by the hemodialysis access. Drai...
Sistemas de nebulização em idade pediátrica: uso domiciliário em São Miguel
Arruda,Augusta; Caldeira,Francisco; Machado,Ana; Eloi,Carolina; Resendes,Carolina; Fechado,Joana; Amaral,Beatriz; Ventura,AnaResumo Introdução: As doenças respiratórias são uma causa major de morbilidade em idade pediátrica. Os sistemas de nebulização, durante anos os dispositivos mais indicados para administração de aerossolterapia em crianças, foram suplantados pelos dispositivos simples de inalação. As linhas de orientação clínica atuais restringem a prescrição e utilização de nebulizadores. O objetivo do estudo é investigar a uti...
Is COVID-19 that different in hemodialysis patients?: A single-center experience
Reis,Marina; Almeida,Catarina; Ventura,Ana; Ribeiro,Catarina; Gomes,Ana Marta; Lopes,Daniela; Santos,Clara; Sousa,Sónia; Fernandes,João CarlosABSTRACT Coronavirus disease 2019 (COVID-19) has affected millions worldwide, and in particular the care of patients on maintenance hemodialysis. These patients are thought to be at high risk of severe SARS-CoV-2 infection due to their older age and multiple comorbidities. The aim of this study was to compare hemodialysis and non-dialysis COVID-19 patients and find possible risk factors for mortality in hemodia...
Sarcoidosis: a case with pulmonary, cutaneous and renal injury
Ribeiro,Catarina Isabel; Pereira,Susana; Ventura,Ana; Almeida,Clara; Santos,Clara; Fernandes,João CarlosSarcoidosis is a rare multisystem disease that is characterized by the formation of inflammatory granulomatous processes. The lung is the most frequently affected organ, but kidney injury can also occur. It is a disease with a highly variable course and prognosis and non-consensual treatment. This report describes the successful case of a patient with sarcoidosis presenting with pulmonary, cutaneous and renal i...
Atheroembolic renal disease and rivaroxaban: A new association
Ribeiro,Catarina Isabel; Almeida,Clara; Ventura,Ana; Santos,Clara; Fernandes,João CarlosAtheroembolic renal disease is a multisystem clinical entity of unknown incidence. It is often associated with severe atherosclerotic disease and its etiology can be spontaneous or iatrogenic. Its pathophysiology is based on renal dysfunction secondary to embolization of cholesterol crystals, followed by occlusive phenomena affecting the renal vasculature. The present report describes the case of a patient with...
Late-onset neonatal sepsis caused by Group A streptococcus: an unlikely agent
Ventura,Ana; Rúbio,Catarina; Rodrigues,Diogo; Silva,Inês; Peres,Ana; Cunha,FlorbelaNeonatal sepsis due to group A Streptococcus is rare and has a high associated mortality. The case of a 14-day-old female neonate who presented to the Emergency Department with feed refusal and hyporeactivity is reported. The girl was born at 36 weeks of gestation and had an unremarkable pregnancy and birth. Peripheral white blood cell count was 18.100/mm3 with 81% neutrophils, and C-reactive protein was 13.6 m...
Survival of hemodialysis patients: A new reality?
Belino,Carolina; Coelho,Augusto; Pereira,Susana; Lopes,Daniela; Gomes,Ana Marta; Ventura,AnaIntroduction: Survival rates of haemodialysis patients have increased worldwide over the last decade. The purposes of this study were to analyze the 10-year survival rate and to identify mortality risk factors in a Portuguese cohort. Subjects and Methods: Data was collected from 273 incident patients on facility haemodialysis treatments between 2005 and 2015. Sociodemographic data, medical history, clinical and...
Focus on: I - The nephrologists role in arteriovenous fistulae monitoring and ...
Ventura,Ana; Pereira,SusanaThe vascular access is critical in chronic haemodialysis patients. A well functional arteriovenous fistula (AVF) is associated with reduced morbidity and mortality. Monitoring and surveillance programmes for early recognition and treatment of vascular access dysfunction could increase patency rates. An AVF monitoring and surveillance programme is proposed, correlating parameters of the dialysis treatment, physi...
Renal Involvement in Multiple Myeloma: an experience of a single centre
Santos,Clara; Lopes,Daniela; Barreto,Patricia; Cunha,Catia; Gomes,Ana Marta; Ventura,Ana; Coelho,Henrique; Seabra,JoaquimIntroduction: Multiple myeloma is a plasma cell dyscrasia that accounts for almost 10% of all haematologic malignancies. It often presents with acute kidney injury that has long been associated with a poor prognosis. It is important to recognize markers of poor prognosis to promote an early and aggressive management of the disease, to improve disease outcomes. Subjects and Methods: We have, therefore, investiga...
Hemoperfusão com carvão activado na intoxicação grave por carbamazepina
Cálix,Maria José; Gonçalves,Márcia; Castro,José Manuel; Ventura,Ana; Real,Marta Vila; Vilarinho,AntónioCaso clínico: Os autores apresentam o caso de uma adolescente admitida no Serviço de Urgência por alterações neurológicas de início agudo e progressivas, existindo na residência um familiar medicado com um antiepiléptico. A avaliação inicial revelou sonolência, discurso adequado, disartria, nistagmo, dismetria bilateral e ataxia da marcha. Foi efectuado doseamento sérico de carbamazepina, que revelou valores mu...