MARIA JOSE CARVALHO CARMONA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina
13 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 13
bookPart Dispositivos ópticos para intubação orotraqueal(2013) CARMONA, Maria José Carvalho; SIMõES, Claudia Marques; VANE, Matheus FachinibookPart Monitorização Cardiovascular(2021) SABA, Gabriela Tognini; VANE, Matheus Fachini; CARMONA, Maria José Carvalho- Predictors and their prognostic value for no ROSC and mortality after a non-cardiac surgery intraoperative cardiac arrest: a retrospective cohort study(2019) VANE, Matheus F.; CARMONA, Maria J. C.; PEREIRA, Sergio M.; KERN, Karl B.; TIMERMAN, Sergio; PEREZ, Guilherme; VANE, Luiz Antonio; OTSUKI, Denise Aya; JR, Jose O. C. AulerData on predictors of intraoperative cardiac arrest (ICA) outcomes are scarce in the literature. This study analysed predictors of poor outcome and their prognostic value after an ICA. Clinical and laboratory data before and 24 hours (h) after ICA were analysed as predictors for no return of spontaneous circulation (ROSC) and 24 h and 1-year mortality. Receiver operating characteristic curves for each predictor and sensitivity, specificity, positive and negative likelihood ratios, and post-test probability were calculated. A total of 167,574 anaesthetic procedures were performed, including 158 cases of ICAs. Based on the predictors for no ROSC, a threshold of 13 minutes of ICA yielded the highest area under curve (AUC) (0.867[0.80-0.93]), with a sensitivity and specificity of 78.4% [69.6-86.3%] and 89.3% [80.4-96.4%], respectively. For the 1-year mortality, the GCS without the verbal component 24 h after an ICA had the highest AUC (0.616 [0.792-0.956]), with a sensitivity of 79.3% [65.5-93.1%] and specificity of 86.1 [74.4-95.4]. ICA duration and GCS 24 h after the event had the best prognostic value for no ROSC and 1-year mortality. For 24 h mortality, no predictors had prognostic value.
- Latex sensitization in patients with myelomeningocele undergoing urological procedures: prevalence and associated factors(2016) SOARES, Iracy Silvia Correa; GALVAO, Clovis Eduardo Santos; CARMONA, Maria Jose Carvalho; VANE, Matheus Facchini; VIEIRA, Joaquim Edson
bookPart Inovação, avaliação e incorporação tecnológica(2017) CANHISARES, Fernando Augusto Tavares; MALIK, Ana Maria; VANE, Matheus Fachini; CARMONA, Maria José CarvalhobookPart Monitorização cardiovascular(2017) LOPES, Raphael Matheus de Souza Makiyama; VANE, Matheus Fachini; MALBOUISSON, Luiz Marcelo Sá; CARMONA, Maria José CarvalhobookPart Avaliação de risco cirúrgico nos pacientes cardiopatas(2016) CARMONA, Maria José Carvalho; XAVIER, Marcelo Souza; VANE, Matheus Fachini- Cardiac arrest animal model: a simple device for small animals' chest compression(2017) VANE, Matheus F.; CARMONA, Maria Jose Carvalho; OTSUKI, Denise A.; MAIA, Debora R. R.; VANE, Lucas F.; VANE, Luiz A.; ARAUJO FILHO, Elson Alberto Fernandes de; XAVIER, Marcelo; AULER JUNIOR, Jose Otavio Costa
- Surgery is unlikely to be enough for a patient to stop smoking 24 h prior to hospital admission(2018) MARINHO, Igor Maia; CARMONA, Maria Jose C.; BENSENOR, Fabio Ely Martins; HERTEL, Julia Mintz; MORAES, Marcos Fernando Breda de; SANTOS, Paulo Caleb Junior Lima; VANE, Matheus Fachini; ISSA, Jaqueline ScholzIntroduction: The need for surgery can be a decisive factor for long-term smoking cessation. On the other hand, situations that precipitate stress could precipitate smoking relapse. The authors decided to study the impact of a surgery on the patient's effort to cease smoking for, at least, 24 h before hospital admission and possible relapse on the last 24 h before hospital admission for ex-smokers. Methods: Smoker, ex-smokers and non-smokers adults, either from pre-anesthetic clinic or recently hospital admitted for scheduled elective surgeries that were, at most, 6 h inside the hospital buildings were included in the study. The patients answered a questionnaire at the ward or at the entrance of the operating room (Admitted group) or at the beginning of the first pre-anesthetic consultation (Clinic group) and performed CO measurements. Results: 241 patients were included, being 52 ex-smokers and 109 never smokers and 80 non-smokers. Smokers had higher levels of expired carbon monoxide than non-smokers and ex-smokers (9.97 +/- 6.50 vs. 2.26 +/- 1.65 vs. 2.98 +/- 2.69; p= 0.02). Among the smokers, the Clinic group had CO levels not statistically different of those on the Admitted group (10.93 +/- 7.5 vs. 8.65 +/- 4.56; p= 0.21). The ex-smokers presented with no significant differences for the carbon monoxide levels between the Clinic and Admitted groups (2.9 +/- 2.3 vs. 2.82 +/- 2.15; p= 0.45). Conclusion: A medical condition, such as a surgery, without proper assistance is unlikely to be enough for a patient to stop smoking for, at least, 24 h prior to admission. The proximity of a surgery was not associated with smoking relapse 24 h before the procedure. (C) 2018 Sociedade Brasileira de Anestesiologia.
- Effect of nitrous oxide on fentanyl consumption in burned patients undergoing dressing change(2016) VALE, Arthur Halley Barbosa do; VIDEIRA, Rogerio Luiz da Rocha; GOMEZ, David Souza; CARMONA, Maria Jose Carvalho; TSUCHIE, Sara Yume; FLORIO, Claudia; VANE, Matheus Fachini; POSSO, Irimar de PaulaBackground and objectives: Thermal injuries and injured areas management are important causes of pain in burned patients, requiring that these patients are constantly undergoing general anesthesia for dressing change. Nitrous oxide (N2O) has analgesic and sedative properties; it is easy to use and widely available. Thus, the aim of this study was to evaluate the analgesic effect of N2O combined with fentanyl in burned patients during dressing change. Method: After approval by the institutional Ethics Committee, 15 adult burned patients requiring daily dressing change were evaluated. Patient analgesia was controlled with fentanyl 0.0005% administered by intravenous pump infusion on-demand. Randomly, in one of the days a mixture of 65% N2O in oxygen (O-2) was associated via mask, with a flow of 10 L/min (N2O group) and on the other day only O-2 under the same flow (control group). Results: No significant pain reduction was seen in N2O group compared to control group. VAS score before dressing change was 4.07 and 3.4, respectively, in N2O and control groups. Regarding pain at the end of the dressing, patients in N2O group reported pain severity of 2.8; while the control group reported 2.87. There was no significant difference in fentanyl consumption in both groups. Conclusions: The association of N2O was not effective in reducing opioid consumption during dressing changes.