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
8 resultados
Resultados de Busca
Agora exibindo 1 - 8 de 8
- Emergence delirium in children: a Brazilian survey(2022) QUINTÃO, Vinícius Caldeira; SALES, Charlize Kessin de Oliveira; HERRERA, Estefania Morales; ELLERKMANN, Richard K; ROSEN, H. David; CARMONA, Maria José CarvalhoAbstract Background: Pediatric emergence delirium is characterized by a disturbance of a child’s awareness during the early postoperative period that manifests as disorientation, altered attention and perception. The incidence of emergence delirium varies between 18% and 80% depending on risk factors and how it is measured. Reports from Canada, Germany, Italy, United Kingdom, and France demonstrated a wide range of preventive measures and definitions, indicating that there is a lack of clarity regarding emergence delirium. We aimed to assess the practices and beliefs among Brazilian anesthesiologists regarding emergence delirium. Methods: A web-based survey was developed using REDCap®. A link and QR Code were sent by email to all Brazilian anesthesiologists associated with the Brazilian Society of Anesthesiology (SBA). Results: We collected 671 completed questionnaires. The majority of respondents (97%) considered emergence delirium a relevant adverse event. Thirty-two percent of respondents reported routinely administrating medication to prevent emergence delirium, with clonidine (16%) and propofol (15%) being the most commonly prescribed medications. More than 70% of respondents reported a high level of patient and parent anxiety, a previous history of emergence delirium, and untreated pain as risk factors for emergence delirium. Regarding treatment, thirty-five percent of respondents reported using propofol, followed by midazolam (26%). Conclusion: Although most respondents considered emergence delirium a relevant adverse event, only one-third of them routinely applied preventive measures. Clonidine and propofol were the first choices for pharmacological prevention. For treatment, propofol and midazolam were the most commonly prescribed medications.
conferenceObject Lack of knowledge on acute stroke in children, adolescents and adults from public schools(2021) SALLES, I. C.; GOUVEA, G. B.; CALDERARO, M.; MONTEIRO, V. S.; CORREA, R. F.; SILVA, S. N. M. F.; SHINOHARA, H. N. I.; UMEDA, I. I. K.; AIKAWA, P.; CARVALHO, H. B.; MANSUR, A. P.; CARMONA, M. J. C.; SEMERARO, F.; BOTTIGER, B. W.; NAKAGAWA, N. K.- Up to 206 Million People Reached and Over 5.4 Million Trained in Cardiopulmonary Resuscitation Worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative(2020) BOETTIGER, Bernd W.; LOCKEY, Andrew; AICKIN, Richard; CARMONA, Maria; CASSAN, Pascal; CASTREN, Maaret; RAO, S. S. C. Chakra; CAEN, Allan De; ESCALANTE, Raffo; GEORGIOU, Marios; HOOVER, Amber; KERN, Karl B.; KHAN, Abdul Majeed S.; LEVI, Cianna; LIM, Swee H.; NADKARNI, Vinay; NAKAGAWA, Naomi V.; NATION, Kevin; NEUMAR, Robert W.; NOLAN, Jerry P.; MELLIN-OLSEN, Jannicke; PAGANI, Jacopo; SALES, Monica; SEMERARO, Federico; STANTON, David; TOPORAS, Cristina; GROOTVEN, Heleen van; WANG, Tzong-Luen; WIJESURIYA, Nilmini; WONG, Gillian; PERKINS, Gavin D.Sudden out-of-hospital cardiac arrest is the third leading cause of death in industrialized nations. Many of these lives could be saved if bystander cardiopulmonary resuscitation rates were better. ""All citizens of the world can save a life-CHECK-CALL-COMPRESS."" With these words, the International Liaison Committee on Resuscitation launched the 2019 global ""World Restart a Heart"" initiative to increase public awareness and improve the rates of bystander cardiopulmonary resuscitation and overall survival for millions of victims of cardiac arrest globally. All participating organizations were asked to train and to report the numbers of people trained and reached. Overall, social media impact and awareness reached up to 206 million people, and >5.4 million people were trained in cardiopulmonary resuscitation worldwide in 2019. Tool kits and information packs were circulated to 194 countries worldwide. Our simple and unified global message, ""CHECK-CALL-COMPRESS,"" will save hundreds of thousands of lives worldwide and will further enable many policy makers around the world to take immediate and sustainable action in this most important healthcare issue and initiative.
- Effectiveness of the 40-Minute Handmade Manikin Program to Teach Hands-on Cardiopulmonary Resuscitation at School Communities(2021) NAKAGAWA, Naomi K.; OLIVEIRA, Katia M. G.; LOCKEY, Andrew; SEMERARO, Federico; AIKAWA, Priscila; MACCHIONE, Mariangela; CARVALHO-OLIVEIRA, Regiani; GOUVEA, Gabriela B.; BOAVENTURA, Ana Paula; I, Adalgisa Maiworm; CALDERARO, Marcelo; HAJJAR, Ludhmila A.; V, Eduardo Motta; SOUZA, Heraldo P.; ANDRE, Carmen D. S. de; SILVA, Luiz F. F.; POLASTRI, Thatiane F.; TIMERMAN, Sergio; CARMONA, Maria Jose C.; BOETTIGER, Bernd W.Bystander training in cardiopulmonary resuscitation (CPR) is crucial to improve the victims' survival and quality of life after sudden cardiac arrest. This observational study aimed to determine the success rate of 2 different programs of CPR training for children, adolescents, and adults in school communities. We assessed the development and acquisition of the following CPR skills checking local safety, assessing victim's responsiveness, calling for help, assessing victim's breathing, and performing chest compression (hands and straight arms placement on the chest, compression velocity, depth, and chest release) using a 40-minute program with handmade manikins or the 120-minute program using intermediate-fidelity manikins. There were 1,630 learners (mean age 16 years, 38% male) in the 40-minute program, and 347 learners (mean age 27 years, 32% male) in the 120-minute program. The lowest successful pass rate of learners that developed CPR skills was 89.4% in the 40-minute program and 84.5% in the 120-minute program. The chances of success increased with age in the same program (compression rate and depth). The success rate also increased with the more extended and intermediate-cost program at the same age (assessing victim's responsiveness, calling for help, and assessing the victim's respiration). In conclusion, a 40-minute and cheaper (low-cost handmade manikin) CPR program was adequate to develop and acquire the overall CPR skills for >= 89% at school communities, independently of gender. However, some individual CPR skills can be further improved with increasing age and using the longer and intermediate-cost program.
- CPR Quality Assessment in Schoolchildren Training(2022) OLIVEIRA, Katia M. G.; CARMONA, Maria Jose C.; MANSUR, Antonio P.; TAKADA, Julio Y.; FIJACKO, Nino; SEMERARO, Federico; LOCKEY, Andrew; BOETTIGER, Bernd W.; NAKAGAWA, Naomi K.Whilst CPR training is widely recommended, quality of performance is infrequently explored. We evaluated whether a checklist can be an adequate tool for chest compression quality assessment in schoolchildren, compared with a real-time software. This observational study (March 2019-2020) included 104 schoolchildren with no previous CPR training (11-17 years old, 66 girls, 84 primary schoolchildren, 20 high schoolchildren). Simultaneous evaluations of CPR quality were performed using an observational checklist and real-time software. High-quality CPR was determined as a combination of 70% correct maneuvers in compression rate (100-120/min), depth (5-6 cm), and complete release, using a real-time software and three positive performance in skills using a checklist. We adjusted a multivariate logistic regression model for age, sex, and BMI. We found moderate to high agreement percentages in quality of CPR performance (rate: 68.3%, depth: 79.8%, and complete release: 91.3%) between a checklist and real-time software. Only 38.5% of schoolchildren (similar to 14 years-old, similar to 54.4 kg, and similar to 22.1 kg/m(2)) showed high-quality CPR. High-quality CPR was more often performed by older schoolchildren (OR = 1.43, 95%IC:1.09-1.86), and sex was not an independent factor (OR = 1.26, 95%IC:0.52-3.07). For high-quality CPR in schoolchildren, a checklist showed moderate to high agreement with real-time software. Better performance was associated with age regardless of sex and BMI.
- KIDS SAVE LIVES BRAZIL: A successful pilot program to implement CPR at primary and high schools in Brazil resulting in a state law for a training CPR week(2019) NAKAGAWA, N. K.; SILVA, L. M.; CARVALHO-OLIVEIRA, R.; OLIVEIRA, K. M. G.; SANTOS, F. R. A.; CALDERARO, M.; SOUZA, H. P.; HAJJAR, L. A.; MOTTA, E. V.; TEIXEIRA, P. W. G. N.; TIMERMAN, S.; SEMERARO, F.; CARMONA, M. J. C.; BOETTIGER, B. W.
- World Restart a Heart 2020: How to keep a life-saving awareness campaign alive in a pandemic(2021) ROTT, Nadine; LOCKEY, Andrew; BOETTIGER, Bernd W.; BOUCIF, Salome; CARMONA, Maria; CASSAN, Pascal; RAO, Siddha S. C. Chakra; ESCALANTE-KANASHIRO, Raffo; GARG, Rakesh; GEORGIOU, Marios; HOOVER, Amber V.; KHAN, Abdulmajeed; LEVI, Cianna; LIM, Swee Han; MAHAJAN, Hitendra Chandrakant; MEAR, Teghan; MONSIEURS, Koenraad; NADKARNI, Vinay; NAKAGAWA, Naomi Kondo; NATION, Kevin; NEUMAR, Robert; O'SHAUGHNESSY, Krista; SALES, Monica; SEMERARO, Federico; GROOTVEN, Heleen Van; WANG, Tzong-Luen; WIJESURIYA, Nilmini
- The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools(2022) CALDERARO, Marcelo; SALLES, Igor C.; GOUVEA, Gabriela B.; MONTEIRO, Vinicius S.; MANSUR, Antonio P.; I, Henrique N. Shinohara; AIKAWA, Priscila; UMEDA, Iracema I. K.; SEMERARO, Federico; CARMONA, Maria Jose C.; BOTTIGER, Bernd W.; NAKAGAWA, Naomi K.Objective: Stroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases and treatable as long as patients recognize it and reach capable medical facilities in time. This commu-nity-based study investigated students' stroke knowledge, Emergency Medical Services (EMS) activation, associ-ated risk factors, warning signs and symptoms, and prior experience from different educational levels in the KIDS SAVE LIVES BRAZIL project. Methods: The authors conducted the survey with a structured questionnaire in 2019-2020. Results: Students from the elementary-school (n = 1187,-13 y.o., prior experience: 14%, 51% women), high school (n = 806,-17 y.o., prior experience: 13%, 47% women) and University (n = 1961,-22 y.o., prior experience: 9%, 66% women) completed the survey. Among the students, the awareness of stroke general knowl-edge, associated risk factors, and warning signs and symptoms varied between 42%-66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62%-65% of students recognized arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS number; 81% wanted to have stroke education at school, and-75% wanted it mandatory. Women, higher education, and prior experience were associ-ated with higher scores of knowing risk factors (OR = 1.28, 95% CI: 1.10-1.48; OR = 2.12, 95% CI: 1.87-2.40; OR = 1.46, 95% CI: 1.16-1.83; respectively), and warning signs-symptoms (OR = 2.22, 95% CI: 1.89-2.60; OR = 3.30, 95% CI: 2.81-3.87; OR = 2.04, 95% CI: 1.58-2.63; respectively). Conclusion: Having higher education, prior experience, and being a woman increases stroke-associated risk fac-tors, and warning signs and symptoms identification. Schoolchildren and adolescents should be the main target population for stroke awareness.