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
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- 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.
- Comparison of digital games as a cognitive function assessment tool for current standardized neuropsychological tests(2022) GOULART, Ananaira Alves; LUCATELLI, André; SILVEIRA, Paulo Sergio Panse; SIQUEIRA, José de Oliveira; PEREIRA, Valéria Fontanelle Angelim; CARMONA, Maria José Carvalho; VALENTIN, Livia Stocco Sanches; VIEIRA, Joaquim EdsonAbstract Objective: Cognitive dysfunction may occur postoperatively. Fast and efficient assessment of Postoperative Cognitive Dysfunction (POCD) can minimize loss of quality of life, and therefore, a study comparing a digital game with standard neuropsychological tests to assess executive, mnemonic, and attention functions to evaluate POCD seems to be relevant both for research and clinical practice. Methods: A battery of standardized tests and a digital game (MentalPlus®) were administered to 60 patients at the Central Institute of Hospital das Clínicas in São Paulo (36 women and 24 men), with ages between 29 and 82 years, preand post-surgery performed under anesthesia. Correlation and linear regression model were used to compare the scores obtained from the standardized tests to the scores of the six executive and cognitive functions evaluated by the game (shortand long-term memory, selective and alternating attention, inhibitory control, and visual perception). Results: After correlation analysis, a statistically significant result was found mainly for the correlation between the scores from the phase of the digital game assessing the visuoperception function and the scores from the A and B cards of the Stroop Test (p < 0.001, r = 0.99 and r = 0.64, respectively), and the scores from TMTA (p = 0.0046, r = 0.51). We also found a moderate correlation between the phase of the game assessing short-memory function and VVLT (p < 0.001, r = 0.41). No statistically significant correlations were found for the other functions assessed. Conclusion: The digital game provided scores in agreement with standardized tests for evaluating visual perception and possibly short-term memory cognitive functions. Further studies are necessary to verify the correlation of other phases of the digital game with standardized tests assessing cognitive functions.
- Two years of the COVID-19 pandemic: an anesthesiology perspective(2022) SCHMIDT, André P.; MÓDOLO, Norma S.P.; DE AMORIM, Célio G.; SIMÕES, Cláudia M.; KRAYCHETE, Durval C.; JOAQUIM, Eduardo H.G.; LINEBURGER, Eric B.; PAPA, Fábio V.; FERNANDES, Fátima C.; MENDES, Florentino F.; GUIMARÃES, Gabriel M.N.; BARROS, Guilherme A.M.; SILVA-JR, João M.; LIMA, Laís H. Navarro e; AZI, Liana M.T.A.; CARVALHO, Lorena I.M.; STEFANI, Luciana C.; GARCIA, Luis V.; CARMONA, Maria José C.; SALGADO FILHO, Marcello F.; NASCIMENTO JUNIOR, Paulo do; ALVES, Rodrigo L.; CARVALHO, Vanessa H.; QUINTÃO, Vinicius C.
- Use of software to guide the management of intraoperative hemodynamic instability(2022) SALGADO-FILHO, Marcello Fonseca; SACHETTO, Rafael; CARMONA, Maria José Carvalho