FLAVIO CARNEIRO HOJAIJ
Projetos de Pesquisa
Unidades Organizacionais
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
- Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review(2020) HOJAIJ, Flavio Carneiro; CHINELATTO, Lucas Albuquerque; BOOG, Gustavo Henrique Pereira; KASMIRSKI, Julia Adriana; LOPES, Joao Vitor Ziroldo; MEDEIROS, Vitor Macedo BritoIntroduction Head and neck specialists and otorhinolaryngologists are greatly exposed to coronavirus disease 2019 (COVID-19) transmission in their everyday praxis. Many articles are being published regarding medical staff protection and patient management during the pandemic. Objective To provide an easy access to and a trustful review of the main aspects that have changed in the head and neck surgery and otorhinolaryngology practice due to the COVID-19 pandemic. Data Synthesis The search terms used were: (head and neck or otorhinolaryngology or ORL or thyroid) AND (severe acute respiratory syndrome coronavirus 2 [SARS-COV-2] or COVID- 19 or CORONAVIRUS). The results were limited to the year of 2020. Articles were read in English, Portuguese, French, German, and Spanish or translated from Chinese. All included articles were read by at least two authors. Thirty-five articles were included. Most articles suggest postponing elective surgeries, with exception to cancer surgeries, which should be evaluated separately. Twenty-five articles recommended some kind of screening prior to surgery, using polymerase chain reaction (PCR) tests and epidemiological data. Extra precautions, such as use of personal protective equipment (PPE), are suggested for both tracheostomies and endoscopies. Fifteen articles give recommendation on how to use telemedicine. Conclusion The use of PPE (N95 or powered air-purifying respirator [PAPR]) during procedures should be mandatory. Patients should be evaluated about their COVID-19 status before hospital admission. Cancer should be treated. Tracheostomy tube cuff should be inflated inside the tracheal incision. All COVID-19 precautions should be kept until there is a validated antiviral treatment or an available vaccine.
- Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review(2020) HOJAIJ, Flavio Carneiro; CHINELATTO, Lucas Albuquerque; BOOG, Gustavo Henrique Pereira; KASMIRSKI, Julia Adriana; LOPES, Joao Vitor Ziroldo; SACRAMENTO, Fernando MauadThe coronavirus disease (COVID-19) outbreak started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. In this systematic literature review, we analyzed different perspectives concerning this situation, aiming to provide recommendations that could guide surgeons and entities toward screening, elective and emergency surgeries, decision making, and operating room management. A computerized search in PubMed, Scopus, and Scientific Electronic Library Online (SciELO) for relevant literature up to April 4, 2020, was performed. Articles were included if they were related to surgery dynamics in the context of the COVID-19 pandemic. Of the 281 articles found in our initial search and 15 articles from alternative sources, 39 were included in our review after a systematic evaluation. Concerning preoperative testing for severe acute respiratory syndrome coronavirus 2 infection, 29 (74.4%) articles recommended some kind of screening. Another major suggestion was postponing all (or at least selected) elective operations (29 articles, 74.4%). Several additional recommendations with respect to surgical practice or surgical staff were also assessed and discussed, such as performing laparoscopic surgeries and avoiding the use of electrocauterization. On the basis of the current literature, we concluded that any surgery that can be delayed should be postponed. COVID-19 screening is strongly recommended for all surgical cases. Moreover, surgical staff should be reduced to the essential members and provided with institutional psychological support.
- What You Gain and What You Lose in COVID-19: Perception of Medical Students on their Education(2020) CHINELATTO, Lucas Albuquerque; COSTA, Thamara Rodrigues da; MEDEIROS, Vitor Macedo Brito; BOOG, Gustavo Henrique Pereira; HOJAIJ, Flavio Carneiro; TEMPSKI, Patricia Zen; MARTINS, Milton de Arruda
- Corona Mortis: A Systematic Review of Literature(2021) CARDOSO, Giovana Irikura; CHINELATTO, Lucas Albuquerque; HOJAIJ, Flavio; AKAMATSU, Flavia Emi; JACOMO, Alfredo LuizOur systematic review evaluates surgically relevant information about corona mortis (CM), such as anatomical structure, size, laterality, incidence, and anthropometric correlations. This study aimed to provide data about anastomosis in an attempt to avoid iatrogenic damage during surgery. Articles were searched online using the descriptor ""Corona Mortis"" in PubMed, Biblioteca Virtual em Saude (BVS) (Literatura Latino-Americana e do Caribe em Saude [LILACS], MEDLINE, indice bibliografico espahol en ciencias de la salud [IBECS]), and SciELO database. The time range was set between 1995 and 2020. The articles were selected according to their titles and later the abstracts' relation to our research purpose. All the selected articles were read entirely. A manual search based of the references cited in these articles was also conducted to identify other articles or books of interest. Forty references fulfilled the criteria for this review. The mean incidence of CM was 63% (the majority venous) among 3,107 hemipelvises. The incidence of bilateral CM was lower than that of unilateral variations based on the analysis of 831 pelvises. The mean caliber of the anastomosis was 2.8 mm among 1,608 hemipelvises. There is no consensus concerning the anthropometric influences in CM. Finally, we concluded that CM is not an unusual anatomical variation and that we must not underestimate the risk of encountering the anastomosis during surgery. Anatomical knowledge of CM is, therefore, essential in preventing accidents for surgeons who approach the inguinal and retropubic regions.
- A brief history of medical uniforms: from ancient history to the COVID-19 time(2020) O’DONNELL, VICTORIA RODRIGUES; CHINELATTO, LUCAS ALBUQUERQUE; RODRIGUES, CRISTINA; HOJAIJ, FLAVIO CARNEIROABSTRACT Medical Uniforms date back from medieval times. Nursing uniforms were based on nuns clothes whereas doctors used the famous “plague costumes” and black “frock” coats from about 15th to early 19th century. In latter half 19th century medical uniforms started to change. Nursing uniforms gradually lost their similarities to religious outfits. Doctors started to use white clothing. With great emphasis on hygiene and sanitation, the idea of personal protective equipment (PPE) started to evolve with William Stewart Halsted introducing the use of rubber gloves in 1889. In the 1960s-1970s it became more usual to wear green and blue `scrubs in order to look for a greater contrast in clothing with the all-white hospital environment. In contemporary times, some specialties even stopped using specific uniforms, while others still use them. At the same time, PPE became more and more important, up to nowadays “plague costume” in the combat of the COVID-19 epidemics.
- Ansa cervicalis and hypoglossal nerve topographical relation: anatomical study on cadavers(2020) BOOG, Gustavo Pereira; MEDEIROS, Vitor Brito; CHINELATTO, Lucas; HOJAIJ, Flavio; AKAMATSU, Flavia; JACOMO, Alfredo