ROSENY DOS REIS RODRIGUES

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Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 10 de 42
  • article 16 Citação(ões) na Scopus
    Bleeding and damage control surgery
    (2016) RODRIGUES, Roseny R.; CARMONA, Maria Jose C.; JUNIOR, Jose Otavio C. A.
    Purpose of review Bleeding is still a major cause of death in trauma patients. Damage control surgery is a strategy that aims to control bleeding and avoid secondary contamination of the cavity. This article checks the principles and indications of damage control surgery, bleeding management, and the role of the anesthesiologist in trauma context. The efficient treatment of severe trauma and exsanguinated patients includes a surgical approach to the patient performed as quickly as possible. Volemic resuscitation, hemostatic transfusion, prevention and/or treatment of coagulopathy, hypothermia, and acidosis are strategies that reduce bleeding, as well as permissive hypotension. Recent findings Specialized literature shows us that the adoption of all of these principles along with reduced surgical time has led to a broader concept called damage control resuscitation. Damage control resuscitation is a treatment strategy in which the recovery of physiological variables is initially prioritized over anatomical variables and can be required in severe trauma patients.
  • bookPart
    Tratamento de hipercalemia aguda
    (2014) RODRIGUES, Roseny dos Reis; MALBOUISSON, Luiz Marcelo de Sá; RIBAS, Amanda; MIRANDA, Leandro Costa; TIERNO, Paulo Fernando Guimarães Morando Marzocchi; BISELLI, Cesar; CATEBELOTTI, Fabiola; SANTOS, João Alexandre Dias e; SILVA JUNIOR, João Manoel; BASSI, Estêvão; CADAMURO, Filipe Matheus
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    Transfusão segura
    (2014) RODRIGUES, Roseny dos Reis
  • bookPart
    Protocolo de indicações e critérios de UTI
    (2014) RODRIGUES, Roseny dos Reis; MALBOUISSON, Luiz Marcelo de Sá; RIBAS, Amanda; MIRANDA, Leandro Costa; TIERNO, Paulo Fernando Guimarães Morando Marzocchi; BISELLI, Cesar; CATEBELOTTI, Fabiola; SANTOS, João Alexandre Dias e; SILVA JUNIOR, João Manoel; BASSI, Estêvão; CADAMURO, Filipe Matheus
  • bookPart
    Padronização de diluição de soluções endovenosas utilizadas no centro cirúrgico
    (2014) RODRIGUES, Roseny dos Reis; MALBOUISSON, Luiz Marcelo de Sá; RIBAS, Amanda; MIRANDA, Leandro Costa; TIERNO, Paulo Fernando Guimarães Morando Marzocchi; BISELLI, Cesar; CATEBELOTTI, Fabiola; SANTOS, João Alexandre Dias e; SILVA JUNIOR, João Manoel; BASSI, Estêvão; CADAMURO, Filipe Matheus
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    Diagnóstico e tratamento de reação transfusional
    (2014) RODRIGUES, Roseny dos Reis
  • article 7 Citação(ões) na Scopus
    Thromboelastometry analysis of thrombocytopenic dengue patients: a cross-sectional study
    (2017) PIZA, Felipe Maia de Toledo; CORREA, Thiago Domingos; MARRA, Alexandre Rodrigues; GUERRA, Joao Carlos Campos; RODRIGUES, Roseny dos Reis; VILLARINHO, Andrea Aparecida Rocco; ARANDA, Valdir Fernandes de; SHIRAMIZO, Sandra Christina Pereira Lima; LIMA, Maria Roza de Jesus de; KALLAS, Esper Georges; CAVALCANTI, Alexandre Biasi
    Background: Dengue virus infection (DVI) is a prevalent and potentially fatal viral disease associated with coagulopathy. So far, the coagulation profile of DVI patients with thrombocytopenia has not been assessed through a viscoelastic test such as rotational thromboelastometry. We aimed to describe the prevalence and characteristics of coagulation abnormalities in dengue fever outpatients with thrombocytopenia, addressed by both rotational thromboelastometry and conventional coagulation tests. Methods: This was a cross-sectional study conducted between April 6th and May 5th 2015 in Sao Paulo, Brazil during a dengue outbreak. Thromboelastometry (ROTEM r) and the conventional coagulation tests prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (aPTT), thrombin time (TT), platelet count and fibrinogen levels were performed in 53 patients with DVI and thrombocytopenia. Results: Despite a median interquartile range (IQR) platelet count of 77 (63-88) x 109/L in DVI patients, conventional coagulation tests and plasma fibrinogen levels were within the normal range. Subjects demonstrated hypocoagulability in 71.7% (38/53) in INTEM and 54.7% (29/53) in EXTEM DVI patients. FIBTEM analyses detected only 5.7% (3/53) with hypocoagulability among this population. The median (IQR) clotting time (CT), clot formation time (CFT) and maximum clot firmness (MCF) on INTEM were, respectively, 177 (160-207) sec, 144 (108-178) sec and 48 (42-52) mm. On EXTEM, median (IQR) CT, CFT and MCF were, respectively, 69 (65-78) sec, 148 (126-198) sec and 49 (44-55) mm. Median (IQR) MCF on FIBTEM was 15 (13-18) mm. Conclusion: Thromboelastometry impairment is highly prevalent in DVI patients with thrombocytopenia, particularly in INTEM and EXTEM analyses, while standard coagulation tests are normal in this setting. Clinical implications remain to be established.
  • bookPart
    Monitorização
    (2014) RODRIGUES, Roseny dos Reis; MALBOUISSON, Luiz Marcelo de Sá; RIBAS, Amanda; MIRANDA, Leandro Costa; TIERNO, Paulo Fernando Guimarães Morando Marzocchi; BISELLI, Cesar; CATEBELOTTI, Fabiola; SANTOS, João Alexandre Dias e; SILVA JUNIOR, João Manoel; BASSI, Estêvão; CADAMURO, Filipe Matheus
  • bookPart