ADILSON HAMAJI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
11 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 11
bookPart Anestesia para Cirurgias Ortopédicas de Membros Inferiores(2017) HAMAJI, Adilson; HAMAJI, Marcelo Waldir Mian; OKANO, Fernando TatsumibookPart Técnica anestésica para cirurgia ortopédica de ombro(2016) ARAúJO, Bruno Erick Sinedino de; THIELE, Thaisa Balestrero; HAMAJI, Adílson; HAMAJI, Marcelo Waldir Mian- Recommendations for local-regional anesthesia during the COVID-19 pandemic(2020) LIMA, Rodrigo Moreira e; REIS, Leonardo de Andrade; LARA, Felipe Souza Thyrso de; DIAS, Lino Correa; MATSUMOTO, Marcio; MIZUBUTI, Glenio Bitencourt; HAMAJI, Adilson; CABRAL, Lucas Wynne; MATHIAS, Ligia Andrade da Silva Telles; LIMA, Lais Helena Navarro eSince the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the postoperative period and provides safety to patients and teams, as long as there is compliance with individual protection and interpersonal transmission care measures. Respecting contra-indications and judicial use of safety techniques and norms are essential. The present manuscript aims to review the evidence available on regional anesthesia for patients with COVID-19 and offer practical recommendations for safe and efficient performance. (C) 2020 Published by Elsevier Editora Ltda. on behalf of Sociedade Brasileira de Anestesiologia.
- Volume Replacement Therapy during Hip Arthroplasty using Hydroxyethyl Starch (130/0.4) Compared to Lactated Ringer Decreases Allogeneic Blood Transfusion and Postoperative Infection(2013) HAMAJI, Adilson; HAJJAR, Ludhmila; CAIERO, Marcelo; ALMEIDA, Juliano; NAKAMURA, Rosana Ely; OSAWA, Eduardo A.; FUKUSHIMA, Julia; GALAS, Filomena R.; AULER JUNIOR, Jose Otavio CostaBackground and objectives: Hydroxyethyl starch (HES) 130/0.4 is considered an effective plasma expander when compared to crystalloids. There is controversy around its superiority regarding hemodynamic optimization and about possible detrimental effects on coagulation. The aim of this study was to compare the effects of HES 130/0.4 to lactated Ringer solution during hip arthroplasty in adult patients under spinal anesthesia regarding intraoperative bleeding, hemodynamic parameters, coagulation profile, transfusion requirements and clinical outcomes. Methods: In this randomized, controlled trial, 48 patients scheduled for hip arthroplasty with spinal anesthesia were randomized into two groups: 24 patients were allocated to receive a preload of 15 mL.kg(-1) of HES 130/0.4 and 24 patients received a preload of 30 mL.kg(-1) lactated Ringer solution before surgery. Hemodynamic measurements, hemoglobin concentrations, biochemical parameters and coagulation tests were evaluated in three periods during surgical procedure. Patients received medical follow-up during their hospital stay and up to postoperative 30 days. Primary outcome was the requirement of red blood cell transfusion between groups during hospital stay. Secondary outcome were hemodynamic parameters, length of hospital stay, mortality and occurrence of clinical postoperative complications. Results: Red blood cell transfusion was required in 17% of patients in the HES group and in 46% in the Ringer group (p = .029). Postoperative infections were more frequently observed in the Ringer group (17%) compared to the HES group (0), p = .037. There were no significant differences between groups in mortality, hospital length of stay and clinical complications other than infection. Conclusions: During hip arthroplasty, patients treated with hypervolemic hemodilution with hydroxyethyl starch 130/0.4 required less transfusion and presented lower infection rate compared to patients who received lactated Ringer.
- Continuous femoral nerve blockade and single-shot sciatic nerve block promotes better analgesia and lower bleeding for total knee arthroplasty compared to intrathecal morphine: a randomized trial(2017) ALVAREZ, Nora Elizabeth Rojas; LEDESMA, Rosemberg Jairo Gomez; HAMAJI, Adilson; HAMAJI, Marcelo Waldir Mian; VIEIRA, Joaquim EdsonBackground: Knee arthroplasty leads to postoperative pain. This study compares analgesia and postoperative bleeding achieved by intrathecal morphine with a continuous femoral plus single-shot sciatic nerve block. Methods: A randomized non-blinded clinical trial enrolled patients aged over 18 years old, ASA I to III who underwent total knee arthroplasty. All patients underwent spinal anesthesia with isobaric bupivacaine, 20 mg. One group received 100 mcg of intrathecal morphine (M group), and the other received a femoral nerve block by continuous infusion plus a ""single shot"" block of the sciatic nerve at the end of the surgery (FI group). Pain score from verbal numeric rating scale (VNRS) and morphine consumption during the first 72 h, as well as motor blockade, adverse effects, and postoperative bleeding were recorded. Analysis of variance of repeated measures with Bonferroni post-test, t-test and Fisher exact test were used for statistical analysis. Results: Thirty nine patients completed the study (M = 20; FI = 19 patients) and were similar except for higher age in the FI group. Motor blockade as well as movement pain during postanesthesia care unit (PACU) staying were not different between the groups, but movement pain was significantly lower in FI group after 24 h. Postoperative bleeding (ml) was lower in FI group. Conclusions: Continuous femoral nerve block combined with sciatic nerve block provides effective for postoperative analgesia in patients undergoing total knee arthroplasty, with lower pain scores after 24 h and a lower incidence of adverse effects and bleeding compared to intrathecal morphine.
- Comparative Study Related to Cardiovascular Safety between Bupivacaine (S75-R25) and Ropivacaine in Brachial Plexus Block(2013) HAMAJI, Adilson; REZENDE, Marcelo Rosa de; MATTAR JR., Rames; VIEIRA, Joaquim Edson; AULER JR., Jose Otavio CostaBackground and objectives: Bupivacaine is a first choice for regional anesthesia considering its effectiveness, long duration and less motor blockade. Bupivacaine (S75-R25) is a mixture of optical isomers containing 75% levobupivacaine (S-) and 25% dextrobupivacaine (R+) created by a Brazilian pharmaceutical company. This investigation compared cardiac safety and efficacy of bupivacaine S75-R25 with vasoconstrictor and ropivacaine for brachial plexus blockade. Methods: Patients were randomized to receive brachial plexus anesthesia with either bupivacaine S75-R25 with epinephrine 1:200,000 (bupi) or ropivacaine (ropi), both at 0.50%, in 30 mL solution. We registered a continuous Hotter ECG throughout the procedure, as well as the Lovett scale of force in addition to monitoring (heart rate, pulse oximetry and non-invasive blood pressure). The incidence of adverse events was compared with the chi-square or Fisher test. Results: We allocated forty-four patients into two groups. They did not show any difference related to age, weight or height, gender, as well as for surgical duration. Supraventricular arrhythmias were not different before or after the plexus blockade, independent of the local anesthetic chosen. Loss of sensitivity was faster for the bupivacaine group (23.1 +/- 11.7 min) compared to the ropivacaine one (26.8 +/- 11.5 min), though not significant (p = 0.205, Student t). There was a reduction in the cardiac rate, observed during the twenty-four-hour Hotter monitoring. Conclusions: This study showed similar efficacy between bupivacaine S75-R25 for brachial plexus blockade and ropivacaine, with similar incidences of supraventricular arrhythmias.
bookPart Bloqueios periféricos dos membros inferiores(2017) HAMAJI, Adilson; CUNHA JUNIOR, Waldir; HAMAJI, Marcelo Waldir MianbookPart Bloqueios Periféricos dos Membros Inferiores(2021) HAMAJI, Adilson; CUNHA JUNIOR, Waldir; HAMAJI, Marcelo Waldir Mian- Ultrasound-guided continuous block of median and ulnar nerves in horses: development of the technique(2020) SOUTO, Maria Teresa M. R.; FANTONI, Denise T.; HAMAJI, Adilson; HAMAJI, Marcelo; VENDRUSCOLO, Cynthia P.; OTSUKI, Denise A.; PINTO, Ana Carolina B. C. F.; AMBROSIO, Aline M.
- Lumbar erector spinae plane block for total hip arthroplasty analgesia. Case report(2021) AZEVEDO, Artur Salgado de; FERNANDES, Hermann dos Santos; CUNHA JÚNIOR, Waldir; HAMAJI, Adilson; ASHMAWI, Hazem AdelABSTRACT BACKGROUND AND OBJECTIVES: Total hip replacement surgeries may result in intense postoperative pain. There are many analgesia techniques available in clinical practice and lumbar erector spine plane (LESP) block may be an option of an effective technique with milder adverse effects and easier execution. CASE REPORT: Female patient, 23-year-old, allergic to morphine and tramadol, underwent a total left hip arthroplasty under mild sedation, no opioid spinal anesthesia and ultrasound guided LESP. After the surgery the patient’s pain was under control, and methadone rescue analgesia was not used. CONCLUSION: LESP block is easy to perform and may be effective for postoperative analgesia in hip surgeries, with fewer adverse effects than other techniques.