VINICIUS CALDEIRA QUINTAO
Projetos de Pesquisa
Unidades Organizacionais
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina
10 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 10
- 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.
- Prevention of drug diversion and substance use disorders among anesthesiologists: a narrative review(2023) FITZSIMONS, Michael G.; SOUSA, Gabriel Soares de; GALSTYAN, Arpine; QUINTAO, Vinicius Caldeira; SIMOES, Claudia MarquezDiversion of substances from the care of the intended patient is a significant problem in healthcare. Patients are harmed by the undertreatment of pain and suffering, transmission of disease, as well as the risk associated with impaired vigilance. Healthcare providers may be harmed by the physical and mental impact of their addictions. Healthcare systems are placed in jeopardy by the legal impact associated with illegal routes of drug release including sanction and financial liability and loss of public trust. Healthcare institutions have implemented many measures to reduce diversion from the perioperative area. These efforts include education, medical record surveillance, automated medication dispensing systems, urine drug testing, substance waste management systems, and drug diversion prevention teams. This narrative review evaluates strengths, weaknesses, and effectiveness of these systems and provides recommendations for leaders and care providers. (c) 2023 Sociedade Brasileira de Anestesiologia.
- Drug abuse amongst anesthetists in Brazil: a national survey(2021) SOUSA, Gabriel Soares de; FITZSIMONS, Michael Gerald; MUELLER, Ariel; QUINTAO, Vinicius Caldeira; SIMOES, Claudia MarquezBackground: The prevalence of Substance Use Disorders (SUD) and acceptance of drug testing among anesthetists in Brazil has not been determined. Methods: An intemet-based survey was performed to investigate the prevalence of SUD among anesthetists in Brazil, to explore the attitudes of anesthetists regarding whether SUD jeopardizes the health of an impaired provider or their patient, and to determine the provider's perspective regarding acceptance and effectiveness of drug testing to reduce SUD. The questionnaire was distributed via social media. REDCap was utilized to capture data. A sample size of 350 to achieve a confidence level of 95% and confidence interval of 5 was estimated. Study report was based on STROBE and CHERRIES statements. Results: The survey was returned from 1,295 individuals. Most individuals knew an anesthesia provider with a SUD (82.07%), while 23% admitted personal use. The most common identified substances of abuse were opioids (67.05%). Very few respondents worked in a setting that performs drug testing (n = 17, 1.33%). Most individuals believed that drug testing could improve personal safety (82.83%) or the safety of patients (85.41%). Individuals with a personal history of SUD were less likely to believe in the effectiveness of drug testing to reduce one's own risk (74.92% vs. 85.18%, p < 0.0001) or improve the safety of patients (76.27% vs. 88.13%, p < 0.001). Conclusions: SUDs are common among anesthetists in Brazil. Drug testing would be accepted as a viable means to reduce the incidence although a larger study should be performed to investigate the logistical feasibility. (C) 2021 Sociedade Brasileira de Anestesiologia.
- Videolaryngoscopy in anesthesia and perioperative medicine: innovations, challenges, and best practices(2023) QUINTAO, Vinicius Caldeira; CARVALHO, Vanessa Henriques; COSTA, Luiz Guilherme Villares da; GERMANO-FILHO, Paulo Alipio; NASCIMENTO, Jose Carlos R.; LIMA, Rodeigo Moreira e; NUNES, Rogean Rodrigues; BRANDAO, Antonio Carlos; SCHMIDT, Andre P.
- Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report(2021) SABA, Gabriela Tognini; QUINTÃO, Vinicius Caldeira; ZEFERINO, Suely Pereira; SIMÕES, Claudia Marquez; COELHO, Rafael Ferreira; FAZOLI, Arnaldo; NAHAS, William; VILELA, Gustavo Henrique Frigieri; CARMONA, Maria José CarvalhoAbstract Both robotic surgery and head-down tilt increase intracranial pressure by impairing venous blood outflow. Prostatectomy is commonly performed in elderly patients, who are more likely to develop postoperative cognitive disorders. Therefore, increased intracranial pressure could play an essential role in cognitive decline after surgery. We describe a case of a 69-year-old male who underwent a robotic prostatectomy. Noninvasive Brain4care™ intraoperative monitoring showed normal intracranial compliance during anesthesia induction, but it rapidly decreased after head-down tilt despite normal vital signs, low lung pressure, and adequate anesthesia depth. We conclude that there is a need for intraoperative intracranial compliance monitoring since there are major changes in cerebral compliance during surgery, which could potentially allow early identification and treatment of impaired cerebral complacency.
- 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.
- A Brazilian national preparedness survey of anesthesiologists during the coronavirus pandemic(2021) QUINTAO, Vinicius Caldeira; SIMOES, Claudia Marquez; MUNOZ, Gibran Elias Harcha; BARACH, Paul; CARMONA, Maria Jose Carvalho
- Comprehensive perioperative eye protection(2021) CARMONA, Maria José Carvalho; QUINTÃO, Vinícius Caldeira
- Intraoperative clonidine to prevent delirium following sevoflurane in pediatric patients(2021) QUINTAO, Vinicius Caldeira
- A call for more pediatric anesthesia research(2021) QUINTAO, Vinicius Caldeira; CARMONA, Maria Jose Carvalho