DOMINGOS DIAS CICARELLI
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
SVANES-62, Hospital Universitário
SVANES-62, Hospital Universitário
8 resultados
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article 3 Citação(ões) na Scopus Predictors of pain and prolonged length of stay after orthognathic surgery: A retrospective cohort study(2015) SHINAGAWA, Adriana; MELHEM, Fernando Elias; DE CAMPOS, Antônio Carlos; DIAS CICARELLI, Domingos; FRERICHS, ElkeIntroduction: Orthognathic treatment has assumed an important role in orthodontics and maxillofacial surgery in the last years; however, little has been investigated about this type of treatment. Objectives: The main purpose of this study was to identify major factors and/or predictors associated with postoperative pain (PP) and hospital length of stay (LOS) after orthognathic surgery. Materials and methods: 52 patients who underwent orthognathic surgery from 2008 to 2010 at the University Hospital of São Paulo University were investigated. Study variables such as patient characteristics, preoperative, intraoperative and postoperative data were collected. The outcome variables were PP and LOS. Descriptive and analytical statistics was computed for all variables. Results: 27.6% of patients had pain in the postoperative period. Lidocaine used in general anesthesia was an associated factor of PP. The overall mean LOS was 2 days; gender, location of procedure, type and duration of anesthesia were identified as probable predisposing factors. There was a significant correlation between anesthesia time and discharge. Anesthesia variables were more predictably related with postoperative pain and hospitalization time. Location of orthognathic procedure, however, was an important surgical variable that influenced in LOS. Conclusions: Intravenous lidocaine boluses used during general anesthesia were associated with PP. Male patients, single-jaw surgery, inhalational anesthesia and duration of anesthesia were predisposing factors that improve LOS.bookPart Embolia gordurosa(2016) COMARIM, Paulo Roberto Granela; TORRES, João Nathanael Lima; CICARELLI, Domingos DiasbookPart Anestesia para reprodução humana assistida(2023) CICARELLI, Domingos DiasbookPart Atividades de Anestesia(2021) VIEIRA, Joaquim Edson; CICARELLI, Domingos DiasbookPart Trombectomia farmacomecânica de tromboembolismo pulmonar bilateral(2016) RAMALHO, Alan Saito; CICARELLI, Domingos DiasbookPart Parada cardiorrespiratória durante bloqueio subaracnóideo(2016) PINHEIRO, Aline Macêdo; ONO, Larissa; CICARELLI, Domingos Diasarticle 1 Citação(ões) na Scopus Effect of flumazenil on recovery from general anesthesia with isoflurane: A randomized controlled trial(2016) DIAS CICARELLI, Domingos; ROJAS-ÁLVAREZ, Nora Elizabeth; FULLER, Priscila; LACAVA PAGNOCCA, Marcelo; FRERICHS, Elke; MARTINS BENSENOR, Fábio ElyBackground and objectives: The inhalational anesthetic isoflurane is widely used in general anesthetics. Its mechanism of action involves interaction with the receptor of gamma-aminobutyric acid (GABA), which is also the binding site for benzodiazepines. Flumazenil, benzodiazepine antagonist, reverses the effects of these drugs in GABA receptors and could therefore also reverse the effect of isoflurane. In anesthesia practice, extubation and early anesthetic recovery reduce morbidity and incidence of complications. The objective of this trial is to determine whether the use of lumazenil may contribute to faster recovery from anesthesia. Methods: Forty patients scheduled to undergo general anesthesia with isolurane were enrolled in this prospective, double-blind, randomized trial. Patients were randomized to receive, at the end of anesthesia, lumazenil or placebo as allocated into two groups. The anesthetic technique was standardized. The groups were compared concerning values of cerebral state index (CSI), heart rate, blood pressure and oxygen saturation from the application of flumazenil or placebo until 30 min after injection. Data regarding time to extubation, time to reach 10 points in the Aldrete-Kroulic score (AK = 10) and Vigilance score (VS = 10) was also collected. ANOVA test was applied to analyze the results, considering p < 0.05. Results:Patients receiving flumazenil achieved faster extubation than the control (p = 0.033). No differences were observed in values of CSI, the time until AK = 10 and until VS = 10. Conclusions: Administration of lumazenil at the end of isolurane general anesthesia resulted in earlier extubation in studied patients.- Incidencia de complicaciones neurológicas y cefalea pospunción dural luego de anestesia regional en la práctica obstétrica: un estudio retrospectivo de 2399 pacientes(2014) CICARELLI, Domingos Dias; FRERICHS, Elke; MARTINS BENSEñOR, Fábio ElyIntroduction and objectives: Regional anesthesia provides excellent anesthesia and analgesia in obstetric patients, but has potential for complications such as post-dural puncture headache and permanent or transient nerve damage. This study aimed to describe the incidence of post-dural puncture headache and nerve damage in the obstetric population of auniversity hospital that was submitted to neuraxial blockades, comparing with the world literature, and identify risk factors. Materials and methods: A retrospective cohort was performed including data collected in the records of post-anesthetic consults conducted during the year 2010. The main analysis was performed on the complaints of peripheral neurological deficits and headaches reported by patients, type of anesthesia and performed surgical procedures. A multiple regression analysis was performed to investigate the association between the onset of lower limb paresthesias and the length of stay of these patients in the gynecological position and other variables. Results: A total of 2399 pregnant patients who had undergone neuraxial blockade were eva-luated. Neurologic complications that occurred in these patients were divided into lower limb paresthesias (0.3%), transient radicular irritation (0.1%), and post-dural puncture headache (3%). The patients who stayed more than 60 min in gynecological position showed an odds ratio of evolution with lower limb paresthesias of 1.75 and patients who stayed more than 120 min showed an odds ratio of 2.1, but without statistical significance. Conclusions: Patients submitted to neuraxial blockades and placed in gynecological position were more likely to evolve with lower limb paresthesias related to duration of this position.