DANIEL NEVES FORTE
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
bookPart Abordagem inicial do paciente grave(2013) FORTE, Daniel Neves; JúNIOR, Antônio Paulo Nassar; MARTINS, Herlon Saraiva- Oncologists' and Intensivists' Attitudes Toward the Care of Critically Ill Patients with Cancer(2019) NASSAR JR., Antonio Paulo; DETTINO, Aldo Lourenco Abadde; AMENDOLA, Cristina Prata; SANTOS, Rodrigo Alves dos; FORTE, Daniel Neves; CARUSO, PedroBackground: Patients with cancer represent an important proportion of intensive care unit (ICU) admissions. Oncologists and intensivists have distinct knowledge backgrounds, and conflicts about the appropriate management of these patients may emerge. Methods: We surveyed oncologists and intensivists at 2 academic cancer centers regarding their management of 2 hypothetical patients with different cancer types (metastatic pancreatic cancer and metastatic breast cancer with positive receptors for estrogen, progesterone, and HER-2) who develop septic shock and multiple organ failure. Results: Sixty intensivists and 46 oncologists responded to the survey. Oncologists and intensivists similarly favored withdrawal of life support measures for the patient with pancreatic cancer (33/46 [72%] vs 48/60 [80%], P = .45). On the other hand, intensivists favored more withdrawal of life support measures for the patient with breast cancer compared to oncologists (32/59 [54%] vs 9/44 [21%], P < .001). In the multinomial logistic regression, the oncology specialists were more likely to advocate for a full-code status for the patient with breast cancer (OR = 5.931; CI 95%, 1.762-19.956; P = .004). Conclusions: Oncologists and intensivists share different views regarding life support measures in critically ill patients with cancer. Oncologists tend to focus on the cancer characteristics, whereas intensivists focus on multiple organ failure when weighing in on the same decisions. Regular meetings between oncologists and intensivists may reduce possible conflicts regarding the critical care of patients with cancer.
bookPart Abordagem inicial do paciente grave(2017) FORTE, Daniel Neves; JúNIOR, Antônio Paulo Nassar; MARTINS, Herlon SaraivabookPart Abordagem Inicial do Paciente Grave(2013) FORTE, Daniel Neves; JúNIOR, Antônio Paulo Nassar; MARTINS, Herlon SaraivabookPart Abordagem Inicial do Paciente Grave(2016) FORTE, Daniel Neves; JúNIOR, Antônio Paulo Nassar; MARTINS, Herlon SaraivabookPart Abordagem Inicial do Paciente(2016) FORTE, Daniel Neves; NASSAR JUNIOR, Antonio Paulo; MARTINS, Herlon Saraiva