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Implications of extubation failure and prolonged mechanical ventilation in the postoperative period following elective intracranial surgery BJMBR
Vidotto,M.C.; Sogame,L.C.; Gazzotti,M.R.; Prandini,M.; Jardim,J.R..
Patients undergoing neurosurgery are predisposed to a variety of complications related to mechanical ventilation (MV). There is an increased incidence of extubation failure, pneumonia, and prolonged MV among such patients. The aim of the present study was to assess the influence of extubation failure and prolonged MV on the following variables: postoperative pulmonary complications (PPC), mortality, reoperation, tracheostomy, and duration of postoperative hospitalization following elective intra-cranial surgery. The study involved a prospective observational cohort of 317 patients submitted to elective intracranial surgery for tumors, aneurysms and arteriovenous malformation. Preoperative assessment was performed and patients were followed up for the...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Neurosurgery; Craniotomy; Ventilator weaning; Intratracheal intubation; Postoperative period.
Ano: 2011 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011001200014
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Oral triiodothyronine for the prevention of thyroid hormone reduction in adult valvular cardiac surgery BJMBR
Magalhães,A.P.A.; Gus,M.; Silva,L.B.; Schaan,B.D..
Treatment of non-thyroidal illness by intravenous triiodothyronine (T3) after cardiac surgery causes a disproportional elevation of hormone levels. The administration of oral T3, which has never been studied in this context, could cause physiological hormone levels. The aim of this study was to test oral T3 for the prevention of T3 reduction during the postoperative period of valvular cardiac surgery in adults. Eighteen patients who underwent cardiac surgery for valvular disease with invasive hemodynamic monitoring were randomly assigned to 2 groups: the T group received oral T3 (N = 8), 25 µg three times/day, initiated 24 h before surgery and maintained for 48 h and the NT group (N = 10) received placebo. Serum T3, thyroxine and thyrotropin were...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Cardiac surgery; Non-thyroidal illness syndrome; Heart valve disease; Postoperative period.
Ano: 2006 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2006000700015
Registros recuperados: 2
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