Publications by authors named "Castro Maria de Lurdes"
There are increasing rates of cardiac surgery in the elderly. Frailty, depression, and social vulnerability are frequently present in older people, and should be considered while assessing risk and providing treatment options. We aimed to analyse the impact of clinically relevant variables on survival at one year, and identify areas of future intervention.
View Article and Find Full Text PDFIntroduction: Frailty is a multidimensional syndrome characterized by the loss of functional reserve, associated with higher mortality and less functional survival in cardiac surgery patients. The Edmonton Frail Scale (EFS) is a comprehensive tool devised for brief frailty detection. To the best of our knowledge, there are no culturally adapted and validated frailty screening tools that enable the identification of vulnerability domains suited for use in the preoperative setting in Portugal.
View Article and Find Full Text PDF[Correlation between anesthetic decision and clinical characteristics and results in patients submitted to TAVI].
Rev Port Cir Cardiotorac Vasc
September 2019
Objective: The preoperative factors determining the selection of anesthetic technique in patients submitted to TAVI were identified. The results of this procedure in our hospital were evaluated.
Methods: Retrospective study in patients submitted to TAVI in Santa Marta Hospital (January 2010 to December 2016).
Lumbar Cerebrospinal Fluid Drainage in Endovascular Aortic Repair - Reference Centre Experience.
Rev Port Cir Cardiotorac Vasc
May 2019
Article Synopsis
- Spinal cord ischemia (SCI) and resulting paraplegia are serious complications after thoraco-abdominal aortic surgery, with an incidence of 4.3-8.0%, prompting the use of lumbar cerebrospinal fluid (CSF) drainage as a preventive measure for high-risk patients.
- The study assessed the efficacy and safety of CSF drainage in patients undergoing endovascular aortic repairs, involving a retrospective analysis of 19 patients who had the procedure between 2010 and 2017.
- Despite some intraoperative complications and early neurological symptoms in a few patients, the majority showed complete recovery, highlighting the importance of CSF drainage in mitigating the impact of SCI during complex surgeries.
Article Synopsis
- The study looked at how a medicine called levosimendan affects survival in people with serious heart problems.
- Researchers reviewed data from six different studies with 326 patients and found that those who got levosimendan had a lower chance of dying compared to those who didn't.
- The authors believe more big studies are needed to see if levosimendan really helps people with chronic heart failure live longer.
Negative pressure pulmonary oedema is an uncommon complication of traqueal extubation (approximately 0,1%) mostly caused by acute upper airway obstruction. Upper airway obstruction from glottis closure leads to marked inspiratory effort, which generates negative intrathoracic pressure transmitting to pulmonary interstitium, and inducing fluid transudation from pulmonary capillary bed(1-5). We report a case of post-extubation pulmonary oedema in a fifteen years old patient, submitted to surgery following traumatic amputation of his left leg.
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