Publications by authors named "Israel Ferreira da Silva"
Background And Objectives: The SAPS 3 (Simplified Acute Physiology Score 3) prognostic system is composed of 20 parameters, represented by an acute physiology score and assessment of the previous status, aimed at establishing a predictive mortality index for patients admitted to intensive care units (ICU). The objective of this study was to validate this system and determine its discriminatory power in surgical patients in Brazil.
Methods: This is a prospective study undertaken in two surgical ICUs of two different hospitals over a one-year period; patients younger than 16 years, who stay at the ICU for less than 24 hours, readmitted to the unit, and those admitted for dialysis were excluded from the study.
Article Synopsis
- The study aimed to assess the clinical outcomes of patients who required intra-operative blood transfusions by examining tissue perfusion markers.
- A total of 61 adult patients undergoing surgery were evaluated, revealing that Scv02 was the most effective tissue perfusion marker for predicting mortality, with a cut-off point of 80%.
- Findings indicated that patients with Scv02 levels at or below 80% experienced significantly lower mortality rates and fewer postoperative complications compared to those with higher Scv02 levels, suggesting that adequate perfusion is crucial for better clinical outcomes following blood transfusions.
Background And Objectives: The predictive index for discontinuing mechanical ventilation is a prognostic parameter. The objective of this study was to evaluate the use of the Tobin index before tracheal extubation in patients undergoing general anesthesia.
Methods: Eighty patients, 40 (50%) men and 40 (50%) women undergoing cholecystectomy under general anesthesia were analyzed.