Publications by authors named "Paulo Cesar Espada"
The aim of the present study was to report different sites of thrombotic events during and after coronavirus disease 2019 (COVID-19) in a 49-year-old patient who had acute mesenteric infarction in acute phase, stroke 2 months after and pulmonary thromboembolism 4 months after infection by COVID-19. The obese, previously healthy patient experienced myalgia and headache with subfebrile peaks and was tested positive for COVID-19 with a fast polymerase chain reaction (PCR) assay. Ten days after the onset of symptoms, the patient was submitted to exploratory laparotomy, which revealed 20 cm of small intestine loop with signs of suffering and thickening of the wall approximately 120 cm from the ileocecal valve.
View Article and Find Full Text PDFBackground: Current evidence points to a state of hypercoagulability (consequence of hyperinflammation) as an important pathogenic mechanism that contributes to the increase in mortality in cases of COVID-19. The aim of the present study was to investigate the influence of deep-vein thrombosis on mortality patient's infected with SARS-CoV-2.
Method: A clinical trial was conducted involving 200 consecutive patients with COVID-19-100 patients who were positive for deep-vein thrombosis (venous Doppler ultrasound) and 100 who were negative for deep-vein thrombosis at a public hospital.
Article Synopsis
- Effective communication among surgeons and anesthesiologists is crucial in managing severe trauma, and the joint DSTC-DATC courses serve as important teamwork training opportunities.
- A study involving 93 participants showed that after attending these courses, candidates reported a significant improvement in their communication skills, particularly valuing routine communication and team debriefs.
- The training led to enhanced perceptions of intraoperative communication, indicating a potential positive impact on patient care, though further studies are needed to assess the long-term effects.
Background: Pulmonary thromboembolism is an important cause of death affecting thousands of people worldwide. The current study aims to evaluate the prevalence of death due to pulmonary embolism after trauma.
Materials And Methods: The diagnoses of the causa mortis of all patients treated in the Accident and Emergency Department of Hospital de Base in São José do Rio Preto, in the period from July 2004 to June 2005, were identified from autopsy reports to check whether pulmonary thromboembolism was involved.
Background And Aim: The aim of this study was to evaluate if loss of consciousness at the scene of an accident in patients with thoracic trauma classified by the Abbreviated Injury Scale (AIS) as thorax >2 has a different outcome in respect to immediate hospital discharge, hospitalization, death and type of accident.
Methods: A prospective study was performed in the Regional Trauma Center of São José do Rio Preto. All patients with scores related to thoracic injury >/=2 were included in this study.
Aim: To report on the causes of trauma, indexes of trauma, and mortality related to thoracic trauma in one region of Brazil.
Materials And Methods: This prospective study was performed at the Regional Trauma Center in São José do Rio Preto over a 1-year period, from 1(st) July 2004 to 30(th) June 2005. We included all patients attending the center's emergency room with thoracic trauma and an anatomic injury scale (AIS) ≥ 2.