Publications by authors named "S Gaiao"
Article Synopsis
- The study investigates the effectiveness and complications of using Perclose Proglide (PP) for percutaneous femoral artery closure after venoarterial extracorporeal membrane oxygenation (VA-ECMO) compared to traditional methods.
- Conducted on 122 patients between 2017 and 2023, the research found that despite certain risk factors, patients in the PP group experienced fewer adverse events and maintained higher hemoglobin levels post-procedure.
- The results suggest that while using PP may lead to a shorter hospital stay, no significant differences were found in mortality rates or procedure-related deaths between the PP and conventional groups.
Article Synopsis
- A study investigated the global prevalence of Long Covid symptoms in individuals from high-income countries (HICs) and low- to middle-income countries (LMICs), since most previous research focused on HICs.
- The research involved 11,860 participants from 17 countries, examining symptoms like fatigue, breathlessness, and their impact on daily life at various time points after hospitalization.
- Findings revealed a significantly higher proportion of Long Covid cases and associated symptoms in HICs compared to LMICs, suggesting that while LMICs have lower reported rates, the overall impact of Long Covid might still be significant due to healthcare disparities.
Article Synopsis
- Prosthetic valve thrombosis is a rare but serious complication that can occur after valve replacement surgery, posing significant risks to patients.
- The case discussed involves a modified Bentall procedure that led to an early thrombosis of a mechanical prosthetic aortic valve, along with a coronary embolism.
- The patient was treated successfully through emergency coronary angioplasty, thrombus aspiration, and a specific drug infusion while being supported by a specialized oxygenation technique.
Hypovolemic Shock And The Need For Invasive Mechanical Ventilation On A Patient With Congenital Heart Disease.
Port J Card Thorac Vasc Surg
July 2024
Article Synopsis
- VA-ECMO techniques have advanced and are particularly beneficial for patients with reversible low cardiac output, such as the case of a 21-year-old male with congenital heart disease who experienced severe shock following an upper gastrointestinal bleed.
- Initial treatments included intubation, fluid resuscitation, and emergency endoscopy to control active bleeding, but the patient's condition worsened, leading to the need for VA-ECMO support due to severe ventricular dysfunction and high lactate levels.
- After optimizing care in the ICU and adjusting ventilation strategies, the patient's condition stabilized, allowing for extubation and the discontinuation of certain medications, reflecting a positive recovery trajectory.
Article Synopsis
- The study examines the use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for patients experiencing drug-refractory electrical storm (ES) without reversible causes, highlighting a significant medical challenge that lacks clear treatment guidelines.
- It includes a retrospective analysis of data from four Iberian centers, involving 34 patients who required VA-ECMO for this condition, primarily characterized by various forms of ventricular tachycardia and fibrillation.
- Complications were common, such as infections and bleeding, but the study reports that 79% of patients survived to hospital discharge, with some undergoing heart transplantation, while others faced rehospitalization due to recurrent ES during follow-up.