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Osawa E, Park C, Bergamin F, Pileggi B, Almeida J, Nakamura R, Duayer I, Queiroz G, Galas F, Ribeiro J, Bispo I, Fukushima J, Hajjar L. Predictors of 30-day mortality in cancer patients with septic shock. Crit Care 2015. [PMCID: PMC4472969 DOI: 10.1186/cc14617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Duayer I, Osawa E, Park C, Fukushima J, Almeida J, Nakamura R, Galas F, Hajjar L. Outcomes of patients with hematologic malignancies admitted to the ICU. Crit Care 2015. [PMCID: PMC4472421 DOI: 10.1186/cc14619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Gerent A, Almeida J, Almeida E, Lousada A, Park C, Ribeiro J, Fukushima J, Leme A, Osawa E, Rezende A, Bispo I, Galas F, Hajjar L. Base deficit and SOFA score are predictive factors of early acute kidney injury in oncologic surgical patients. Crit Care 2015. [PMCID: PMC4472087 DOI: 10.1186/cc14377] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Juliana R, Ferreira G, Camara L, Zefferino S, Azevedo D, Groehs R, Lima M, Nogueira R, Bor-Seng-Shu E, Osawa E, Jardim J, Almeida J, Galas F, Hajjar L. Effect of coronary artery bypass grafting surgery with a pump on cerebral blood flow in high-risk patients. Crit Care 2015. [PMCID: PMC4471210 DOI: 10.1186/cc14551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Rezende A, Camara L, Leme A, Ribeiro J, Bispo I, Zeferino S, Jardim J, Park C, Osawa E, Almeida J, Gerent A, Galas F, Fonseca D, Fukushima J, Hajjar L. Positive fluid balance as a risk factor for mortality and acute kidney injury in vasoplegic shock after cardiac surgery. Crit Care 2015. [PMCID: PMC4471300 DOI: 10.1186/cc14271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Almeida J, Galas F, Fukushima J, Almeida E, Gerent A, Osawa E, Park C, Nakamura R, Leme A, Sundin M, Filho R, Jatene F, Hajjar L. Risk factors for severe vasodilatory shock after cardiac surgery. Crit Care 2015. [PMCID: PMC4471403 DOI: 10.1186/cc14229] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Leme A, Amato M, Osawa E, Fukushima J, Feltrim M, Nozawa E, Almeida J, Hajjar L, Galas F. Hemodynamic behavior in a randomized trial of intensive alveolar recruitment after cardiac surgery. Crit Care 2015. [PMCID: PMC4470679 DOI: 10.1186/cc14274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Park C, Osawa E, Almeida J, Nakamura R, Duayer I, Fukushima J, Queiroz G, Galas F, Hajjar L. Lactated Ringer Versus Albumin in Early Sepsis Therapy (RASP) study: preliminary data of a randomized controlled trial. Crit Care 2015. [PMCID: PMC4471499 DOI: 10.1186/cc14435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Zefferino S, Camara L, Almeida J, Galas F, Camara L, Auler J, Fukushima J, Lema A, Hajjar L. ε-Aminocaproic acid does not increase adverse effects in cardiac surgery: an analysis of 2,852 cases. Crit Care 2014. [PMCID: PMC4068835 DOI: 10.1186/cc13294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Leme A, Hajjar L, Amato M, Fukushima J, Hashizume C, Nozawa E, Osawa E, Nakamura R, Almeida J, Ianotti R, Auler J, Galas F. Intensive alveolar recruitment after cardiac surgery: a randomized controlled clinical trial. Crit Care 2014. [PMCID: PMC4069607 DOI: 10.1186/cc13461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Zambolim C, Nagaoka D, Fukushima J, Park C, Carneiro J, Osawa E, Almeida J, Zefferino S, Galas F, Hajjar L. Vasopressin versus norepinephrine for the management of septic shock in cancer patients. Crit Care 2014. [PMCID: PMC4068789 DOI: 10.1186/cc13351] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Sundin M, Almeida J, Osawa E, Galas F, Gaiane M, Zefferino S, Camara L, Galas LG, Hajjar L. Early lactate-guided therapy in cardiac surgery patients: a randomized controlled trial. Crit Care 2014. [PMCID: PMC4068697 DOI: 10.1186/cc13360] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Bergamin F, Almeida J, Park C, Osawa E, Silva J, Galas F, Nagaoka D, Fukushima J, Vieira S, Candido L, Oshiro CO, Vincent JL, Hajjar L. Transfusion requirements in septic shock patients: a randomized controlled trial. Crit Care 2014. [PMCID: PMC4068188 DOI: 10.1186/cc13302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Nakamura R, Vincent JL, Fukushima J, Almeida J, Bergamin F, Park C, Osawa E, Sundin M, Muller A, Galas F, Hajjar L. A liberal strategy of red blood cell transfusion reduces cardiovascular complications in older patients undergoing cardiac surgery. Crit Care 2014. [PMCID: PMC4068638 DOI: 10.1186/cc13297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Hajjar L, Franca M, Almeida J, Fukushima J, Bergamin F, Zambolim C, Camargo P, Park C, Osawa E, Sundin M, Nakamura R, Galas F. Very old patients with cancer admitted to the ICU: outcome and predictive factors of mortality. Crit Care 2014. [PMCID: PMC4068304 DOI: 10.1186/cc13248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Hamaji A, Hajjar L, Caiero M, Almeida J, Nakamura RE, Osawa EA, Fukushima J, Galas FR, Auler JOC. Volume replacement therapy during hip arthroplasty using hydroxyethyl starch (130/0.4) compared to lactated Ringer decreases allogeneic blood transfusion and postoperative infection. Braz J Anesthesiol 2013; 63:27-35. [PMID: 24565088 DOI: 10.1016/j.bjane.2012.03.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2011] [Accepted: 03/15/2012] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Hydroxyethyl starch (HES) 130/0.4 is considered an effective plasma expander when compared to crystalloids. There is controversy around its superiority regarding hemodynamic optimization and about possible detrimental effects on coagulation. The aim of this study was to compare the effects of HES 130/0.4 to lactated Ringer solution during hip arthroplasty in adult patients under spinal anesthesia regarding intraoperative bleeding, hemodynamic parameters, coagulation profile, transfusion requirements and clinical outcomes. METHODS In this randomized, controlled trial, 48 patients scheduled for hip arthroplasty with spinal anesthesia were randomized into two groups: 24 patients were allocated to receive a preload of 15 mL.kg(-1) of HES 130/0.4 and 24 patients received a preload of 30 mL.kg(-1) lactated Ringer solution before surgery. Hemodynamic measurements, hemoglobin concentrations, biochemical parameters and coagulation tests were evaluated in three periods during surgical procedure. Patients received medical follow-up during their hospital stay and up to postoperative 30 days. Primary outcome was the requirement of red blood cell transfusion between groups during hospital stay. Secondary outcome were hemodynamic parameters, length of hospital stay, mortality and occurrence of clinical postoperative complications. RESULTS Red blood cell transfusion was required in 17% of patients in the HES group and in 46% in the Ringer group (p = .029). Postoperative infections were more frequently observed in the Ringer group (17%) compared to the HES group (0), p = .037. There were no significant differences between groups in mortality, hospital length of stay and clinical complications other than infection. CONCLUSIONS During hip arthroplasty, patients treated with hypervolemic hemodilution with hydroxyethyl starch 130/0.4 required less transfusion and presented lower infection rate compared to patients who received lactated Ringer.
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Osawa E, Rhodes A, Vincent J, Almeida J, Fukushima J, Pileggi B, Park C, Camara L, Jr JA, Chan R, Piccioni M, Lima M, Galas F, Hajjar L. Goal-directed resuscitation therapy in high-risk patients undergoing cardiac surgery (GRICS study): a randomized controlled trial - preliminary results. Crit Care 2013. [PMCID: PMC3642541 DOI: 10.1186/cc12131] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Miadda R, Colognesi C, Hajjar L, Sundin M, Camara L, Zeferino S, Bergamin F, Leme A, Guimaraes V, Galas F. Red blood cell transfusion results in worse outcomes in patients with left ventricular dysfunction undergoing on-pump cardiac surgery. Crit Care 2013. [PMCID: PMC3642807 DOI: 10.1186/cc12304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Colognesi C, Maia R, Hajjar L, Bergamin F, Fukushima J, Osawa E, Almeida J, Camara L, Zeferino S, Guimaraes V, Galas F. Red blood cell transfusion is a predictor of mortality and morbidity in children undergoing cardiac surgery. Crit Care 2013. [PMCID: PMC3642825 DOI: 10.1186/cc12303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Hajjar L, Galas F, Goto D, Tavares A, Santos M, Freitas A, Oliveira T, Tonini P, Cavichio L, Bazan M, Almeida J, Cavalcante M, Fukushima J, Vieira S, Osawa E. Outcome of intensive care treatment for lung cancer patients. Crit Care 2013. [PMCID: PMC3643146 DOI: 10.1186/cc12407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Hajjar L, Galas F, Vieira S, Almeida J, Osawa E, Park C, Fukushima J, Angelo E, Pinheiro A, Jr JA. Multidisciplinary Medical Emergency Team System increases survival in cancer patients undergoing cardiopulmonary resuscitation. Crit Care 2013. [PMCID: PMC3642600 DOI: 10.1186/cc12236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Leme A, Hajjar L, Nozawa E, Hashizume C, Almeida J, Fukushima J, Auler J, Santiago R, Ianotti R, Amato M, Osawa E, Feltrim M, Galas F. Intensive alveolar recruitment protocol reduces pulmonary complications and intensive care permanence after cardiac surgery. Crit Care 2013. [PMCID: PMC3642404 DOI: 10.1186/cc12048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Hajjar L, Vincent JL, Rhodes A, Annane D, Galas F, Almeida J, Zeferino S, Camara L, Santos V, Pereira J, Osawa E, Maciel E, Rodrigues A, Jardim J, Blini D, Araujo E, Bergamin F, Filho RK, Jr JA. Vasopressin Versus Norepinephrine for the Management of Shock After Cardiac Surgery (VaNCS study): a randomized controlled trial. Crit Care 2013. [PMCID: PMC3642574 DOI: 10.1186/cc12160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Almeida J, Galas F, Osawa E, Fukushima J, Moulin S, Park C, Almeida E, Vieira S, Vincent J, Rhodes A, Balzan M, Inacio J, Palomba H, Nakamura R, Bergamin F, Sandrini A, Jr UR, Jr JA, Hajjar L. Transfusion Requirements in Surgical Oncology Patients (TRISOP): a randomized, controlled trial. CRITICAL CARE : THE OFFICIAL JOURNAL OF THE CRITICAL CARE FORUM 2013. [PMCID: PMC3642659 DOI: 10.1186/cc12302] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Hamaji A, Hajjar L, Caiero M, Almeida J, Nakamura RE, Osawa EA, Fukushima J, Galas FR, Auler Junior JOC. Terapia de reposição volêmica durante artroplastia de quadril usando hidroxietilamido (130/0,4) comparado com Ringer lactato diminui transfusão de sangue alogênico e infecção pós-operatória. Rev Bras Anestesiol 2013. [DOI: 10.1590/s0034-70942013000100003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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