pedrobatarda
Intensive Care Doctor | Trauma & Critical Care Educator đ
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O valor do socorro medicalizado e o perigo da ignorĂąncia disfarçada de eficiĂȘncia | OpiniĂŁo | PĂBLICO
O valor do socorro medicalizado e o perigo da ignorĂąncia disfarçada de eficiĂȘncia | OpiniĂŁo | PĂBLICO
Acabar com modelo portuguĂȘs de socorro Ă© "erro pago com vidas", alertam coordenadores das VMER
Acabar com modelo portuguĂȘs de socorro Ă© "erro pago com vidas", alertam coordenadores das VMER
Substituir modelo portuguĂȘs de socorro "serĂĄ erro grave, pago com vidas"
Substituir modelo portuguĂȘs de socorro "serĂĄ erro grave, pago com vidas"
My Scientific Publications
Evidence-Based Approach to Cerebral Vasospasm and Delayed Cerebral Ischemia: Milrinone as a Therapeutic OptionâA Narrative Literature Review and Algorithm Treatment Proposition
Evidence-Based Approach to Cerebral Vasospasm and Delayed Cerebral Ischemia: Milrinone as a Therapeutic OptionâA Narrative Literature Review and Algorithm Treatment Proposition
Aneurysmal subarachnoid hemorrhage (aSAH) is a severe neurocritical condition often complicated by cerebral vasospasm (CVS), leading to delayed cerebral ischemia (DCI) and significant morbidity and mortality. Despite advancements in management, therapeutic options with robust evidence remain limited. Milrinone, a phosphodiesterase type 3 (PDE3) inhibitor, has emerged as a potential therapeutic option. Intravenous milrinone demonstrated clinical and angiographic improvement in 67% of patients, reducing the need for mechanical angioplasty and the risk of functional disability at 6 months (mRS †2). Side effects, including hypotension, tachycardia, and electrolyte disturbances, were observed in 33% of patients, occasionally leading to early drug discontinuation. Based on the evidence, we propose a treatment algorithm for using milrinone to optimize outcomes and standardize its application in neurocritical care settings.
Scientific Publications
Enteral feeding strategy and glycaemic control in septic ICU patients
Enteral feeding strategy and glycaemic control in septic ICU patients
Noradrenaline versus other vasopressors in cardiogenic shock
Noradrenaline versus other vasopressors in cardiogenic shock
Access full-text academic articles: J-STAGE is an online platform for Japanese academic journals.
Sepsisâinduced cardiomyopathy and arrhythmias: pathophysiology and future therapies
Sepsisâinduced cardiomyopathy and arrhythmias: pathophysiology and future therapies
In the context of multi-organ involvement in sepsis, cardiac toxicity is manifested as sepsis-induced cardiomyopathy (SICM).
Targeted temperature management: does speed really matter?
Targeted temperature management: does speed really matter?
Hypocalcaemia and mortality in major trauma
Hypocalcaemia and mortality in major trauma
Extubation strategy: high FiO2 and suction versus low FiO2 without suction
Extubation strategy: high FiO2 and suction versus low FiO2 without suction
ECMO in pregnancy and the postpartum period: ELSO 2025 narrative guideline
ECMO in pregnancy and the postpartum period: ELSO 2025 narrative guideline
Status epilepticus in older adults: a different disease at the bedside
Status epilepticus in older adults: a different disease at the bedside
Older adults (â„60âyears of age) have the highest incidence of status epilepticus (SE) among adults and experience the highest morbidity and mortality. SE incidence increases with age in adulthood. A ...
Dexmedetomidine in sepsis: sedation that may change outcomes
Dexmedetomidine in sepsis: sedation that may change outcomes
BackgroundDexmedetomidine (DEX) and propofol (PROP) are both recommended as first-line short-acting sedative-analgesic agents for sepsis patients. However, e...
Hemodynamic failure during sepsis: beyond âone-size-fits-allâ shock
Hemodynamic failure during sepsis: beyond âone-size-fits-allâ shock
Sepsis remains the most common syndrome in intensive care units and the leading cause of mortality. This narrative review aims to synthesize the literâŠ
Managing Elevated Blood Pressure in Acute Care Settings
Managing Elevated Blood Pressure in Acute Care Settings
The use of CytoSorb hemoadsorption in critically ill patients: a narrative review - PMC
The use of CytoSorb hemoadsorption in critically ill patients: a narrative review - PMC
Inflammation, a complex biological response against injury or infection, is an important pathological basis for various critical diseases. A ânormalâ immune response exemplifies a balanced dialogue between immunological cells and a medley of pro- ...
Mechanical Ventilation in Acute Brain Injury
Mechanical Ventilation in Acute Brain Injury
Setting the ventilator in acute brain injury - Intensive Care Medicine
Setting the ventilator in acute brain injury - Intensive Care Medicine
Are contemporary antifungal doses sufficient for critically ill patients?
Are contemporary antifungal doses sufficient for critically ill patients?
PLR vs. Trendelenburg â Which Works Best?
PLR vs. Trendelenburg â Which Works Best?
Diabetic Ketoacidosis: Normal Saline or Balanced Solutions?
Diabetic Ketoacidosis: Normal Saline or Balanced Solutions?
Biomarker-Guided Antibiotic Duration for Patients With Suspected Sepsis
Biomarker-Guided Antibiotic Duration for Patients With Suspected Sepsis
End-of-life care in the intensive care unit - PubMed
End-of-life care in the intensive care unit - PubMed
The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association | Hypertension
The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association | Hypertension
Intravenous Albumin: Updated Guidelines in Focus! International recommendations emphasize its use in specific
Intravenous Albumin: Updated Guidelines in Focus! International recommendations emphasize its use in specific
Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society
Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society
Sepsis-induced coagulopathy (SIC) in the management of sepsis - Annals of Intensive Care
Sepsis-induced coagulopathy (SIC) in the management of sepsis - Annals of Intensive Care
đ Ready to manage a traumatic cardiac arrest (TCA)?
đ Ready to manage a traumatic cardiac arrest (TCA)?
HOTT-TCA-FAB protocol
HOTT-TCA-FAB protocol
đ Viscoelastic Testing: The Future of Intensive Care?
đ Viscoelastic Testing: The Future of Intensive Care?
Damage Control Resuscitation: Advancements in Trauma Management
Damage Control Resuscitation: Advancements in Trauma Management
đ Ketamine vs. Fentanyl: Hemodynamic Impact in Septic Shock
đ Ketamine vs. Fentanyl: Hemodynamic Impact in Septic Shock
Fluid Resuscitation in Trauma: What You Need to Know
Fluid Resuscitation in Trauma: What You Need to Know
Choque HemorrĂĄgico no Trauma: o que hĂĄ de novo?
Choque HemorrĂĄgico no Trauma: o que hĂĄ de novo?
Early Goal-Directed Hemostatic Therapy for Severe Acute... : Anesthesia & Analgesia
Early Goal-Directed Hemostatic Therapy for Severe Acute... : Anesthesia & Analgesia
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