João Rezende-Neto
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View article: Early placement of a non-invasive, pressure-regulated, fascial reapproximation device improves reduction of the fascial gap in open abdomens: a retrospective cohort study
Early placement of a non-invasive, pressure-regulated, fascial reapproximation device improves reduction of the fascial gap in open abdomens: a retrospective cohort study Open
Background Since current fascial traction methods involve invasive procedures, they are generally employed late in the management of the open abdomen (OA). This study aimed to evaluate early versus late placement of a non-invasive, pressur…
View article: Feasibility of a 4 French resuscitative endovascular balloon occlusion of the aorta (REBOA) device for nontraumatic cardiac arrest in a randomized controlled study using a large porcine model
Feasibility of a 4 French resuscitative endovascular balloon occlusion of the aorta (REBOA) device for nontraumatic cardiac arrest in a randomized controlled study using a large porcine model Open
Consideration should be given to intra-thoracic cardiac massage to increase cardiopulmonary resuscitation effectiveness and therefore return of spontaneous circulation rates in large (>65 kg) swine models of nontraumatic cardiac arrest. Th…
View article: Pediatric ingestion of multiple ball magnets leading to intestinal perforation: A case report
Pediatric ingestion of multiple ball magnets leading to intestinal perforation: A case report Open
View article: The unrestricted global effort to complete the COOL trial
The unrestricted global effort to complete the COOL trial Open
View article: The Other Side of the Coin: Using Rotational Thromboelastometry to Stop or Avoid Blood Transfusions in Trauma Patients
The Other Side of the Coin: Using Rotational Thromboelastometry to Stop or Avoid Blood Transfusions in Trauma Patients Open
However, empiric resuscitation with early transfusion of large amounts of blood and blood products to severely injured patients has drawbacks.The correct time to initiate or to stop blood transfusion cannot be objectively determined, and m…
View article: Using the Delphi Method to Establish a Novel and Universal System for Classifying Indications behind Delayed Abdominal Closure
Using the Delphi Method to Establish a Novel and Universal System for Classifying Indications behind Delayed Abdominal Closure Open
Introduction: Delayed fascial closure is a common lifesaving feature of damage control laparotomy but may result in serious complications.Accordingly, it should only be applied when required; however, a paucity of guidelines and framework …
View article: The Unrestricted Global effort to complete the Closed Or Open after Source Control Laparotomy for Severe Complicated Intra-Abdominal Sepsis (COOL) Trial
The Unrestricted Global effort to complete the Closed Or Open after Source Control Laparotomy for Severe Complicated Intra-Abdominal Sepsis (COOL) Trial Open
· Background: Severe complicated intra-abdominal sepsis (SCIAS) has an increasing incidence with mortality rates over 80% in some settings. Mortality typically results from disruption of the gastrointestinal tract, progressive and self-per…
View article: Poor timing and failure of source control are risk factors for mortality in critically ill patients with secondary peritonitis
Poor timing and failure of source control are risk factors for mortality in critically ill patients with secondary peritonitis Open
View article: Perspectives on the management of non-compressible torso hemorrhage: A narrative review
Perspectives on the management of non-compressible torso hemorrhage: A narrative review Open
LAY SUMMARY Hemorrhage is one of the leading causes of death after trauma. A significant proportion of these fatalities could be prevented with appropriate bleeding control. This is more easily achieved with direct pressure in compressible…
View article: Porcine liver injury model to assess tantalum-containing bioactive glass powders for hemostasis
Porcine liver injury model to assess tantalum-containing bioactive glass powders for hemostasis Open
View article: Antimicrobial Lessons From a Large Observational Cohort on Intra-abdominal Infections in Intensive Care Units
Antimicrobial Lessons From a Large Observational Cohort on Intra-abdominal Infections in Intensive Care Units Open
View article: New non-invasive device to promote primary closure of the fascia and prevent loss of domain in the open abdomen: a pilot study
New non-invasive device to promote primary closure of the fascia and prevent loss of domain in the open abdomen: a pilot study Open
Background Primary closure of the fascia at the conclusion of a stage laparotomy can be a challenging task. Current techniques to medialize the fascial edges in open abdomens entail several trips to the operating room and could result in f…
View article: Extra Articular Pelvic Fractures with Concomitant Gastrointestinal Injury Caused by Ballistic Trauma are Harbingers of Intra-Abdominal and Retroperitoneal Abscesses
Extra Articular Pelvic Fractures with Concomitant Gastrointestinal Injury Caused by Ballistic Trauma are Harbingers of Intra-Abdominal and Retroperitoneal Abscesses Open
View article: In the Zone: lessons from the first Canadian emergency department application of resuscitative endovascular balloon occlusion of the aorta (REBOA)
In the Zone: lessons from the first Canadian emergency department application of resuscitative endovascular balloon occlusion of the aorta (REBOA) Open
View article: Crystalloid resuscitation in trauma patients: deleterious effect of 5L or more in the first 24h
Crystalloid resuscitation in trauma patients: deleterious effect of 5L or more in the first 24h Open
View article: 2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation
2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation Open
View article: Trauma Association of Canada Abstracts 2018
Trauma Association of Canada Abstracts 2018 Open
# Survivors of traumatic cardiac arrest. {#article-title-2} Traumatic cardiac arrest (TCA) carries high mortality and morbidity. Survival is poor. Recent studies suggest the rate of morbidity and mortality due to TCA is approaching the sam…
View article: Multidisciplinary damage control management of life-threatening carotid blowout syndrome
Multidisciplinary damage control management of life-threatening carotid blowout syndrome Open
A 63-year-old patient arrived at our trauma center with profuse arterial bleeding from zone 2 on the right side of his neck. He was alert with a heart rate of 130 beats per minute and a blood pressure of 150/100 mm Hg. There was initial co…
View article: Resuscitative Endovascular Balloon Occlusion of the Aorta Consensus: The Panamerican Experience
Resuscitative Endovascular Balloon Occlusion of the Aorta Consensus: The Panamerican Experience Open
El Balón de Resucitación Endovascular de Aorta (REBOA) es una herramienta dentro de la indumentaria del cirujano de trauma utilizada para obtener control de forma endovascular de la hemorragia mientras asegura la redistribución del flujo s…
View article: Three Sequential Balloon Catheters for Vascular Exclusion of the Liver and Aortic Control (one REBOA and two REBOVCs): A Hemorrhage Control Strategy in Suprahepatic Vena Cava Injuries
Three Sequential Balloon Catheters for Vascular Exclusion of the Liver and Aortic Control (one REBOA and two REBOVCs): A Hemorrhage Control Strategy in Suprahepatic Vena Cava Injuries Open
Introduction:We hypothesized that sequential deployment of a resuscitative endovascular balloon occlusion in the aorta REBOA, Pringle maneuver, and two Resuscitative balloon occlusion of the inferior vena cava (REBOVC) would provide hepati…
View article: “Genuine” Damage Control Laparotomy in Peritonitis: A Twenty-Year Review
“Genuine” Damage Control Laparotomy in Peritonitis: A Twenty-Year Review Open
View article: Chronic Infection and Enterocutaneous Fistula Secondary to Mesh Migration and Erosion into the Small Bowel
Chronic Infection and Enterocutaneous Fistula Secondary to Mesh Migration and Erosion into the Small Bowel Open
Background: The use of prosthetic mesh is associated with a lower risk of hernia recurrence and hence is used commonly in hernia repair. Mesh migration and erosion into the gastrointestinal tract, albeit rare, is one of the most serious an…
View article: Management of right coronary artery fistula caused by nail gun trauma
Management of right coronary artery fistula caused by nail gun trauma Open
View article: New device for temporary hemorrhage control in penetrating injuries to the ventricles
New device for temporary hemorrhage control in penetrating injuries to the ventricles Open
Background The best way to control hemorrhage from cardiac injuries is through digital occlusion followed by suture. However, this is difficult to accomplish in the emergency department (ED) setting. Generally, temporary control is obtaine…
View article: Anatomical, physiological, and logistical indications for the open abdomen: a proposal for a new classification system
Anatomical, physiological, and logistical indications for the open abdomen: a proposal for a new classification system Open
We defined three basic indications for the use of the open abdomen, anatomical physiological and logistical. These indications establish a practical and comprehensive terminology that could help to promote appropriate use of the open abdom…
View article: Hemorrhage Control in Penetrating Cardiac Injury: A New Device Put to the Test in the Advanced Trauma Operative Management (ATOM) Course
Hemorrhage Control in Penetrating Cardiac Injury: A New Device Put to the Test in the Advanced Trauma Operative Management (ATOM) Course Open
Penetrating cardiac injuries cause death through exsanguination, cardiac tamponade, and fulminant cardiac failure. 1 Ballistic trauma and stab wounds are the most common mechanisms involved in penetrating wounds to the heart.Studies of uns…
View article: Clotting Factor XIII and desmopressin improve hemostasis in uncontrolled bleeding
Clotting Factor XIII and desmopressin improve hemostasis in uncontrolled bleeding Open
Normotensive resuscitation provokes more bleeding and worsens coagulation compared to pH, that is partially reversed by factor XIII and desmopressin. FXIII and DDAVP can synergistically improve coagulation. Permissive hypotension reduces b…