Although the RACHS-1 is easily applicable, it can not be applicable in our scenario because it takes into account only the surgical procedure as a categorized variable, not considering others factors presented in our scenario that could interfere in the final surgical result.
Pericardial cysts are uncommon congenital abnormalities. Most are asymptomatic and are found incidentally on chest roentgenograms. Giant cysts are an even more uncommon finding, and reports of their natural history, presentation and management are few. In this report the authors describe a case of a giant pericardial cyst with symptoms of mediastinal compression for which the surgical excision guaranteed a 12-month follow-up of complete remission of the symptomatology.Descriptors: Pericardium, pathology. Mediastinal cyst, surgery. Constriction, pathologic, complications.
ResumoOs cistos pericárdicos são anomalias congênitas incomuns, sendo a maioria assintomática e diagnosticadas incidentalmente na radiografia de tórax. Os cistos gigantes são raros, havendo poucos relatos concernentes à sua história natural, apresentação clínica e tratamento. No presente relato, os autores descrevem um caso de cisto pericárdico gigante, com sintomatologia compressiva importante, cuja excisão cirúrgica garantiu completa remissão sintomatológica no seguimento de 12 meses.
Conclusão: O presente estudo permitiu concluir que os critérios RIFLE e AKIN possuem boa concordância na detecção e estratificação da lesão renal aguda no pós-operatório de revascularização do miocárdio.
The reconstruction of the chest wall utilizing temporary metal braces showed to be a safe and effective procedure with good aesthetic and functional outcomes in this group of patients.
IntroductionMost risk stratification scores used in surgery do not include external and
non-technical factors as predictors of morbidity and mortality.ObjectiveThe present study aimed to translate and adapt transculturally the Brazilian
version of the Disruptions in Surgery Index (DiSI) questionnaire, which was
developed to capture the self-perception of each member of the surgical team
regarding the disruptions that may contribute to error and obstruction of
safe surgical flow.MethodsA universalist approach was adopted to evaluate the conceptual equivalence of
items and semantics, which included the following stages: (1) translation of
the questionnaire into Portuguese; (2) back translation into English; (3)
panel of experts to draft the preliminary version; and (4) pre-test for
evaluation of verbal comprehension by the target population of 43
professionals working in cardiothoracic surgery.ResultsThe questionnaire was translated into Portuguese and its final version with
29 items obtained 89.6% approval from the panel of experts. The target
population evaluated all items as easy to understand. The mean overall
clarity and verbal comprehension observed in the pre-test reached 4.48
± 0.16 out of the maximum value of 5 on the psychometric Likert
scale.ConclusionBased on the methodology used, the experts' analysis and the results of the
pre-test, it is concluded that the essential stages of translation and
cross-cultural adaptation of DiSI to the Portuguese language were
satisfactorily fulfilled in this study.
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