Hemorragia pós-operatória em 397 adenotonsilectomias realizadas nos Hospitais Geral de Pirajussara (HGP) e Hospital Estadual de Diadema (HED) / UNIFESP-EPM

Dib, Gabriel Cesar; Kosugi, Eduardo Macoto; Neto, J Murillo; Antunes, Marcos Luiz; Morales, Douglas S.; Guilherme, Arnaldo; Fukuda, Yotaka

doi:10.1590/s0034-72992004000600008

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Two to three surgeries were done per day; if there were complications, the tutor performed the revision surgery. 2 Based on this information, we believe that fully trained surgeons should perform surgery in joint efforts; if residents carry out the procedure, they should be constantly monitored by a tutor to provide support in there are complications.…”

Section: Discussionmentioning

confidence: 99%

Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution?

Antunes

Frazatto

Kosugi

et al. 2007

Brazilian Journal of Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution?

Antunes

Frazatto

Kosugi

et al. 2007

Brazilian Journal of Otorhinolaryngology

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Evaluating platelet function disorders in children with bleeding tendency – A single center study

et al. 2017

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Platelet function disorders (PFDs) are a common cause of mild bleeding tendency. However, they cannot be recognized by standard screening studies. The gold standard test for PFD is platelet aggregation, performed by light transmission aggregometry (LTA). A newer and less validated method is the closure time (CT), performed by the platelet function Analyzer 100 (PFA-100). Data regarding the validity of these tests in children are limited. The aim of this study was to evaluate the usefulness of LTA and PFA-100 for the diagnosis of pediatric patients with bleeding tendency. This retrospective study included patients one month-18 year old that had LTA tests performed at the coagulation laboratory of Rabin Medical Center between the years 2006-2015. Bleeding severity was assessed using a pediatric bleeding score. Patients were excluded from analysis if they had thrombocytopenia, thrombocytosis or coagulation factors deficiencies. One hundred and thirty-seven (137) patients were included in the analysis. The median age was 7.5 years (range one month-18 years). Most patients (93%) had a bleeding score of 2 or more. Abnormal LTA was found in 40% and prolonged CT in 23% of the patients. Abnormal LTA was significantly more common in patients with a bleeding score of 2 or more compared to patients with a lower bleeding scores (P = 0.04). No significant correlation was found between the bleeding severity and the number of agonists which induced abnormal responses (p = 0.52) or the CT (p = 0.35). Furthermore, no correlation was found between abnormal LTA and prolonged CT. To conclude, we were able to diagnose 40% of children who presented with bleeding tendency with platelet aggregation defects by LTA. Abnormal LTA was significantly more prevalent in patients with a bleeding score of 2 and above. In contrast, CT was not found to be sensitive as a screening tool for PFD. Therefore, our data extend the validity of the use of LTA for the evaluation of pediatric patients with bleeding tendency.

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Avaliação de parâmetros hemostáticos em cães de diferentes categorias de risco anestésico no período peri-operatório

Moroz¹

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Hemorragia pós-operatória em 397 adenotonsilectomias realizadas nos Hospitais Geral de Pirajussara (HGP) e Hospital Estadual de Diadema (HED) / UNIFESP-EPM

Cited by 4 publications

References 7 publications

Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution?

Adeno-tonsillectomy surgery in a joint aid effort: a feasible solution?

Evaluating platelet function disorders in children with bleeding tendency – A single center study

Avaliação de parâmetros hemostáticos em cães de diferentes categorias de risco anestésico no período peri-operatório

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