Maurício Magalhães

Uso da dexmedetomidina na sedação e analgesia dos recém-nascidos com encefalopatia hipóxico-isquêmica submetidos à hipotermia terapêutica: elaboração de um protocolo clínico

Thaísa Zanatta, Maurício Magalhães

Este estudo teve como objetivo descrever o uso do cloridrato de dexmedetomidina para sedação e analgesia em recém-nascidos com encefalopatia hipóxico-isquêmica submetidos à hipotermia terapêutica. Trata-se de uma revisão narrativa da literatura da base de dados PubMed/MEDLINE de artigos publicados entre 2001 …

Servo-Controlled versus Manual Cooling for Therapeutic Hypothermia in Neonatal Hypoxic–Ischemic Encephalopathy: A Retrospective Comparative Study

Maurício Magalhães, Danieli Mayumi Kimura Leandro, Samuel Azevedo, Hannah A. Hiratzuka et autres

Abstract This study aimed to compare temperature control during therapeutic hypothermia (TH) in neonates with moderate or severe hypoxic–ischemic encephalopathy (HIE) using manual cooling (MC) or a servo-controlled (SC) system. Retrospective cohort study including neonates with ≥ 35 weeks' gestation with moderate …

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Implementing a Digital Neurocritical Care Unit for Neonates in Brazil: A 4-Year Experience

Sílvia Schoenau de Azevedo, Danieli Mayumi Kimura Leandro, Marcelo Jenné Mimiça, Teresa Maria Lopes de Oliveira Uras Belém et autres

Abstract This study aimed to describe neuromonitoring findings and short-term outcomes after the implementation of a digital health strategy comprising continuous, real-time, tele-based video-aEEG/EEG monitoring in a publicly funded NICU in Brazil. Prospective, observational cohort study conducted between July 2017 and June …

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Monitoring respiratory mechanics as a training tool for manual ventilation

Carlos Eduardo Baldo Carlomagno, Renata Suman Mascaretti, João César Lyra, Romy Schmidt Brock Zacharias et autres

Introduction Approximately 500,000 newborns in Brazil require respiratory support at birth each year. Manual ventilation is essential in neonatal resuscitation, but achieving adequate tidal volume (Tv) delivery and minimizing face mask leakage remain challenging. Respiratory Function Monitors (RFMs) offer real-time feedback that …

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Awareness Among Brazilian Medical Specialists of the Long-term Implications of Premature Birth on Lifelong Pulmonary Health: Results of the Brazilian Pre-tell Survey

J.E. Cancado, Paulo Márcio Pitrez, Maurício Magalhães, Jabulile Madi et autres

Abstract Introduction: Increasing evidence suggests that premature-born individuals have an increased risk of respiratory morbidity and mortality, airflow obstruction, asthma-like symptoms, and COPD. Whether early life events are considered by physicians providing life-long respiratory care to these individuals is unknown. The PRE-TELL …

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Transforming neonatal care: a position paper on the potential of augmented and mixed reality

Danieli Mayumi Kimura Leandro, Samuel Azevedo, Marcelo Jenné Mimiça, Maurício Magalhães et autres

Mixed reality (MR) and augmented reality (AR) technologies bridge elements of the real and virtual worlds, emerging as tools that allow users to engage with digital cues to aid with tasks encountered in the physical environment. Thus, these holographic-based innovations are potential …

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Qualitative and quantitative analysis of epileptic seizures in neonates with moderate and severe hypoxic-ischemic encephalopathy undergoing therapeutic hypothermia

Loiane Dante Correia Rocha, Debora Carinhato Thomaz, Marcilia Lima Martyn, Rafaela Fabri Rodrigues Pietrobom et autres

Case Presentation: AGRB, male, 9 years old, 52kg, previously healthy, born and raised in Pirambu, Bebedouro village, Sergipe.Adtted on 10/09/2022 to the pediatrics sector of the Sergipe Emergency hospital, reporting headache, fever and vomiting for 7 days, with subsequent evolution with pain …

Remote brain monitoring in high-risk newborns: a telehealth company six-year experience

Gabriel Fernando Todeschi Variane, Danieli Mayumi Kimura Leandro, Rafaela Fabri Rodrigues Pietrobom, Alexandre Netto et autres

Case Presentation: AGRB, male, 9 years old, 52kg, previously healthy, born and raised in Pirambu, Bebedouro village, Sergipe.Adtted on 10/09/2022 to the pediatrics sector of the Sergipe Emergency hospital, reporting headache, fever and vomiting for 7 days, with subsequent evolution with pain …

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Therapeutic Hypothermia for Neonatal Hypoxic–Ischemic Encephalopathy: Reducing Variability in Practice through a Collaborative Telemedicine Initiative

Danieli Mayumi Kimura Leandro, Gabriel Fernando Todeschi Variane, Alex Dahlen, Rafaela Fabri Rodrigues Pietrobom et autres

Objective This study aimed to assess the viability of implementing a tele-educational training program in neurocritical care for newborns diagnosed with hypoxic–ischemic encephalopathy (HIE) and treated with therapeutic hypothermia (TH), with the goal of reducing practice variation. Study Design Prospective study including …

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Remote Monitoring for Seizures During Therapeutic Hypothermia in Neonates With Hypoxic-Ischemic Encephalopathy

Gabriel Fernando Todeschi Variane, Alex Dahlen, Rafaela Fabri Rodrigues Pietrobom, Daniela Pereira Rodrigues et autres

Importance: Neonates with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH) frequently experience seizures, which are associated with adverse outcomes. Efforts to rapidly identify seizures and reduce seizure burden may positively change neurologic and neurodevelopmental outcomes. Objective: To describe the onset, treatment, and …

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Could preterm infants benefit from neuromonitoring with video AEEG/EEG?

Rafaela Fabri Rodrigues Pietrobom, Nathalie Sales Llaguno, Daniela Pereira Rodrigues, Maurício Magalhães et autres

Background: More than 80% of neonatal seizures are completely subclinical and represent a risk factor for neurodevelopmental delays in preterm infants. Amplitude integrated electroencephalography combined with raw electroencephalography and video images (video aEEG/EEG) provides real-time monitoring for seizure detection. Objective: To analyze …

The role of the continuous brain monitoring with video AEEG/EEG for neonates with suspected seizures

Nicolas Luz Toledo Ortega Rodrigues, Daniela Pereira Rodrigues, Nathalie Sales Llaguno, Rafaela Fabri Rodrigues Pietrobom et autres

Background: Seizures affect 1.5 - 1.3/1000 live births at term and are associated with worse neurodevelopmental outcomes. 80-90% of neonatal seizures are subclinical. Amplitude integrated electroencephalography associated with raw EEG and video images (video aEEG/EEG) is an alternative for seizure assessment at …