All publications of “Eliézer Silva”

6 results

Efficiency in the operational process: reduction of incorrect entries and guarantee of compliance in the rendering of accounts

Daniela Nobrega Pavão ORCID logo , Monique Buttignol ORCID logo , Adriano José Pereira ORCID logo , Renato Tanjoni ORCID logo , Ederson Haroldo Pereira de Almeida ORCID logo , Patricia Leisnock ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018GS4200

ABSTRACT Objective To verify the impact of the Lean Six Sigma methodology in reducing incorrect entries of non-appropriated revenues and expenses. Methods Process for the review and application of the Lean Six Sigma methodology between December 2015 and September 2016, in a high-complexity general hospital in the city of São Paulo (SP). Results A total of 3,756,814 (100%) entries were audited between December 2015 and September 2016. The Sigma level evolved over the course of the process and increased from […]

Fluid therapy for septic shock resuscitation: which fluid should be used?

Thiago Domingos Corrêa, Leonardo Lima Rocha, Camila Menezes Souza Pessoa, Eliézer Silva, Murillo Santucci Cesar de Assuncao

DOI: 10.1590/S1679-45082015RW3273

Early resuscitation of septic shock patients reduces the sepsis-related morbidity and mortality. The main goals of septic shock resuscitation include volemic expansion, maintenance of adequate tissue perfusion and oxygen delivery, guided by central venous pressure, mean arterial pressure, mixed or central venous oxygen saturation and arterial lactate levels. An aggressive fluid resuscitation, possibly in association with vasopressors, inotropes and red blood cell concentrate transfusion may be necessary to achieve those hemodynamic goals. Nonetheless, even though fluid administration is one of […]

How to choose the therapeutic goals to improve tissue perfusion in septic shock

Murillo Santucci Cesar de Assuncao, Thiago Domingos Corrêa, Bruno de Arruda Bravim, Eliézer Silva

DOI: 10.1590/S1679-45082015RW3148

The early recognition and treatment of severe sepsis and septic shock is the key to a successful outcome. The longer the delay in starting treatment, the worse the prognosis due to persistent tissue hypoperfusion and consequent development and worsening of organ dysfunction. One of the main mechanisms responsible for the development of cellular dysfunction is tissue hypoxia. The adjustments necessary for adequate tissue blood flow and therefore of oxygen supply to metabolic demand according to the assessment of the cardiac […]

Assessment of nursing perceptions of three insulin protocols for blood glucose control in critically ill patients

Thiago Domingos Corrêa, Francisca Pereira de Almeida, Alexandre Biasi Cavalcanti, Adriano José Pereira, Eliézer Silva

DOI: 10.1590/S1679-45082012000300016

Objective:To evaluate nurses’ perception regarding three different blood glucose control protocols for critically ill patients.METHODS:As part of a randomized trial comparing three blood glucose control protocols in critically ill patients (Computer-Assisted Insulin Protocol, Leuven Protocol, and conventional treatment), all nurses participating in the study were asked to fill in a questionnaire to assess their perceptions of efficacy, complexity, feasibility, and safety (as to the occurrence of hypoglycemic episodes), an to indicate which protocol they would like to see adopted as […]

Cochrane meta-analysis: teicoplanin versus vancomycin for proven or suspected infection

Diogo Diniz Gomes Bugano, Alexandre Biasi Cavalcanti, Anderson Roman Goncalves, Claudia Salvini de Almeida, Eliézer Silva

DOI: 10.1590/s1679-45082011ao2020

ABSTRACTObjective:To compare efficacy and safety of vancomycin versus teicoplanin in patients with proven or suspected infection.Methods:Data Sources: Cochrane Renal Group’s Specialized Register, CENTRAL, MEDLINE, EMBASE, nephrology textbooks and review articles. Inclusion criteria: Randomized controlled trials in any language comparing teicoplanin to vancomycin for patients with proven or suspected infection. Data extraction: Two authors independently evaluated methodological quality and extracted data. Study investigators were contacted for unpublished information. A random effect model was used to estimate the pooled risk ratio (RR) […]