Síndrome de Meigs Online (Meigs´s syndrome)

 

¨A síndrome de Meigs é a tríade caracterizada por tumor pélvico benigno, ascite e efusão pleural – ou hidrotórax – concomitantes, associada à cura da doença após a exérese da tumor. Em outras publicações, descreve-se a síndrome de Meigs como a presença de um tumor ovariano benigno em associação com ascite e hidrotórax. Níveis elevados de CA 125 sérico em mulheres pós-menopáusicas com massa anexial sólida, ascite e derrame pleural são muito sugestivos de tumor ovariano maligno. Logo, pacientes com síndrome de Meigs podem apresentar níveis elevados de CA 125.¨

 

Hydrothorax, ascites, and an abdominal mass: not always signsof a malignancy – Three cases of Meigs´s syndrome

Kim E Kortekaas, Harold MP Pelikan

J Radiol Case Rep. 2018 Jan; 12(1): 17–26

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965394/

 

Large twisted ovarian fibroma associated with Meigs´s syndrome, abdominal pain and severe anemia treated by laparoscopic surgery

Antonio Macciò, Clelia Madeddu, Paraskevas Kotsonis et al

BMC Surg. 2014; 14: 38

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4074309/

 

A case of Meigs´s syndrome with preceding pericardial effusion in advance of pleural effusion

Kenichi Okuda, Satoshi Noguchi, Osamu Narumoto et al

BMC Pulm Med. 2016; 16: 71

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862177/

 

Pleural effusion in Meigs´s syndrome – transudate or exudate?

R Krenke, M Maskey-Warzechowska, P Korczynski et al

Medicine (Baltimore) 2015, vol 94 (49): e2114

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008483/

 

Postmenopausal Meig´s syndrome in elevated CA-125: a case report

Jung-Woo Park, Jong Woon Bae

J Menopausal Med. 2015 Apr; 21(1): 56–59

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452815/

 

Meigs´s syndrome with elevated CA-125 and HE-4: a case of luteinized fibrothecoma

Jaroslaw Danilos, Wojciech Michał Kwaśniewski, Diana Mazurek et al

Prz Menopauzalny. 2015 Jun; 14(2): 152–154

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498034/

 

Large twisted ovarian fibroma associated with Meig´s syndrome, abdominal pain and severe anemia treated by laparoscopic surgery

A Maccio, C Madeddu, P Kotsonis et al

BMC Surg 2014,vol 14: 38

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4074309/

 

Meigs syndrome presenting with axillary vein thrombosis and lymphadenopathy: a case report

Ridhima Iyer, Jason Chow, Mona El-Bahrawy, Philip Savage

J Med Case Rep. 2013; 7: 182

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3750274/

 

Tumor estromal esclerosante de ovário associado à síndrome de Meigs e gestação: relato de caso

Gomes Sobrinho, David Barreira et al.

Rev. Bras. Ginecol. Obstet., Jul 2013, vol.35, no.7, p.331-335

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032013000700008&lng=pt&nrm=iso

 

Meigs´s syndrome

D J Quinlan,

JOJC 2012, vol 34 (4): 311

https://www.jogc.com/article/S1701-2163(16)35204-5/abstract

 

Severe edema and elevated CA 125 in a 56-year-old woman

N S Tan, S W Hwang

CMAJ 212, vol184 (6): 671-673

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314038/

 

Meigs´s syndrome with elevated serum CA125: case report and review of the literature

Mongkol Benjapibal, Suthi Sangkarat, Somsak Laiwejpithaya et al

Case Rep Oncol. 2009 Jan-Apr; 2(1): 61–66

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918831/

 

A case of Meigs syndrome mimicking metastatic breast carcinoma

Sophocles Lanitis, Sivahamy Sivakumar, Kasim Behranwala et al

World J Surg Oncol. 2009; 7: 10.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633000/

 

Meigs’ syndrome with elevated CA 125: case report.

Vieira, Sabas Carlos et al.

Sao Paulo Med. J., 2003, vol.121, no.5, p.210-212

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802003000500007&lng=pt&nrm=iso&tlng=en

 

■ by Dr Paulo Fernando Leite

Cardiologia – Centro Médico Unimed BH

Rua Gonçalves Dias 202

Belo Horizonte/MG/Brasil

31 30033306       /   40204020

CRMMG: 7026

Email: pfleite1873@gmail.com

Diretor da MWS – www.mwsedumed.com.br

Serviço Aeromédico Online (Aeromedical Service)

 

¨Com o desenvolvimento desordenado das cidades, a mobilidade urbana tornou-se complexa dificultando o atendimento de saúde rápido por via terrestre, além da impossibilidade de acesso a lugares remotos com esse tipo de locomoção. Sabe-se que a sobrevida de um paciente crítico está diretamente relacionada com a rapidez com que é submetido ao tratamento definitivo adequado. Diante de tal realidade, a necessidade de atendimento rápido e adequado na fase pré-hospitalar torna-se imperativa. Fatores como horário do dia, movimento no trânsito, distribuição das unidades de atendimento móvel e local para onde o paciente será encaminhado influenciam diretamente no tempo de atendimento pré-hospitalar. Neste contexto, o serviço aeromédico faz-se relevante, pois pacientes graves necessitam de deslocamento veloz dos profissionais de saúde, diminuindo o risco de piora do estado crítico de vida. O atendimento aeromédico é atividade complexa que visa a busca, localização, resgate e atendimento de pacientes que sofreram acidentes, violências ou agravos clínicos, em locais distantes, remotos ou de difícil acesso, nos quais as ambulâncias, por via terrestre, não possam fácil ou rapidamente alcançar ou ainda, em situações de calamidades e desastres como terremotos, inundações, incêndios, quedas de aeronaves, naufrágios, entre outro. ¨

 

Idosos atendidos em um serviço aeromédico

Nascimento, Keyla Cristiane do et al

Rev. bras. geriatr. gerontol., Feb 2018, vol.21, no.1, p.79-87

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232018000100079&lng=pt&nrm=iso&tlng=pt

 

Aspectos históricos do transporte aeromédico e da medicina aeroespacial – revisão

M A V Gomes, L R Alberti, F L Ferreira, V M Gomes

Rev Med Minas Gerais; 23.1:116-123, Jan/Mar, 2013

http://rmmg.org/artigo/detalhes/20

 

Does medical staffing influence perceived safety? An international on medical crew models in helicopter emergency medical services

Kristen Rasmussen, Jo Røislien, Stephen J.M. Sollid

Air Medical Journal 2018, vol 37 (1): 29-36

https://www.airmedicaljournal.com/article/S1067-991X(16)30280-2/fulltext

 

An analysis of intoxicated patients transported by a Doctor Helicopter

I Takeuchi, K Omori, H Nagasawa et al

Air Medical Journal 2018, vol 37 (1): 37-40

https://www.airmedicaljournal.com/article/S1067-991X(17)30201-8/fulltext

 

Development and testing of a neonatal intubation checklist for an air medical transport team

Lisa A. Davidson, Richard B. Utarnachitt, Andrew Mason, Taylor Sawyer

Air Medical Journal 2018, vol 37 (1): 41-45

https://www.airmedicaljournal.com/article/S1067-991X(17)30230-4/fulltext

 

Compliance with a National Standard by Norwegian Helicopter Emergency Physicians

Lars Petter Bjørnsen, Andrea Marie Solheim, Oddvar Uleberg, Eirik Skogvoll

Air Medical Journal 2018, vol 37 (1): 46-50

https://www.airmedicaljournal.com/article/S1067-991X(17)30219-5/fulltext

 

Cricothyrotomy in helicopter emergency medical service transport

Kevin High, Jeremy Brywczynski, Jin H. Han

Air Medical Journal 2018, vol 37 (1): 51-53

https://www.airmedicaljournal.com/article/S1067-991X(17)30271-7/fulltext

 

Helicopter emergency medical services literature 2014 to 2016: lessons and perspectives, Part 1 – Helicopter Transport for Trauma

Stephen H. Thomas, Ira Blumen

Air Medical Journal 2018, vol 37 (1): 54-63

https://www.airmedicaljournal.com/article/S1067-991X(17)30327-9/fulltext

 

Long-distance, nonstop neonatal transport from Shanghai, China, to Genoa, Italy

C Bellini, S Serveli, Luigi A et al

Air Medical Journal 2018, vol 37 (1): 67-70

https://www.airmedicaljournal.com/article/S1067-991X(17)30133-5/fulltext

 

Air transport of a patient with impending cerebral herniation from tension pneumocephalus

Etzer Augustin, Michael Karsy, Jim Bryan, Jian Guan, Richard H. Schmidt

Air Medical Journal 2018, vol 37 (1): 71-73

https://www.airmedicaljournal.com/article/S1067-991X(17)30314-0/fulltext

 

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Schweitzer, Gabriela et al.

Rev. Bras. Enferm., Fev 2017, vol.70, no.1, p.54-60

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672017000100054&lng=pt&nrm=iso

 

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico.

Schweitzer, Gabriela et al.

Rev. Bras. Enferm., Fev 2017, vol.70, no.1, p.54-60

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672017000100054&lng=en&nrm=iso

 

Reduced mortality in severely injured patients using hospital-based helicopter emergency medical services in interhospital transport

O H Kim, Y Roh, H Kim et AL

J Korean Med Sci 2017, vol 32 (7): 1187-1194

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461325/

 

Utilisation of helicopter emergency medical services in the early medical response to major incidents: a systematic literature review

A S Johnsen, S Fattah, S J M Sollid, M Rehn

BMJ Open 2016, vol 6 (2): e010307

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762099/

 

Reduced mortality in severely injured patients using hospital-based helicopter emergency medical services in interhospital transport

Oh Hyun Kim, Young-Il Roh, Hyung-Il Kim et al

J Korean Med Sci. 2017 Jul; 32(7): 1187–1194

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461325/

 

Resgate aeromédico a traumatizados: experiência na região metropolitana de Campinas, Brasil.

Cardoso, Ricardo Galesso et al

Rev. Col. Bras. Cir., Aug 2014, vol.41, no.4, p.236-244

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000400236&lng=pt&nrm=iso&tlng=pt

 

Clinical research of mortality in emergency air medical transport

W Chen, H Ma, C Wu et al

BioMed Research International 2014, Article ID 767402, 5 pages

https://www.hindawi.com/journals/bmri/2014/767402/

 

Impact of helicopter emergency medical services in major incidents: systematic literature review

A S Johnsen, S Fattah, S J M Sollid, M Rehn

BMJ Open 2013, vol 3 (8)

https://bmjopen.bmj.com/content/3/8/e003335

 

Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest

R M Lyon, M J Nelson

Scand J Trauma Resusc Emerg Med 2013, vol 21 (1)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3570349/

 

Compreensão de enfermeiros de bordo sobre seu papel na equipe multiprofissional de transporte aeromédico

Scuissiato, Dayane Reinhardt et al.

Rev. bras. enferm., Ago 2012, vol.65, no.4, p.614-620

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672012000400010&lng=pt&nrm=iso

 

Association between helicopter VS ground emergency medical services and survival for adults with major trauma

S M Galvagno, E R Haut, S N Zafar et al

JAMA 2012, VOL 307 (15): 1602-1610

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684156/

 

Perfil da vítima atendida pelo serviço pré-hospitalar aéreo de Pernambuco

Nardoto, Emanuella Maria Lopes, Diniz, Jackeline Maria Tavares and Cunha, Carlos Eduardo Gouvêa da

Rev. esc. enferm. USP, Mar 2011, vol.45, no.1, p.237-242

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342011000100033&lng=pt&nrm=iso

 

Transporte aéreo de pacientes: análise do conhecimento científico

Passos, Isis Pienta Batista Dias, Toledo, Vanessa Pellegrino and Duran, Erika Christiane Marocco

Rev. bras. enferm., Dez 2011, vol.64, no.6, p.1127-1131

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672011000600021&lng=en&nrm=iso

 

Protocolo de cuidados de enfermagem no ambiente aeroespacial a pacientes traumatizados: cuidados antes do vôo

Schweitzer, Gabriela et al

Rev. bras. enferm., Dez 2011, vol.64, no.6, p.1056-1066

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672011000600011&lng=en&nrm=iso

 

Aeromedical evacuation of the French Army: survey of the past 10 years

S Coste, J Tourtier, C Daudé, M Viaggi, E Morgand, M Borne

Crit Care. 2010; 14(Suppl 1): P274

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933993/

 

O cotidiano de trabalho dos profissionais de saúde no transporte aéreo de pacientes

C P Dias

Escola de Enfermagem UFMG, Belo Horizonte, 2010

http://www.enf.ufmg.br/pos/defesas/646M.PDF

 

Incidence and predictors of critical events during urgent air-medical transport

J M Singh, R D MacDonald, S E Bronskill, M J Schull

CMAJ 2009, vol 181 (9): 579-584

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2764752/

 

Epidemiology of aeromedical evacuation: an analysis of 504 cases

M Sand, M Bollenbach, D Sand et al

Journal of Travel Medicine 2009, vol 17 (6)

https://onlinelibrary.wiley.com/doi/10.1111/j.1708-8305.2010.00454.x

 

Decision criteria of immediate aeromedical evacuation

F Duchateau, L Verner, O Cha, Bob Corder

Journal of Travel Medicine 2009, vol 16 (6)

https://onlinelibrary.wiley.com/doi/full/10.1111/j.1708-8305.2009.00340.x

 

Aeromedical transport after acute myocardial infarction

J B Seidelin, N E Bruun, H Nielsen

Journal of Travel Medicine 2009, vol 16 (2)

https://onlinelibrary.wiley.com/doi/10.1111/j.1708-8305.2008.00281.x

 

Aeromedical retrieval to a university hospital emergency department in Scotland

S Caldow, T Parke, C Graham, P Munro

Emerg Med J. 2005 Jan; 22(1): 53–55

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726520/

 

Proposal for a new scoring system in International Interhospital Air Transport

A Veldman, D Fischer, J Brand, et al

Journal of Travel Medicine 2001: 154-157

https://onlinelibrary.wiley.com/doi/10.2310/7060.2001.24467

 

Evaluation of emergency air evacuation of critically III patients from cruise ships

L D Prina, U N Orazi, R E Weber

Journal of Travel Medicine 2001, vol 8 (6)

https://onlinelibrary.wiley.com/doi/10.2310/7060.2001.23971

 

■ by Dr Paulo Fernando Leite

Cardiologia – Centro Médico Unimed BH

Rua Gonçalves Dias 202

Belo Horizonte/MG/Brasil

31 30033306       /   40204020

CRMMG: 7026

Email: pfleite1873@gmail.com

Diretor da MWS – www.mwsedumed.com.br