Academic bedside rounding in 10 As: the decalogue technique Diego Adão, Gabriela Caetano Lopes Martins, Leonardo Yuri Kasputis Zanini, Mateus de Almeida Oliveira, Parisina Fraga Carvalho, et al. Acta Cirurgica Brasileira, 2026 Purpose: To propose the 10 As decalogue technique, a structured framework for surgical bedside rounding. Methods: This narrative review and perspective piece presents a descriptive model for bedside rounding, designed for implementation in university hospitals. Literature review was done in MEDLINE via PubMed up to May 2025, using both free terms and Medical Subject Headings related to medical education, clinical rounds, and surgical training. The technique was developed based on clinical and educational principles, addressing both surgical and academic needs. Results: The decalogue consists of the following steps: anticipation, assistant team presentation, authorization, (self)appraisal, assessment, alerts, advice, agreement, annotation, and afterwards. It facilitates comprehensive case discussion, improves trainee clinical skills, and fosters empathy and trust in patient interactions. It addresses time constraints by prioritizing critical cases and enhances learning through debriefing and feedback. Challenges include managing time for multiple patients and ensuring patient comfort during public discussions, mitigated by clear authorization and sensitive communication. Conclusion: The 10 As decalogue is an effective tool for surgical bedside rounding, promoting resident education, reducing errors, and enhancing patient involvement. Its structured approach is particularly suited for academic settings, with adaptability to balance educational and clinical demands.
Hematemesis is associated with worse outcomes in upper gastrointestinal bleeding: a retrospective study Gabriela Caetano Lopes Martins, Carolina Villalba Moya Rodrigues, Lucas Domingos Ribeiro, Karin Romano Posegger, Rafael Leite Pacheco, et al. Acta Cirurgica Brasileira, 2025 Purpose: To evaluate whether hematemesis is associated with increased morbidity and mortality for upper gastrointestinal bleeding. Methods: A retrospective cohort study was conducted at a quaternary university hospital from January 2022 to September 2024. Adults presenting with upper gastrointestinal bleeding, confirmed by endoscopy, were included. We excluded patients with terminal disease, patients who refused to receive blood products, and trauma. The main outcomes were all-cause mortality, need for orotracheal intubation, emergency blood transfusion, need for re-endoscopy, and length of hospital and intensive care unit (ICU) stays. Results: A total of 69 patients (65% male, mean age 58 years) were included. Hematemesis was associated with a higher need for emergency blood transfusions (73% vs. 23%; odds ratio – OR = 8.82, 95% confidence interval – 95%CI 2.44–31.94, p = 0.001), longer hospital (12 vs. 6 days; mean difference – MD = 6.02, 95%CI 2.39–9.64, p = 0.001) and ICU stays (7.7 vs. 3.2 days; MD = 4.5, 95%CI 1.73–7.26, p = 0.002). Data were sparse and imprecise on all-cause mortality, orotracheal intubation, and the need for re-endoscopy. Conclusion: Hematemesis is associated with higher transfusion requirements and longer hospital and ICU stays. These findings highlight the potential predictive value of hematemesis in acute upper gastrointestinal bleeding.
Muscular metastasis from gastric cancer L. Lourenço, J. R. M. Carlotto, F. Herbella, Diego Adão Fanti Silva, Henrique Barroso Setti Journal of Gastrointestinal Oncology, 2014
RECENT SCHOLAR PUBLICATIONS
The real-world evidence debate: why proper terminology matters LYK Zanini, D Adão, GCL Martins, R Riera, RL Pacheco Journal of clinical epidemiology, 112298 , 2026 2026
Academic bedside rounding in 10 As: the decalogue technique D Adão, GCL Martins, LYK Zanini, MA Oliveira, PF Carvalho, ... Acta Cirúrgica Brasileira 41, e410526 , 2026 2026
The epistemological trap from the real-world evidence concept. LYK Zanini, D Adão, GCL Martins, R Riera, RL Pacheco Journal of Clinical Epidemiology, 112179 , 2026 2026 Citations: 3
The hero's journey in medical education: Reframing imperfection as virtue LY Kasputis Zanini, GCL Martins, D Adão Medical Education 60 (2), 195-196 , 2026 2026
Hematemesis is associated with worse outcomes in upper gastrointestinal bleeding: a retrospective study GCL Martins, CVM Rodrigues, LD Ribeiro, KR Posegger, RL Pacheco, ... Acta Cirúrgica Brasileira 40, e407125 , 2025 2025
Integrating safety culture, environment, and sensory perceptions in the operating room: a narrative review D Adão, GCL Martins, LYK Zanini, F Herbella Langenbeck's Archives of Surgery 410 (1), 281 , 2025 2025
Podcast-based learning: report of podcast as an education tool for residents in the emergency room D Adão, WGN Silva, PF Carvalho, GCL Martins, GB Hofmeister, ... Acta Cirúrgica Brasileira 40, e404525 , 2025 2025
Striking A Balance: The Risks of Oversimplifying Systematic Review Methodology D Adão, RL Pacheco, R Riera Diseases of the Colon & Rectum 68 (7), e1087 , 2025 2025
Eritromicina previa a la gastroscopia para la hemorragia digestiva alta aguda: una revisión Cochrane D Adão, AFT Gois, RL Pacheco, CFMG Pimentel, R Riera Emergencias: Revista de la Sociedad Española de Medicina de Urgencias y … , 2025 2025
Staged Retrograde Intraoperative Enteroscopy: Description of the 5-Step Surgical Technique for the Diagnosis and Treatment of Small Bowel Bleeding MMAN Albuquerque, D Nascimento, AMM Fujita, J Dias, N Apratto, ... Journal of Laparoendoscopic & Advanced Surgical Techniques 34 (10), 932-935 , 2024 2024
Ácido tranexâmico para trauma:: revisão narrativa G Martinez, JFM Marchini, DAF Silva LAJEC-Latin American Journal of Emergency Care 4 (3) , 2024 2024
Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage: a Cochrane review D Adão, A GOIS, R Riera, KM Berg, TM Olasveengen Resuscitation 195 , 2024 2024
Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage D Adão, RL Pacheco, CFMG Pimentel, R Riera Cochrane Database of Systematic Reviews , 2023 2023 Citations: 11
Aspectos Éticos na Formação do Emergencista JFM Marchini, DAF Silva LAJEC-Latin American Journal of Emergency Care 2 (2), e22008-e22008 , 2022 2022 Citations: 2
How changes in treatment guidelines affect the standard of care: ethical opinions using the Chicago 4.0 classification for esophageal motility disorders as example FAM Herbella, MG Patti, RM Filho, AMB Serodio, D Adão, IBA Bastos, ... Foregut 2 (2), 111-115 , 2022 2022 Citations: 7
Hours restriction: mentors’ point of view D Adão AME Surgical Journal 1 , 2021 2021
Patient's privacy violation on social media in the surgical area DAF Silva, R Colleoni The American Surgeon 84 (12), 1900-1905 , 2018 2018 Citations: 22
Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage DAF Silva, R Riera, RL Pacheco, CFMG Pimentel, AFT Gois The Cochrane Database of Systematic Reviews 2018 (11), CD013176 , 2018 2018 Citations: 1
Evidências de revisões sistemáticas Cochrane sobre diagnóstico e tratamento da pancreatite aguda IS Maltoni, RL Pacheco, VP da Silveira, RC de Sá Suetsugu, DAF Silva, ... Diagnóstico e Tratamento 23 (4), 160-169 , 2018 2018 Citations: 8
Evidências de revisões sistemáticas Cochrane sobre o uso do ácido tranexâmico em pacientes submetidos a cirurgia RL Pacheco, VP da Silveira, RC de Sá Suetsugu, IS Maltoni, DAF Silva, ... Diagnóstico e Tratamento 23 (3), 116-122 , 2018 2018 Citations: 3
MOST CITED SCHOLAR PUBLICATIONS
Patient's privacy violation on social media in the surgical area DAF Silva, R Colleoni The American Surgeon 84 (12), 1900-1905 , 2018 2018 Citations: 22
Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage D Adão, RL Pacheco, CFMG Pimentel, R Riera Cochrane Database of Systematic Reviews , 2023 2023 Citations: 11
Muscular metastasis from gastric cancer LG Lourenço, JRM Carlotto, FAM Herbella, DAF Silva, HB Setti Journal of Gastrointestinal Oncology 5 (6), E100 , 2014 2014 Citations: 9
Evidências de revisões sistemáticas Cochrane sobre diagnóstico e tratamento da pancreatite aguda IS Maltoni, RL Pacheco, VP da Silveira, RC de Sá Suetsugu, DAF Silva, ... Diagnóstico e Tratamento 23 (4), 160-169 , 2018 2018 Citations: 8
How changes in treatment guidelines affect the standard of care: ethical opinions using the Chicago 4.0 classification for esophageal motility disorders as example FAM Herbella, MG Patti, RM Filho, AMB Serodio, D Adão, IBA Bastos, ... Foregut 2 (2), 111-115 , 2022 2022 Citations: 7
The epistemological trap from the real-world evidence concept. LYK Zanini, D Adão, GCL Martins, R Riera, RL Pacheco Journal of Clinical Epidemiology, 112179 , 2026 2026 Citations: 3
Evidências de revisões sistemáticas Cochrane sobre o uso do ácido tranexâmico em pacientes submetidos a cirurgia RL Pacheco, VP da Silveira, RC de Sá Suetsugu, IS Maltoni, DAF Silva, ... Diagnóstico e Tratamento 23 (3), 116-122 , 2018 2018 Citations: 3
Aspectos Éticos na Formação do Emergencista JFM Marchini, DAF Silva LAJEC-Latin American Journal of Emergency Care 2 (2), e22008-e22008 , 2022 2022 Citations: 2
Erythromycin prior to endoscopy for acute upper gastrointestinal haemorrhage DAF Silva, R Riera, RL Pacheco, CFMG Pimentel, AFT Gois The Cochrane Database of Systematic Reviews 2018 (11), CD013176 , 2018 2018 Citations: 1
Spontaneous viral tracheoesophageal fistula D Adão, JRM Carlotto, PRL Oyama, FAM Herbella Diseases of the Esophagus 29 (7), 886-886 , 2016 2016 Citations: 1
O paciente está com febre? DAF SilvaI, O ValenteII Diagn Tratamento 17 (2), 94 , 2012 2012 Citations: 1
Bioenergética do metabolismo celular: ATP e exercício físico VLA Nouailhetas Revista Brasileira de Fisiologia Do Exercício 8 (4), 212-220 , 2009 2009 Citations: 1
The real-world evidence debate: why proper terminology matters LYK Zanini, D Adão, GCL Martins, R Riera, RL Pacheco Journal of clinical epidemiology, 112298 , 2026 2026
Academic bedside rounding in 10 As: the decalogue technique D Adão, GCL Martins, LYK Zanini, MA Oliveira, PF Carvalho, ... Acta Cirúrgica Brasileira 41, e410526 , 2026 2026
The hero's journey in medical education: Reframing imperfection as virtue LY Kasputis Zanini, GCL Martins, D Adão Medical Education 60 (2), 195-196 , 2026 2026
Hematemesis is associated with worse outcomes in upper gastrointestinal bleeding: a retrospective study GCL Martins, CVM Rodrigues, LD Ribeiro, KR Posegger, RL Pacheco, ... Acta Cirúrgica Brasileira 40, e407125 , 2025 2025
Integrating safety culture, environment, and sensory perceptions in the operating room: a narrative review D Adão, GCL Martins, LYK Zanini, F Herbella Langenbeck's Archives of Surgery 410 (1), 281 , 2025 2025
Podcast-based learning: report of podcast as an education tool for residents in the emergency room D Adão, WGN Silva, PF Carvalho, GCL Martins, GB Hofmeister, ... Acta Cirúrgica Brasileira 40, e404525 , 2025 2025
Striking A Balance: The Risks of Oversimplifying Systematic Review Methodology D Adão, RL Pacheco, R Riera Diseases of the Colon & Rectum 68 (7), e1087 , 2025 2025
Eritromicina previa a la gastroscopia para la hemorragia digestiva alta aguda: una revisión Cochrane D Adão, AFT Gois, RL Pacheco, CFMG Pimentel, R Riera Emergencias: Revista de la Sociedad Española de Medicina de Urgencias y … , 2025 2025
