He graduated in Medicine from the Federal University of Paraná (2002), completed medical residencies in general surgery (2005) and plastic surgery (2008) at Santa Casa de São Paulo. Completed his Master's degree (2012) and Doctorate “with honors” (2017) in the Translational Surgery postgraduate program at the Federal University of São Paulo - UNIFESP. He is currently an Affiliate Professor and Plastic Surgeon at UNIFESP, where he coordinates the Liposuction Sector and advises the Translational Surgery Postgraduate Program at UNIFESP. He teaches plastic surgery residents at the surgical center of Hospital São Paulo and lectures to undergraduate medical students and residents at UNIFESP. He is the author of articles published in high-impact national and international journals, such as the Lancet, and has won awards at the Brazilian and American plastic surgery congresses.
Bone Density of the Midpalatal Suture After Surgically Assisted Rapid Maxillary Expansion: A Retrospective Cohort Study Alexandre Augusto Ferreira da Silva, Carlos Alysson Aragão Lima, Juan Carlos Montano-Pedroso, Max Domingues Pereira Journal of Craniofacial Surgery, 2024 Objectives: To evaluate the bone density in the midpalatal suture after 10 months of surgically assisted rapid maxillary expansion (SARME) with the separation of the maxilla into 2 segments. Methods: Sixty multislice computed tomography (MCT) from 20 patients undergoing SARME were analyzed in 3 periods of time (1 MCT per patient on each occasion): (1) 1 week before surgery, (2) postsurgery immediately after completing the expander activation, and (3) 10 months after the expander activation. On all occasions, the bone density was measured in Hounsfield units on MCT scans in axial and coronal sections, in the anterior (A1), middle (A2), and posterior (A3) regions of the midpalatal suture. Results: The mean percentage values of bone density in Hounsfield units, from the 10-month postactivation period to preoperative in the A1, A2, and A3 regions were 68.38%, 38.21%, and 55.90%, respectively, in the axial norm, and 64.06%, 36.81%, and 55.50% in coronal norm (A1 = A3>A2), with no significant difference in the tomographic cuts (P >0.05). There was no correlation between patient age or amount of expansion in the expander and bone density. Conclusions: The bone density in the midpalatal suture 10 months after SARME is lower than preexpansion. A denser new bone formation along the suture concentrates closer to the extremities rather than in the central region. Although the maturation of the new bone formation in the midpalatal suture is lower 10 months after SARME, it appears to be sufficient for satisfactory clinical results, regardless of patient age or the amount of expansion in the expander.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: History and scenario of patient blood management in the world and in Brazil Juan Carlos Montano-Pedroso, Silvana Biagini, Maria Cristina Martins de Almeida Macedo, Glaciano Ribeiro, José Franciscos Comenalli Marques Junior, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior Hematology Transfusion and Cell Therapy, 2024 Patient Blood Management (PBM) is a multidimensional approach that seeks to optimize the use of blood and its components in patients. This matter emerged as a response to the need to reduce unnecessary exposure to blood transfusions and their potential risks. In the past, blood transfusion was often overused resulting in complications and high costs. The advent of Patient Blood Management has caused a paradigm shift, highlighting anemia prevention, bleeding control and maximizing the production of blood cells by the organism itself. Patient Blood Management guidelines include the early identification of anemia, strategies to minimize blood loss during surgery, intraoperative blood conservation techniques, preoperative hemoglobin optimization and evidence-based approaches to the rational use of blood transfusions. Aiming to improve clinical outcomes, decrease transfusion-related complications and reduce associated costs, this multidisciplinary approach counts on doctors, nurses, pharmacists and other healthcare professionals. Based on research and clinical evidence, Patient Blood Management continues to evolve thereby promoting safer, more effective patient-centered practices. Its implementation has proven beneficial in various medical contexts thereby contributing to improvements in the quality of care provided to patients. Our goal with this Consensus is to present readers with a broad and diverse view of Patient Blood Management so that they have the building blocks to implement this new technique.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Antifibrinolytics Juan Carlos Montano-Pedroso, Fernanda Vieira Perini, Enis Donizetti, Luciana Correa Oliveira, Roseny dos Reis Rodrigues, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Hematology Transfusion and Cell Therapy, 2024 The use of strategies to reduce blood loss and transfusions is essential in the treatment of surgical patients, including in complex cardiac surgeries and those that use cardiopulmonary bypass. Antifibrinolytics, such as epsilon-aminocaproic acid (EACA) and tranexamic acid (TXA), are widely used in these procedures, as well as in other types of surgeries. These medicines are included in the World Health Organization (WHO) list of 'essential medicines'. Scientific evidence demonstrates the effectiveness of EACA in reducing bleeding and the need for transfusions in heart surgery. EACA is highly recommended for use in heart surgery by the American Society of Anesthesiology Task Force on Perioperative Blood Management. Regarding the safety of EACA, there is no robust evidence of any significant thrombotic potential. TXA has also been shown to be effective in reducing the use of blood transfusions in cardiac and non-cardiac surgeries and is considered safer than other antifibrinolytic agents. There is no evidence of any increased risk of thromboembolic events with TXA, but doses greater than 2 g per day have been associated with an increased risk of seizures. It is also important to adjust the dose in patients with renal impairment. In conclusion, antifibrinolytics, such as EACA and TXA, are effective in reducing blood loss and transfusion use in cardiac and non-cardiac surgeries, without causing serious adverse effects.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Implementation of Patient Blood Management (PBM) Maria Cristina Martins de Almeida Macedo, Silvana Biagini, Juan Carlos Montano-Pedroso, Glaciano Ribeiro, José Francisco Comenalli Marques Junior, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior Hematology Transfusion and Cell Therapy, 2024 Patient Blood Management (PBM) is a holistic approach to managing blood as a resource of each patient; it is a multimodal strategy that is implemented using a set of techniques that can be applied in individual cases. In fact, the overall result of the implementation of PBM cannot be fully appreciated or explained by simply summing up the effects of the individual strategies and techniques used, since they can only produce the expected ideal result if combined. Implementing a PBM program in healthcare offers several benefits including improved patient safety, better outcomes, cost savings, conservation of resources, evidence-based practice, transfusion alternatives, improved quality of care, compliance with accreditation standards, patient-centered care, and professional education and training.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Inadvertent intraoperative hypothermia Enis Donizetti, Fernanda Vieira Perini, Roseny dos Reis Rodrigues, Juan Carlos Montano-Pedroso, Luciana Correa Oliveira, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Hematology Transfusion and Cell Therapy, 2024 Hemostasis plays a critical role in surgical procedures and is essential for a successful outcome. Advances in hemostatic agents offer new approaches to controlling bleeding thereby making surgeries safer. The appropriate choice of these agents is crucial. Volume replacement, another integral part of Patient Blood Management (PBM), maintains adequate tissue perfusion, preventing cellular damage. Individualization in fluid administration is vital with the choice between crystalloids and colloids depending on each case. Colloids, unlike crystalloids, increase oncotic pressure, contributing to fluid retention in the intravascular space. Understanding these aspects is essential to ensure safe and effective surgery, minimizing complications related to blood loss and maintaining the patient's hemodynamic status.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Management of critical bleeding Luciana Correa Oliveira, Juan Carlos Montano-Pedroso, Fernanda Vieira Perini, Roseny dos Reis Rodrigues, Enis Donizetti, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior Hematology Transfusion and Cell Therapy, 2024 The management of major bleeding is a critical aspect of modern healthcare and it is imperative to emphasize the importance of applying Patient Blood Management (PBM) principles. Although transfusion support remains a vital component of bleeding control, treating severe bleeding goes beyond simply replacing lost blood. A more comprehensive, multidisciplinary approach is essential to optimize patient outcomes and minimize the risks associated with excessive transfusions.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Acute normovolemic hemodilution and intraoperative autotransfusion Fernanda Vieira Perini, Juan Carlos Montano-Pedroso, Luciana Correa Oliveira, Enis Donizetti, Roseny dos Reis Rodrigues, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior Hematology Transfusion and Cell Therapy, 2024 Autologous blood transfusion can be achieved through different techniques, including by the patient donating blood before surgery (pre-deposit), collecting blood from the patient immediately before the operation and replacing the volume with colloids or plasma expanders (acute normovolemic hemodilution) or through the salvage of lost blood, during or immediately after surgery, and its retransfusion after washing (intraoperative or postoperative recovery). We will focus on the two methods used intraoperatively that are of fundamental importance in the management and conservation of the patient's own blood.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Intraoperative hemostasis and volume replacement Juan Carlos Montano-Pedroso, Roseny dos Reis Rodrigues, Fernanda Vieira Perini, Luciana Correa Oliveira, Enis Donizetti, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior Hematology Transfusion and Cell Therapy, 2024 Hemostasis plays a critical role in surgical procedures and is essential for a successful outcome. Advances in hemostatic agents offer new approaches to controlling bleeding thereby making surgeries safer. The appropriate choice of these agents is crucial. Volume replacement, another integral part of Patient Blood Management (PBM), maintains adequate tissue perfusion, preventing cellular damage. Individualization in fluid administration is vital with the choice between crystalloids and colloids depending on each case. Colloids, unlike crystalloids, increase oncotic pressure, contributing to fluid retention in the intravascular space. Understanding these aspects is essential to ensure safe and effective surgery, minimizing complications related to blood loss and maintaining the patient's hemodynamic status.
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Definition of Patient Blood Management Juan Carlos Montano-Pedroso, Maria Cristina Martins de Almeida Macedo, Silvana Biagini, Glaciano Ribeiro, José Francisco Comenalli Marques Junior, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior Hematology Transfusion and Cell Therapy, 2024 Managing the patient's blood and hematopoietic system is like managing any of the other organs and organ systems during patient care. Specialists control the heart, kidneys, endocrine system, etc. and the patient's blood requires similar clinical treatment. The hematopoietic system and its circulatory products are fundamental for the healthy functioning of the human body. In simple terms, Patient Blood Management (PBM) is an organized, patient-centered approach in which the entire healthcare team coordinates efforts to improve outcomes by managing and preserving the patient's own blood. By reducing dependence on blood transfusions, PBM seeks to improve clinical outcomes, reduce the risks and costs associated with transfusions, and improve the safety and quality of patient care. Essentially, the concept of PBM is about the holistic management and preservation of the patient's own blood in the medical and surgical context.
Quality of information about liposuction for the lay public: A scoping review Anderson Henrique da Silva Stahelin, Juan Carlos Montano Pedroso, André Hiroki Suyama Tsuji, Caroline Melo da Silva, Graziele Leite dos Santos, Felipe Contoli Isoldi, Lydia Masako Ferreira Revista Brasileira De Cirurgia Plastica, 2023
The effect of topical ascorbic acid on cutaneous healing Adriane Viana de Souza, Juan Carlos Montano Pedroso, Renata Andrade Bitar, Daniela de Oliveira Vieira, Cainã Cardoso Eduardo, Fernando Oliveira de Carvalho Peixoto Revista Brasileira De Cirurgia Plastica, 2022
Safety in Rib Surgery: A Meta-analysis and Systematic Review GAA Felix, JCM Pedroso, MOM Júnior, JRNF Leite, FC Isoldi Plastic and Reconstructive Surgery–Global Open 14 (3), e7562 , 2026 2026
Comments on: Rib Remodeling Without Rib Resection: A Systematic Review and Meta-analysis GAA Felix, JCM Pedroso, MO Mourão Júnior, FC Isoldi, LM Ferreira Aesthetic Plastic Surgery, 1-2 , 2025 2025
Intentions in reconstructive plastic surgery among post-bariatric patients in Brazil’s public health service PCSP Abdalla, JCM Pedroso, RC Katayama, SS Saad, GAA Felix, ... Acta Cirúrgica Brasileira 40, e405725 , 2025 2025 Citations: 1
Genital self-image and body dysmorphic symptoms in patients undergoing central wedge or linear labiaplasty: a clinical trial GC Minikowski, DF Veiga, GAA Felix, JCM Pedroso, LM Ferreira, MS Neto Plastic and Reconstructive Surgery 155 (1), 53e-65e , 2025 2025 Citations: 4
Bone density of the midpalatal suture after surgically assisted rapid maxillary expansion: A retrospective cohort study AAF da Silva, CAA Lima, JC Montano-Pedroso, MD Pereira Journal of Craniofacial Surgery 35 (6), 1696-1701 , 2024 2024 Citations: 1
Felicidade dos cirurgiões plásticos em São Paulo, Brasil: Um estudo transversal entre os membros da Sociedade Brasileira de Cirurgia Plástica-SBCP-SP MY Ferreira, JCM Pedroso, MO Taha, LM Ferreira Revista Brasileira de Cirurgia Plástica (RBCP)–Brazilian Journal of Plastic … , 2024 2024
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Definition of Patient Blood Management JC Montano-Pedroso, MCMA Macedo, S Biagini, G Ribeiro, JFC Marques, ... Hematology, Transfusion and Cell Therapy 46 (suppl 1), 5-7 , 2024 2024
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Management of critical bleeding LC Oliveira, JC Montano-Pedroso, FV Perini, RR Rodrigues, E Donizetti, ... Hematology, transfusion and cell therapy 46 (suppl 1), 60-66 , 2024 2024
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Acute normovolemic hemodilution and intraoperative … FV Perini, JC Montano-Pedroso, LC Oliveira, E Donizetti, RR Rodrigues, ... Hematology, transfusion and cell therapy 46 (suppl 1), 48-52 , 2024 2024 Citations: 9
Genital Self-Image and Body Dysmorphic Disorder Symptoms in Patients Undergoing Central Wedge vs. Linear Resection Labiaplasty: A Randomized Clinical Trial. GC Minikowski, DF Veiga, GAA Felix, JCM Pedroso, LM Ferreira, MS Neto Plastic and Reconstructive Surgery , 2024 2024
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Inadvertent intraoperative hypothermia E Donizetti, FV Perini, R dos Reis Rodrigues, JC Montano-Pedroso, ... Hematology, Transfusion and Cell Therapy 46, S53-S59 , 2024 2024 Citations: 1
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Antifibrinolytics JC Montano-Pedroso, FV Perini, E Donizetti, LC Oliveira, ... Hematology, transfusion and cell therapy 46, S40-S47 , 2024 2024 Citations: 2
Happiness of plastic surgeons in São Paulo, Brazil: A cross-sectional study of the Brazilian Plastic Surgery Society-SBCP-SP MY FERREIRA, JCM PEDROSO, MO TAHA, L Ferreira Revista Brasileira de Cirurgia Plástica 39, e0947 , 2024 2024
The importance of portable ultrasound in neck fat assessment and treatment RGF Feitosa, JCM Pedroso, MS Neto J Dermatol Cosmetol 8, 13-14 , 2024 2024 Citations: 1
Hematology, Transfusion and Cell Therapy JC Montano-Pedroso, FV Perini, E Donizetti, LC Oliveira, ... 2024
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Implementation of Patient Blood Management (PBM) MCMA Macedo, S Biagini, JC Montano-Pedroso, G Ribeiro, ... Hematology, Transfusion and Cell Therapy 46, 8-11 , 2024 2024 Citations: 2
Qualidade das informações sobre lipoaspiração para o público leigo: Uma revisão de escopo AHS Stahelin, JCM Pedroso, AHS Tsuji, CM Silva, GL Santos, FC Isoldi, ... Revista Brasileira de Cirurgia Plástica 38 (4), e0766 , 2023 2023 Citations: 2
USO DA ACTINIDINA EM FERIDAS:: REVISÃO INTEGRATIVA FDAS AUGUSTO, L BLANES, JCM PEDROSO, LM FERREIRA Congresso Brasileiro de Estomaterapia , 2023 2023
A transfusão de sangue sob as lentes da medicina baseada em evidências JC Montano-Pedroso SciELO Preprints , 2023 2023 Citations: 1
Patient Blood Management (PBM): A path to bloodless medicine JC Montano-Pedroso Patient Blood Management (PBM): A path to bloodless medicine , 2023 2023
MOST CITED SCHOLAR PUBLICATIONS
Laser-Assisted Liposuction (LAL) Versus Traditional Liposuction: Systematic Review D Pereira-Netto, JC Montano-Pedroso, ALS Aidar, M Wagner Luis, ... Aesthetic Plastic Surgery, 1-8 , 2018 2018 Citations: 57
Mortality risk is dose-dependent on the number of packed red blood cell transfused after coronary artery bypass graft AA Santos, AG Sousa, RF Piotto, JCM Pedroso Brazilian Journal of Cardiovascular Surgery 28, 509-517 , 2013 2013 Citations: 55
Hematological Variables and Iron Status in Abdominoplasty After Bariatric Surgery JC Montano-Pedroso, EB Garcia, IRV Omonte, MGC Rocha, LM Ferreira Obesity Surgery 23 (1), 7-16 , 2013 2013 Citations: 29
Anchor-line abdominoplasty with Scarpa fascia preservation in postbariatric patients: a comparative randomized study HCB Inforzato, EB Garcia, JC Montano-Pedroso, LA Rossetto, LM Ferreira Aesthetic Plastic Surgery 44 (2), 445-452 , 2020 2020 Citations: 24
Comparative analysis of human brain slices with three different staining techniques MS Meneses, JC Montano Pedroso, RF Fuzza, JB Milano Arquivos de neuro-psiquiatria 62 (2A), 276-281 , 2004 2004 Citations: 23
Intravenous iron sucrose versus oral iron administration for the postoperative treatment of post-bariatric abdominoplasty anaemia: an open-label, randomised, superiority trial … JC Montano-Pedroso, EB Garcia, MAR de Moraes, DF Veiga, LM Ferreira The Lancet Haematology 5 (7), e310-e320 , 2018 2018 Citations: 18
Postoperative intravenously administered iron sucrose versus postoperative orally administered iron to treat post-bariatric abdominoplasty anaemia (ISAPA): the study protocol … JC Montano-Pedroso, EB Garcia, NF Novo, DF Veiga, LM Ferreira Trials 17 (1), 196 , 2016 2016 Citations: 10
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Acute normovolemic hemodilution and intraoperative … FV Perini, JC Montano-Pedroso, LC Oliveira, E Donizetti, RR Rodrigues, ... Hematology, transfusion and cell therapy 46 (suppl 1), 48-52 , 2024 2024 Citations: 9
Central neurocytoma presented by intraventricular hemorrage: case report RA Hanel, JC Montaño, E Gasparetto, LF Ditzel, LFB Torres, JC Araujo Arquivos de Neuro-Psiquiatria 59 (3A), 628-632 , 2001 2001 Citations: 7
Mesenchymal stem cells in lung diseases and their potential use in COVID-19 ARDS: A systematized review BBS Armstrong, JCM Pedroso, J da Conceição Carvalho Jr, LM Ferreira Clinics 78, 100237 , 2023 2023 Citations: 6
Genital self-image and body dysmorphic symptoms in patients undergoing central wedge or linear labiaplasty: a clinical trial GC Minikowski, DF Veiga, GAA Felix, JCM Pedroso, LM Ferreira, MS Neto Plastic and Reconstructive Surgery 155 (1), 53e-65e , 2025 2025 Citations: 4
O efeito do ácido ascórbico tópico na cicatrização cutânea AV Souza, JCM Pedroso, RA Bitar, DO Vieira, CC Eduardo, FOC Peixoto Revista Brasileira de Cirurgia Plástica 37 (03), 347-353 , 2022 2022 Citations: 3
Complicações em cirurgias plásticas após perdas ponderais maciças: uma busca sistemática e revisão JG Becker, EB Garcia, JCM Pedroso, LM Ferreira Rev Bras Cir Plást 34 (Suppl 2), 75-8 , 2019 2019 Citations: 3
Impact of extracurricular activities in Plastic Surgery on the knowledge and practical skills of medical students JCM PEDROSO, RN PAZINI, JPR BILÓ, N Sallum, NF NOVO, P Brandoli, ... Revista Brasileira de Cirurgia Plástica 30, 82-85 , 2015 2015 Citations: 3
Tratamento cirúrgico de alopecia cicatricial no couro cabeludo e defeito da calota craniana em criança, sem transfusões de sangue JCM Pedroso, S Salanitri, A Helene Júnior Revista Brasileira de Cirurgia Plástica 26 (1), 160-163 , 2011 2011 Citations: 3
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Antifibrinolytics JC Montano-Pedroso, FV Perini, E Donizetti, LC Oliveira, ... Hematology, transfusion and cell therapy 46, S40-S47 , 2024 2024 Citations: 2
Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Implementation of Patient Blood Management (PBM) MCMA Macedo, S Biagini, JC Montano-Pedroso, G Ribeiro, ... Hematology, Transfusion and Cell Therapy 46, 8-11 , 2024 2024 Citations: 2
Qualidade das informações sobre lipoaspiração para o público leigo: Uma revisão de escopo AHS Stahelin, JCM Pedroso, AHS Tsuji, CM Silva, GL Santos, FC Isoldi, ... Revista Brasileira de Cirurgia Plástica 38 (4), e0766 , 2023 2023 Citations: 2
Patient Blood Management PBM: an effective, safe, cost-effective and evidence-based way to provide medical treatment in the face of scarcity of blood bags caused by the COVID … JC Montano-Pedroso, AA Santos, WSL Santos, RS Araújo, GCM Rabello, ... Patient Blood Management PBM: an effective, safe, cost-effective and … , 2020 2020 Citations: 2
New Approach for Post-bariatric Abdominoplasty with Extended Vertical Resection: A Prospective Cohort Study HCB Inforzato, EB Garcia, JC Montano-Pedroso, LM Ferreira Aesthetic Plastic Surgery 43 (3), 711-717 , 2019 2019 Citations: 2