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intensiva care

Glauco Adrieno Westphal, Valter Duro Garcia, Rafael Lisboa de Souza, Cristiano Augusto Franke, Kalinca Daberkow Vieira, Viviane Renata Zaclikevis Birckholz, Miriam Cristine Machado, Eliana Régia Barbosa de Almeida, Fernando Osni Machado, Luiz Antônio da Costa Sardinha, Raquel Wanzuita, Carlos Eduardo Soares Silvado, Gerson Costa, Vera Braatz, Milton Caldeira Filho, Rodrigo Furtado, Luana Alves Tannous, André Gustavo Neves de Albuquerque, Edson Abdala
Organ transplantation is the only alternative for many patients with terminal diseases. The increasing disproportion between the high demand for organ transplants and the low rate of transplants actually performed is worrisome. Some of the causes of this disproportion are errors in the identification of potential organ donors and in the determination of contraindications by the attending staff. Therefore, the aim of the present document is to provide guidelines for intensive care multi-professional staffs for the recognition, assessment and acceptance of potential organ donors...
September 2016: Revista Brasileira de Terapia Intensiva
Aluisio Stoll, Leandro Rosin, Mariana Fernandes Dias, Bruna Marquiotti, Giovana Gugelmin, Gabriela Fanezzi Stoll
Background: Roux-en-Y gastric bypass is one of the most common bariatric surgery and leads to considerable weight loss in the first months. Aim: To quantify the main early postoperative complications in patients submitted to the gastric bypass. Method: Observational retrospective cohort. Data of 1051 patients with class II obesity associated with comorbidities or class III obesity submitted to the gastric bypass with 30 days of follow-up starting from the date of the surgery...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Andrea Carvalho de Oliveira, Paulo Carlos Garcia, Lilia de Souza Nogueira
OBJECTIVE: To identifyevidences of the influence of nursing workload on the occurrence of adverse events (AE) in adult patients admitted to the intensive care unit (ICU). METHOD: A systematic literature review was conducted in the databases MEDLINE, CINAHL, LILACS, SciELO, BDENF, and Cochrane from studies in English, Portuguese, or Spanish, published by 2015. The analyzed AE were infection, pressure ulcer (PU), patient falls, and medication errors. RESULTS: Of 594 potential studies, eight comprised the final sample of the review...
July 2016: Revista da Escola de Enfermagem da U S P
Satomi Mori, Juliana Rumy Tsuchihashi Takeda, Fernanda Souza Angotti Carrara, Cibelli Rizzo Cohrs, Suely Sueko Viski Zanei, Iveth Yamaguchi Whitaker
OBJECTIVES: To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. METHOD: Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium...
July 2016: Revista da Escola de Enfermagem da U S P
Flavia Regina Cocuzza das Eiras, Antonio Pires Barbosa, Eliseth Ribeiro Leão, César Augusto Biancolino
OBJECTIVE: To evaluate the use of a severity indicator for end-stage liver disease as a predictor of resource use in a teaching hospital in São Paulo. METHOD: Descriptive, retrospective study, classifying independent variables in seven key dimensions: identification/risk rating; length of stay/use of advanced life support; imaging; clinical analysis; special procedures; blood products in the intensive care unit; and in the operating room. The frequencies were analyzed by linear regression analysis of variance to detect relevance due to the dependent variable (severity indicator) in 76 cases seen in 2013...
July 2016: Revista da Escola de Enfermagem da U S P
Anna Letícia Miranda, Ana Lúcia Lyrio de Oliveira, Daiana Terra Nacer, Cynthia Adalgisa Mesojedovas Aguiar
OBJECTIVE: to compare the results of urinary tract infection incidence, by means of the rate of indwelling urethral catheter use, and to identify microorganisms in urine cultures and surveillance cultures before and after the implementation of a clinical protocol for intensive care unit patients . METHOD: urinary tract infection is defined as a positive urine culture > 105 CFU/mL, notified by the hospital infection control service, six months before and after the implementation of the protocol...
July 11, 2016: Revista Latino-americana de Enfermagem
Daniele Cristina Perin, Alacoque Lorenzini Erdmann, Giovana Dorneles Callegaro Higashi, Grace Teresinha Marcon Dal Sasso
OBJECTIVE: to identify evidence-based care to prevent CLABSI among adult patients hospitalized in ICUs. METHOD: systematic review conducted in the following databases: PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. The 34 studies identified were organized in an instrument and assessed by using the classification provided by the Joanna Briggs Institute...
2016: Revista Latino-americana de Enfermagem
Gabriella da Silva Rangel Ribeiro, Rafael Celestino da Silva, Márcia de Assunção Ferreira, Grazielle Rezende da Silva
OBJECTIVE: Toidentify the occurrence of errors in the use of equipment by nurses working in intensive careandanalyzing them in the framework of James Reason's theory of human error. METHOD: Qualitative field study in the intensive care unit of a federal hospital in the city of Rio de Janeiro. Observation and interviews were conductedwith eight nurses, from March to December 2014. Content analysis was used for the interviews, as well as the description of the scenes observed...
May 2016: Revista da Escola de Enfermagem da U S P
Roseli Aparecida Matheus do Nascimento, Murillo Santucci Cesar Assunção, João Manoel Silva, Cristina Prata Amendola, Taysa Martindo de Carvalho, Emerson Quintino Lima, Suzana Margareth Ajeje Lobo
OBJECTIVE: To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. METHOD: A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment. RESULTS: 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87...
May 2016: Revista da Escola de Enfermagem da U S P
M Llauradó-Serra, R Güell-Baró, A Castanera-Duro, I Sandalinas, E Argilaga, M L Fortes-Del Valle, M F Jiménez-Herrera, L Bordonado-Pérez, C Fuentes-Pumarola
BACKGROUND: The implementation of evidence based practice is essential in clinical practice. However, it is still a challenge in critical care patients. AIM: To identify the barriers for conducting research that nursing professionals perceive in intensive care and medical emergency departments, as well as to investigate the areas of interest and motivations to carry out research projects. METHOD: Cross-sectional and multicentre study carried out in 4 intensive care units and in one Medical Emergency Department emergency pre-hospital carein Catalonia on 2014...
August 16, 2016: Enfermería Intensiva
Juliana Pires Machado, Mônica Martins, Iuri da Costa Leite
OBJECTIVE: To analyze if the adjusted hospital mortality varies according to source of payment of hospital admissions, legal nature, and financing settlement of hospitals. METHODS: Cros-ssectional study with information source in administrative databases. Specific hospital admission reasons were selected considering the volume of hospital admissions and the list of quality indicators proposed by the North-American Agency for Healthcare Research and Quality (AHRQ)...
July 21, 2016: Revista de Saúde Pública
Wesley Cajaíba Santos, Cássia Regina Vancini-Campanharo, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista
OBJECTIVE: To assess knowledge of nurses of emergency services and intensive care units about Glasgow Coma Scale. METHODS: This cross-sectional analytical study included 127 nurses of critical units of an university hospital. We used structured interview with 12 questions to evaluate their knowledge about the scale. Association of Knowledge with professionals' sociodemographic variables were verified by the Fisher-test, χ2 and likelihood ratio. RESULTS: Most of participants were women mean aged 31...
April 2016: Einstein
Shanlley Cristina da Silva Fernandes, Rafaella Souza Dos Santos, Erica Albanez Giovanetti, Corinne Taniguchi, Cilene Saghabi de Medeiros Silva, Raquel Afonso Caserta Eid, Karina Tavares Timenetsky, Denise Carnieli-Cazati
OBJECTIVE: To evaluate the vital capacity after two chest therapy techniques in patients undergoing abdominal surgical. METHODS: A prospective randomized study carried out with patients admitted to the Intensive Care Unit after abdominal surgery. We checked vital capacity, muscular strength using the Medical Research Council scale, and functionality with the Functional Independence Measure the first time the patient was breathing spontaneously (D1), and also upon discharge from the Intensive Care Unit (Ddis)...
April 2016: Einstein
Armando Dos Santos Trettene, Aline Godoi Luiz, Ana Paula Ribeiro Razera, Thaís de Oliveira Maximiano, Flavia Maria Ravagnani Neves Cintra, Laressa Manfio Monteiro
OBJECTIVE: To assess the nursing workload (NW) in Semi-intensive Therapy Unit, specialized in the care of children with Craniofacial anomalies and associated syndromes; to compare the amount of workforce required according to the Nursing Activities Score (NAS) and the COFEN Resolution 293/04. METHOD: Cross-sectional study, whose sample was composed of 72 patients. Nursing workload was assessed through retrospective application of the NAS. RESULTS: the NAS mean was 49...
December 2015: Revista da Escola de Enfermagem da U S P
Priscilla Caetano Guerra, Nilton Ferraro Oliveira, Maria Teresa de Sande E Lemos Ramos Ascensão Terreri, Claudio Arnaldo Len
OBJECTIVE: To assess sleep, quality of life and mood of nursing professionals of pediatric intensive care units. METHOD: Quantitative, cross-sectional and descriptive study. Professionals grouped by morning, afternoon and evening shifts were assessed by means of the instruments: Morningness-Eveningness Questionnaire; Pittsburgh Sleep Quality Index; Epworth Sleepiness Scale; Generic questionnaire for the assessment of quality of life (SF-36); Beck Depression Inventory; Beck Anxiety Inventory; State-Trait Anxiety Inventory...
April 2016: Revista da Escola de Enfermagem da U S P
Carolina Justus Buhrer Ferreira, Caroline Koga Plodek, Franciny Kossemba Soares, Rayza Assis de Andrade, Fernanda Teleginski, Maria Dagmar da Rocha
OBJECTIVE: to analyze the impact of guidelines regarding errors in medications prescribed for administration through enteral tubes. METHOD: quantitative study, in three phases, undertaken in internal medicine, neurology and an intensive care unit in a general teaching hospital. In Phase 1, the following was undertaken: a protocol for dilution and unit-dose repackaging and administration for 294 medications via enteral tubes; a decision flowchart; operational-standard procedures for dilution and unit-dose repackaging of oral pharmaceutical forms and for administration of medications through enteral tubes...
2016: Revista Latino-americana de Enfermagem
Janaina Wercka, Patricia Paola Cagol, André Luiz Parizi Melo, Giovani de Figueiredo Locks, Orli Franzon, Nicolau Fernandes Kruel
OBJECTIVE: to present the epidemiological profile, incidence and outcome of patients who developing postoperative abdominal fistula. METHODS: This observational, cross-sectional, prospective study evaluated patients undergoing abdominal surgery. We studied the epidemiological profile, the incidence of postoperative fistulas and their characteristics, the outcome of this complication and the predictors of mortality. RESULTS: The sample consisted of 1,148 patients...
March 2016: Revista do Colégio Brasileiro de Cirurgiões
P Delgado-Hito, S Arias-Rivera, M Raurell Torredà
No abstract text is available yet for this article.
January 2016: Enfermería Intensiva
Lilian Maria Sobreira Tanaka, Jorge Ibrain Figueira Salluh, Felipe Dal-Pizzol, Bruna Brandão Barreto, Ricardo Zantieff, Eduardo Tobar, Antonio Esquinas, Lucas de Castro Quarantini, Dimitri Gusmao-Flores
OBJECTIVE: To conduct a multinational survey of intensive care unit professionals to determine the practices on delirium assessment and management, in addition to their perceptions and attitudes toward the evaluation and impact of delirium in patients requiring noninvasive ventilation. METHODS: An electronic questionnaire was created to evaluate the profiles of the respondents and their related intensive care units, the systematic delirium assessment and management and the respondents' perceptions and attitudes regarding delirium in patients requiring noninvasive ventilation...
October 2015: Revista Brasileira de Terapia Intensiva
Antonella Agodi, Francesco Auxilia, Martina Barchitta, Silvio Brusaferro, Marcello Mario D'Errico, Maria Teresa Montagna, Cesira Pasquarella, Stefano Tardivo, Ida Mura
OBJECTIVE: To evaluate trends and association between antibiotic consumption and resistance during an eight-year period, from 2006 to 2013. DESIGN: Prospective multicenter study. SETTING AND PARTICIPANTS: Intensive Care Units (ICUs) participating in the four editions of the Italian nosocomial infections surveillance in the ICU Network (Sorveglianza Prospettica delle Infezioni Nosocomiali nelle Unità di Terapia Intensiva, SPIN-UTI project)...
July 2015: Epidemiologia e Prevenzione
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