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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...
September 9, 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
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
Martín Truszkowski, Rodolfo P Moreno, Silvia N Santos, Guillermo E Moreno, Thomas Iolster, Alejandro Siaba Serrate, Luis Landry, María Elena Ratto, Daniel Rufach, Analía Fernández, Juan C Vassallo, Daniel Buamscha, Gustavo Debaisi, Horacio Yulitta
INTRODUCTION: Pediatric intensive care residency programs have been in place in Argentina for just a few years. Knowing their status offers the possibility to establish strategies to help with professional development and training. OBJECTIVES: 1) To describe the characteristics of pediatric intensive care residency programs across Argentina. 2) To assess whether certain characteristics are related to a higher vacancy filling rate. 3) To assess job placement in the hospital where residents are trained...
October 2015: Archivos Argentinos de Pediatría
Franco Gálvez-Cancino, María de la Luz Sánchez-Tirado
Umbilical venous catheter (UVC) is widely used in neonatal intensive care units. Pericardial effusion is an uncommon but life-threatening complication; and tamponade have been reported in 3% of neonates having such catheters. We present a case of cardiac tamponade as a complication of venous catheter in a neonate. The patient was diagnosed at the appropriate time by echocardiography and the pericardiocentesis was performed, and after removal of the complete pericardial effusion,an improvement of the critical condition was achieved...
May 2015: Gaceta Médica de México
Agueda Maria Ruiz Zimmer Cavalcante, Evelise Helena Fadini Reis Brunori, Camila Takáo Lopes, Andréa Braz Vendramini Silva, T Heather Herdman
OBJECTIVE: To describe the nursing clinical judgment as a basis for ND identification and development of a NIC treatment plan for a child after cardiac surgery under intensive care. METHOD: A case study with data retrospectively collected from charts. RESULTS: Three nurses identified NANDA-I diagnoses and NIC interventions. A 6-month-old child submitted to cardiac surgery, requiring extracorporeal membrane oxygenation in the postoperative period...
January 2015: Revista Brasileira de Enfermagem
Gianni Biancofiore, Maurizio Cecconi, Giorgio Della Rocca
Significant evidence outlines that the management of the high-risk surgical patient with perioperative hemodynamic optimization leads to significant benefits. This study aimed at studying the current practice of hemodynamic monitoring and management of Italian anesthesiologists. An invitation to participate in a web-based survey was published on the web site of the Società Italiana di Anestesia Analgesia Rianimazione Terapia Intensiva. Overall, 478 questionnaires were completed. The most frequently used monitoring techniques was invasive blood pressure (94...
October 2015: Journal of Clinical Monitoring and Computing
Cláudio Dornas de Oliveira, Leonardo da Cruz Peixoto, Gláucio Oliveira Nangino, Paulo César Correia, Camila Armond Isoni
OBJECTIVES: Tracheostomy is a common procedure in intensive care unit to promote mechanical ventilation weaning. Despite tracheostomy is increasingly used there is no agreement of actual clinical practice of tracheostomy in different groups of patients in our environment. Objective of this study was to evaluate the epidemiological profile and outcomes of patients with tracheostomy at a clinical-surgical intensive care unit and compare this profile with the current literature. METHODS: Retrospective descriptive study through review of medical records and quality control database of "QuaTI" (Qualidade em Terapia Intensiva) of 87 patients with tracheostomy at Santa Casa de Belo Horizonte intensive care unit in 2007...
March 2010: Revista Brasileira de Terapia Intensiva
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