Navegando por Palavras-chave "Critical care nursing"

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    Análise de eventos adversos em pacientes internados em unidade de terapia intensiva
    (Univ Fed Sao Paulo, Dept Enfermagen, 2017) Ortega, Daniela Benevides [UNIFESP]; D'Innocenzo, Maria [UNIFESP]; Giunta da Silva, Lucia Marta [UNIFESP]; Bohomol, Elena [UNIFESP]
    Objective: To assess the incidence of adverse events and associate them with nursing workload, nursing team staffing and the severity of the patients. Method: A quantitave, cross-sectional, prospective study was conducted with 304 consecutive patients admitted to the General Intensive Care Unit of a private hospital between September and December 2013 (four months). Results: There were 39 adverse events, and the most prevalent was pressure sore. Patients who presented an event had a higher mean age, higher prevalence of clinical admissions, longer hospital stay, higher scores in the Acute Physiology and Chronic Health Evaluation (APACHE) II and in the Nursing Activities Score (NAS) and lower score in the Braden scale and in the Glasgow scale. There was no significant difference regarding nursing team staffing. Conclusion: There was a higher incidence of adverse events in patients who presented a profile of greater risk and severity identified by predictive scales.
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    Randomized crossover trial of endotracheal tube suctioning systems use in newborns
    (Wiley, 2017) Cardoso, Jaqueline M. [UNIFESP]; Kusahara, Denise M. [UNIFESP]; Guinsburg, Ruth [UNIFESP]; Pedreira, Mavilde L. G. [UNIFESP]
    BackgroundMaintaining endotracheal tube patency is critical for neonates receiving mechanical ventilation. Endotracheal tube suctioning removes accumulated secretions preventing potential adverse events, however is also potentially hazardous to the patient. ObjectiveTo compare respiratory rate, arterial blood oxygen saturation, heart rate and pain in newborns undergoing endotracheal tube suctioning with closed (CS) and open (OS) systems. MethodsRandomized crossover trial with 13 newborns from two Brazilian hospitals. The respiratory rate, arterial blood oxygen saturation, heart rate and pain (Premature Infant Pain Profile) were analysed: immediately before (T1), during (T2), immediately after (T3), 10 min after (T4) and 30 min (T5) after endotracheal suctioning. ResultsThe majority (11/850%) of the newborns were premature and 45% weighed less than 1000 g. No statistically significant difference was identified according to the use of CS or OS to all the parameters investigated. The main results demonstrated that in T2 arterial blood oxygen saturation was higher with CS (CS 930%