Navegando por Palavras-chave "Sonda"

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    Gastrotomia percutanea versus sonda nasogatrica para nutricao em adultos com disturbios da degluticao
    (Universidade Federal de São Paulo (UNIFESP), 2009) Gomes Junior, Claudio Antonio Rufino [UNIFESP]
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    Metoclopramida para migração da sonda do estômago para o duodeno
    (Universidade Federal de São Paulo (UNIFESP), 2003) Silva, Cristiane Costa Reis da [UNIFESP]; Atallah, Álvaro Nagib [UNIFESP]
    A falta de nutricao adequada para atender as exigencias metabolicas e reconhecida como uma preocupacao seria nos pacientes clinicos e cirurgicos. Se a inGestão oral de alimento nao e suficiente, a nutricao enteral por sonda e a segunda opcao. Para que o posicionamento do tubo no intestino seja mais rapido pode-se lancar mao de manobras simples como deitar o paciente em decubito lateral direito, estimular a deambulacao, ou ainda, administrar um estimulante da motilidade gastrica. A droga mais comumente usada e a metoclopramida. Objetivos: Tem por objetivos avaliar se a metoclopramida e eficaz e segura para auxiliar o procedimento de alocacao do cateter em adultos; o momento e dosagem da droga na passagem do cateter e determinar se a passagem do cateter no paciente em decubito lateral direito (DLD) facilita mais a migracao do que em outras posicoes. Estrategias para identificacao dos estudos. Relevantes ECA foram identificadas eletronicamente atraves do MEDLINE, EMBASE, LILACS, Cochrane Controlled Trials Register. Referencias bibliograficas de ECA, de livros e artigos de revisao foram checados no sentido de encontrar ECA que nao foram identificados eletronicamente. Tipos de intervencao: Todos os ECA comparando Metoclopramida versus placebo ou nenhuma intervencao. Qualidade Metodologica: A qualidade metodologica nao foi avaliada de modo cego, sendo utilizada a escala de Jadad para avaliar a qualidade metodologica de cada estudo. Todas as analises serao executadas de acordo com o metodo de intencao de tratar
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    Posicionamento de sonda enteral em neonatos segundo técnica modificada de mensuração
    (Univ Fed Sao Paulo, Dept Enfermagen, 2017) Andre, Rafaela Reiche [UNIFESP]; de Souza Mendes, Carolina Queiroz [UNIFESP]; Machado Avelar, Ariane Ferreira [UNIFESP]; Ferreira Gomes Balieiro, Maria Magda [UNIFESP]
    Objective: To evaluate the effectiveness of the enteral tube measurement using the modified nose - ear - xiphoid (NEX) technique by disregarding the tube distal orifices for placement in newborns' neonatal gastric cavity. Methods: A prospective study conducted in a neonatal unit of a teaching hospital in the city of Sao Paulo, based on the radiographic analysis of 60 radiographs of 28 newborns using enteral tubes measured by the modified technique, and who had thoracoabdominal radiography. Results: The correct placement index according to analysis by position was 68.3% and 71.7%, according to evaluators 1 and 2, respectively. In the analysis by vertebrae, 95% of tubes were properly placed in the gastric cavity. There was a statistically significant association between height and location of the enteral tube according to evaluator 2. Conclusion: The evaluated measurement technique presents a risk for inadequate enteral tube placement in newborns, and its application in clinical practice should not be encouraged.
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    Vital dye is enough for inguinal sentinel lymph node biopsy in melanoma patients
    (Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2006-02-01) Oliveira Filho, Renato Santos de [UNIFESP]; Silva, Allisson Monteiro da [UNIFESP]; Hochman, Bernardo [UNIFESP]; Oliveira, Renato Leão de; Arcuschin, Liliana; Wagner, Jairo; Yamaga, Lílian Yuri; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Oncology Prevention Center; Albert Einstein Hospital Nuclear Medicine Service
    PURPOSE: The importance of gamma probe detection (GPD) combined with vital dye for sentinel node (SN) biopsy is well accepted. We evaluated the efficacy of patent blue dye (PBD) in identifying inguinal SN. METHODS: Ninety-four cutaneous melanoma patients with inferior extremity lesions were submitted to SNB according to a established protocol. Patients were randomized in two groups: Blue group, where SN was identified by PPD and Probe group, where SN was identified by GPD. The median age was 44.2 years and median Breslow thickness was 2.1 mm. Preoperative lymphoscintigraphy, lymphatic mapping with PBD and intra-operative GPD was performed on all patients. Histological examination of SN consisted of hematoxylin-eosin and immunohistochemical staining. If micrometastases were present complete lymphadenectomy was performed. The SN was considered as identified by PBD if it was blue and identified by GPD if it demonstrated at least ten times greater radioactivity than background. RESULTS: It was explored 94 inguinal lymphatic basins, 145 SN were excised (70 guided primarily by blue dye and 75 guided primarily by probe). All SN identified by preoperative lymphoscintigraphy were excised. In the Blue group PPD identified all SN and all of them were hot. In the Probe group all SN were identified by probe and were blue. The coincidence of PPD and GPD was 100%. CONCLUSION: Patent blue dye is enough to identify superficial inguinal SN in cutaneous melanoma.