Navegando por Palavras-chave "Suction"

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    Elaboração e validação de vídeo educacional sobre aspiração nasofaríngea e orofaríngea
    (Universidade Federal de São Paulo (UNIFESP), 2020-06-25) Nascimento, Tatiane Souza [UNIFESP]; Lopes, Juliana De Lima [UNIFESP]; Universidade Federal de São Paulo
    Objective: To develop and validate an educational video on nasopharyngeal and oropharyngeal aspiration. Method: A methodological study carried out in four phases (development of the video script, script validation, video production and video validation). The storyboard script on nasopharyngeal and oropharyngeal aspiration was developed based on the literature. Ten nurse specialists validated its content through the Delphi technique. The script should reach 100% expert agreement to be considered valid. Once the script was validated, the procedure was filmed at the Helena Nader Skills and Simulation Teaching Center at Universidade Federal de São Paulo, using a low fidelity mannequin and actors, who played the patient’s and nurse’s roles. The video was edited by a specialized team. The face and content validation of the video was performed by nurse specialists, using a three-point Likert scale. Sophomore nursing students evaluated the video for understanding through a fivepoint Likert scale. It should reach a mean value equal to or greater than 4 to be considered understandable. The Wilcoxon test was used to test the null hypothesis that the mean responses were equal to or less than 4. The study was approved by the Research Ethics Committee (Protocol no. 1.349.064/2015). Results: The video script consisted of seven topics (concept, indication, contraindications, required materials, procedure, complications and nursing notes). It took four rounds to achieve video validation by the experts. The video was filmed and subsequently evaluated by six nurse specialists for face and content validation. The topic “Item understanding” averaged 2.5, the topics “Font size”, “Sound” and “Image” averaged 2.6 and the other items averaged 3. The video was reedited after the suggestions and no other changes were suggested. The video was then watched by 51 nursing students. All questions answered had mean and median values greater than four. The confidence intervals of four questions answered had values lower than 80%. Changes in the sequence of the scenes were performed based on these. After being reedited, the video was watched and evaluated by 45 students from the same class. All questions answered had mean values higher than 4 and median values of 5, thereby rejecting the null hypothesis in all cases. The question with the lowest mean score was “Could you understand the nasophayngeal and oropharyngeal aspiration technique?”, with an average of 4.64. The questions with the highest mean score were: “Could you understand what materials are required for naesophageal and oropharyngeal aspiration?”, with mean values of 4.87. Conclusion: The video on nasopharyngeal and oropharyngeal aspiration was validated by specialist nurses and students. It can be used as an attractive, dynamic teaching tool with several possibilities of application.
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    Fortro - fórceps para trocarte
    (Universidade Federal de São Paulo (UNIFESP), 2017-06-29) Brasolin, Adriano Guimaraes [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; http://lattes.cnpq.br/1619822351741819; http://lattes.cnpq.br/0285673225787347; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The insertion of surgical drains with trocars can jeopardize the safety of the team when used manually. The exit of the trocar by counter-incision may be distant from the surgical incision, increasing the difficulty of the procedure and the time of surgery. Objective: To create a surgical instrument to fasten and aid the passage of the trocar of drains through the tissues. Methods: Search of precedence described devices to aid the passage of drains and comparison with the design of the new device. Description of the main characteristics and functions of the instrument created to fasten the trocar of the drains, and assist in the passage through the tissues. Results: The search for precedence in the INPI, USPTO and Google Patents databases resulted, in the International patent classification, in two devices for the passage of trocars: a deposit in the INPI and WIPO, and another one in the USPTO, but none designed as forceps. Forceps analysis under study compared the patents of existing devices with the following criteria: design and applicability. The composition, function, measurements and mode of using the device have been described. Conclusion: The FORTRO device, a surgical forceps, was developed to aid the passage of trocars through the tissues.
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    Intervenção educativa para o automonitoramento da drenagem contínua no pós-operatório de mastectomia
    (Universidade Federal do Rio Grande do Sul. Escola de Enfermagem, 2013-12-01) Esteves, Marcella Tardeli [UNIFESP]; De Domenico, Edvane Birelo Lopes [UNIFESP]; Petito, Eliana Louzada [UNIFESP]; Gutiérrez, Maria Gaby Rivero de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This study assessed how well patients who had undergone breast cancer surgery monitored their continuous drainage system after receiving one-to-one instructions at the Mastology Outpatient Clinic of Hospital São Paulo at Federal University of São Paulo. Participants were 79 women who had undergone breast cancer surgery between May 2009 and March 2010, and were using a drain. It was found that the self-care training that the patients received, in addition to the strategy used in that training, had a positive effect on their self-monitoring of the continuous drainage, which prevented the drain from clogging, evinced by the percentage of patients who maintained the permeability of the drainage system (84.2%).
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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%