You searched for:"Cristina Granja"
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Original Article
Sedation, analgesia, and delirium management in Portugal: a survey and point prevalence study
Rev Bras Ter Intensiva. 2022;34(2):227-236
Abstract
Original ArticleSedation, analgesia, and delirium management in Portugal: a survey and point prevalence study
Rev Bras Ter Intensiva. 2022;34(2):227-236
DOI 10.5935/0103-507X.20220020-en
Views3See moreABSTRACT
Objective:
To establish current Portuguese critical care practices regarding analgesia, sedation, and delirium based on a comparison between the activities reported and daily clinical practice.
Methods:
A national survey was conducted among physicians invited to report their practice toward analgesia, sedation, and delirium in intensive care units. A point prevalence study was performed to analyze daily practices.
Results:
A total of 117 physicians answered the survey, and 192 patients were included in the point prevalence study. Survey and point prevalence studies reflect a high sedation assessment (92%; 88.5%), with the Richmond Agitated Sedation Scale being the most reported and used scale (41.7%; 58.2%) and propofol being the most reported and used medication (91.4%; 58.6%). Midazolam prescribing was reported by 68.4% of responders, but a point prevalence study revealed a use of 27.6%.
Conclusion:
The results from the survey did not accurately reflect the common practices in Portuguese intensive care units, as reported in the point prevalence study. Efforts should be made specifically to avoid oversedation and to promote delirium assessment.
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Original Articles
Evaluation of medical devices in thoracic radiograms in intensive care unit – time to pay attention!
Rev Bras Ter Intensiva. 2016;28(3):330-334
Abstract
Original ArticlesEvaluation of medical devices in thoracic radiograms in intensive care unit – time to pay attention!
Rev Bras Ter Intensiva. 2016;28(3):330-334
DOI 10.5935/0103-507X.20160056
Views0ABSTRACT
Objective:
To identify and evaluate the correct positioning of the most commonly used medical devices as visualized in thoracic radiograms of patients in the intensive care unit of our center.
Methods:
A literature search was conducted for the criteria used to evaluate the correct positioning of medical devices on thoracic radiograms. All the thoracic radiograms performed in the intensive care unit of our center over an 18-month period were analyzed. All admissions in which at least one thoracic radiogram was performed in the intensive care unit and in which at least one medical device was identifiable in the thoracic radiogram were included. One radiogram per admission was selected for analysis. The radiograms were evaluated by an independent observer.
Results:
Out of the 2,312 thoracic radiograms analyzed, 568 were included in this study. Several medical devices were identified, including monitoring leads, endotracheal and tracheostomy tubes, central venous catheters, pacemakers and prosthetic cardiac valves. Of the central venous catheters that were identified, 33.6% of the subclavian and 23.8% of the jugular were malpositioned. Of the endotracheal tubes, 19.9% were malpositioned, while all the tracheostomy tubes were correctly positioned.
Conclusion:
Malpositioning of central venous catheters and endotracheal tubes is frequently identified in radiograms of patients in an intensive care unit. This is relevant because malpositioned devices may be related to adverse events. In future studies, an association between malpositioning and adverse events should be investigated.
Keywords:Central venous catheters/utilizationEquipment and suppliesIntensive care unitsIntubation, intratracheal/instrumentationRadiography, thoracicSee more -
PIRO and sepsis stratification: reality or a mirage?
Rev Bras Ter Intensiva. 2015;27(3):196-198
Abstract
PIRO and sepsis stratification: reality or a mirage?
Rev Bras Ter Intensiva. 2015;27(3):196-198
DOI 10.5935/0103-507X.20150038
Views0What is stratification?The objectives of staging systems are to stratify patients with a given disease according to their risk for adverse events, to assess their potential response to a given treatment, and to monitor their actual response. Such systems are widely used, and the Classification of Malignant Tumors (TNM) is the best-known of these systems.() […]See more -
Editorial
Neurological outcomes after cardiac arrest: cold and dark issues
Rev Bras Ter Intensiva. 2015;27(4):305-306
Abstract
EditorialNeurological outcomes after cardiac arrest: cold and dark issues
Rev Bras Ter Intensiva. 2015;27(4):305-306
DOI 10.5935/0103-507X.20150051
Views0Prognostication after cardiac arrest is important for patients, families and health providers. It also has ethical and social implications. With the introduction of therapeutic hypothermia after recovery from cardiac arrest in comatose patients,(,) prognostication has become more complex and concerns have been raised, particularly about the amount of time and the number of tools required […]See more
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