You searched for:"Karina Tavares Timenetsky"
We found (3) results for your search.-
Original Article
Burnout syndrome and engagement among critical care providers: a cross-sectional study
Rev Bras Ter Intensiva. 2020;32(3):381-390
Abstract
Original ArticleBurnout syndrome and engagement among critical care providers: a cross-sectional study
Rev Bras Ter Intensiva. 2020;32(3):381-390
DOI 10.5935/0103-507X.20200066
Views1ABSTRACT
Objective:
To evaluate the frequency of severe burnout syndrome among critical care providers and to correlate it with work engagement.
Methods:
A self-administered survey including the Maslach Burnout Inventory, Depression Anxiety and Stress Scales, and Gallup questionnaire was distributed. All analyses were stratified by setting (intensive care unit or step-down unit) and by professional group (nurses versus physicians versus physiotherapists).
Results:
Between February 2017 and June 2017, 206 out of 325 invited professionals (63.4%) answered the questionnaires. Of these, 55 were physicians (26.7%), 88 were physiotherapists (42.7%) and 63 were nurses (30.6%). The frequency of severe burnout was 34.3% (27.9 – 41.4%), and no difference was found between professional groups or settings. The frequency of severe or very severe cases of depression, anxiety or stress was 12.9%, 11.4% and 10.5%, respectively. The median (interquartile range) score observed on the Gallup questionnaire was 41 (34 – 48), and no differences were found between professional groups or settings. There was a negative correlation between burnout and work engagement (r = -0.148; p = 0.035).
Conclusion:
There is a high frequency of severe burnout among critical care providers working in the intensive care unit and step-down unit. There was a negative correlation between burnout and work engagement.
Keywords:Acute stress disordersBurnout, psychologicalDepressionIntensive care unitsStep-down unitWork engagementSee more -
Review Articles
Extracorporeal membrane oxygenation: a literature review
Rev Bras Ter Intensiva. 2019;31(3):410-424
Abstract
Review ArticlesExtracorporeal membrane oxygenation: a literature review
Rev Bras Ter Intensiva. 2019;31(3):410-424
DOI 10.5935/0103-507X.20190063
Views1ABSTRACT
Extracorporeal membrane oxygenation is a modality of extracorporeal life support that allows for temporary support in pulmonary and/or cardiac failure refractory to conventional therapy. Since the first descriptions of extracorporeal membrane oxygenation, significant improvements have occurred in the device and the management of patients and, consequently, in the outcomes of critically ill patients during extracorporeal membrane oxygenation. Many important studies about the use of extracorporeal membrane oxygenation in patients with acute respiratory distress syndrome refractory to conventional clinical support, under in-hospital cardiac arrest and with cardiogenic refractory shock have been published in recent years. The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients.
Keywords:Critical careExtracorporeal membrane oxygenationheart failureRespiration, artificialRespiratory insufficiencySee more -
Review Article
The effects of high-flow nasal cannula on intubation and re-intubation in critically ill patients: a systematic review, meta-analysis and trial sequential analysis
Rev Bras Ter Intensiva. 2018;30(4):487-495
Abstract
Review ArticleThe effects of high-flow nasal cannula on intubation and re-intubation in critically ill patients: a systematic review, meta-analysis and trial sequential analysis
Rev Bras Ter Intensiva. 2018;30(4):487-495
DOI 10.5935/0103-507X.20180070
Views0See moreABSTRACT
Objective:
To evaluate the efficacy of high-flow nasal cannula in the prevention of intubation and re-intubation in critically ill patients compared to conventional oxygen therapy or noninvasive ventilation.
Methods:
This systematic review was performed through an electronic database search of articles published from 1966 to April 2018. The primary outcome was the need for intubation or re-intubation. The secondary outcomes were therapy escalation, mortality at the longest follow-up, hospital mortality and the need for noninvasive ventilation.
Results:
Seventeen studies involving 3,978 patients were included. There was no reduction in the need for intubation or re-intubation with high-flow nasal cannula (OR 0.72; 95%CI 0.52 – 1.01; p = 0.056). There was no difference in the need for therapy escalation (OR 0.80, 95% CI 0.59 – 1.08, p = 0.144), mortality at the longest follow-up (OR 0.94; 95%CI 0.70 – 1.25; p = 0.667), hospital mortality (OR 0.84; 95%CI 0.56 – 1.26; p = 0.391) or noninvasive ventilation (OR 0.64, 95%CI 0.39 – 1.05, p = 0.075). In the trial sequential analysis, the number of events included was lower than the optimal information size with a global type I error > 0.05.
Conclusion:
In the present study and setting, high-flow nasal cannula was not associated with a reduction of the need for intubation or re-intubation in critically ill patients.
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis