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You searched for:"Lívia Barboza Andrade"

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  • Original Article

    Translation and cross-cultural adaptation of the anchor points of the Cornell Assessment of Pediatric Delirium scale into Portuguese

    Crit Care Sci. 2023;35(3):320-327

    Abstract

    Original Article

    Translation and cross-cultural adaptation of the anchor points of the Cornell Assessment of Pediatric Delirium scale into Portuguese

    Crit Care Sci. 2023;35(3):320-327

    DOI 10.5935/2965-2774.20230165-pt

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    ABSTRACT

    Objective:

    To translate and cross-culturally adapt the Cornell Assessment of Pediatric Delirium anchor points from English to Brazilian Portuguese.

    Methods:

    For the translation and cross-cultural adaptation of the anchor points, all steps recommended internationally were followed after authorization for use by the lead author. The stages were as follows: translation of the original version into Portuguese by two bilingual translators who were native speakers of the target language, synthesis of the versions, reverse translation by two translators who were native speakers of the source language, review and synthesis of the back-translation, review by a committee of experts and preparation of the final version.

    Results:

    The translation and cross-cultural adaptation of the anchor points was conducted in accordance with recommendations. The linguistic and semantic issues that arose were discussed by a committee of judges, with 91.8% agreement, as determined using a Likert scale, after changes by consensus. After reanalysis by the authors, there were no changes, resulting in the final version, which was easy to understand and administer.

    Conclusion:

    The translation and cross-cultural adaptation of the anchor points of the Cornell Assessment of Pediatric Delirium scale into Portuguese spoken in Brazil were successful, maintaining the linguistic and semantic properties of the original instrument. The table of anchor points is easy to understand and will be helpful during the assessment of children younger than 24 months using the Cornell Assessment of Pediatric Delirium scale.

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  • Commentaries

    Neurally adjusted ventilatory assist in pediatrics: why, when, and how?

    Rev Bras Ter Intensiva. 2017;29(4):408-413

    Abstract

    Commentaries

    Neurally adjusted ventilatory assist in pediatrics: why, when, and how?

    Rev Bras Ter Intensiva. 2017;29(4):408-413

    DOI 10.5935/0103-507X.20170064

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    IntroductionIn pediatrics, good synchrony in controlled assisted ventilation is not always possible and may delay recovery, prolong mechanical ventilation (MV), and contribute to loss of muscle strength and increased calorie expenditure.()In controlled assisted ventilation, the trigger (drive) is a decisive factor in the release of the assisted cycle, as it is regulated by the pressure […]
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    Neurally adjusted ventilatory assist in pediatrics: why, when, and how?
  • Original Articles

    Spontaneous breathing trial evaluation in preterm newborns extubation

    Rev Bras Ter Intensiva. 2010;22(2):159-165

    Abstract

    Original Articles

    Spontaneous breathing trial evaluation in preterm newborns extubation

    Rev Bras Ter Intensiva. 2010;22(2):159-165

    DOI 10.1590/S0103-507X2010000200010

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    OBJECTIVE: Neonates mechanic ventilation weaning has become a major clinical challenge, and constitutes a large portion of neonatal intensive care units workload. The spontaneous breathing trial (SBT), performed immediately before extubation, can provide useful information on the patient’s spontaneous breathing ability. This study aimed to assess the SBT effectiveness for extubation success prediction in mechanically ventilated preterm infants. METHODS: After Ethics Committee approval, an observational, longitudinal, prospective study was conducted. A sample of 60 preterm infants compliant with the weaning criteria was categorized in two groups: ‘SBT’ group (n=30), with the patients who underwent 30 minutes spontaneous breathing trial (SBT) with continuous positive pressure airway (CPAP), and the control group (n=30) where the extubation was performed without spontaneous breathing trial. The heart rate (HR), respiratory rate (RR), pulse oxymetry oxygen saturation (SpO2) and the Silverman-Andersen score were recorded before and 10, 20 and 30 minutes after the spontaneous breathing trial. Were also assessed for both groups, and versus extubation success or failure, the weight, gestational age, Apgar score, mean airway pressure, inspired oxygen concentration, and tracheal tube time. The Chi-square test was used for categorical variables and the Mann-Whitney test for non-normal distribution. Extubation success was defined as a 48 hours period with no reintubation requirement. RESULTS: No significant differences were identified between the groups for the analyzed variables, except for the mean airway pressure. A significant association was shown between spontaneous breathing trial and successful extubation. CONCLUSION: The significant association between SBT and extubation success may contribute for prediction of successful weaning in preterm infants.

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