You searched for:"Lucas Montano Paternostro Saback"
We found (3) results for your search.-
Original Articles
Management of emergency situations in patients undergoing tracheostomy
Rev Bras Ter Intensiva. 2009;21(2):169-172
Abstract
Original ArticlesManagement of emergency situations in patients undergoing tracheostomy
Rev Bras Ter Intensiva. 2009;21(2):169-172
DOI 10.1590/S0103-507X2009000200009
Views1See moreOBJECTIVES: The aim of this study was to evaluate the level of knowledge of health care professionals in an emergency situation related to tracheostomy tube displacement METHODS: a descriptive and exploratory study was carried out with the intensive care unit health professionals of a university hospital in Salvador, Brazil, from July to September 2007. For this purpose, a questionnaire was translated and adapted from a previous study. Questions were: 1- Have you dealt with this emergency? 2 – What is the first thing you do? 3- Do you know what the stay sutures are for? 4 – How are they used in an emergency setting? 5 -Do you know what to do with the introducer? RESULTS: the sample comprised 41 professionals (nine physicians, 20 nurses and 12 physiotherapists). A descriptive analysis showed that 63% of professionals had never experienced such complications. Analysis of a subgroup showed that 42% of physiotherapists, 56% of physicians and 69% of nurses would act inappropriately. Analyzing the level of knowledge about the importance of stay sutures, the study showed that 78% of the sample did not know what they were or how to use them, and 63.4% did not know how to use the introducer correctly. CONCLUSIONS: , regarding the use of a tracheostomy tube in a situation of emergency, the level of knowledge of the professionals evaluated was insufficient. The greatest shortcoming was detected in the level of knowledge about stay sutures.
Views1
Abstract
Original ArticlesManagement of emergency situations in patients undergoing tracheostomy
Rev Bras Ter Intensiva. 2009;21(2):169-172
DOI 10.1590/S0103-507X2009000200009
Views1See moreOBJECTIVES: The aim of this study was to evaluate the level of knowledge of health care professionals in an emergency situation related to tracheostomy tube displacement METHODS: a descriptive and exploratory study was carried out with the intensive care unit health professionals of a university hospital in Salvador, Brazil, from July to September 2007. For this purpose, a questionnaire was translated and adapted from a previous study. Questions were: 1- Have you dealt with this emergency? 2 – What is the first thing you do? 3- Do you know what the stay sutures are for? 4 – How are they used in an emergency setting? 5 -Do you know what to do with the introducer? RESULTS: the sample comprised 41 professionals (nine physicians, 20 nurses and 12 physiotherapists). A descriptive analysis showed that 63% of professionals had never experienced such complications. Analysis of a subgroup showed that 42% of physiotherapists, 56% of physicians and 69% of nurses would act inappropriately. Analyzing the level of knowledge about the importance of stay sutures, the study showed that 78% of the sample did not know what they were or how to use them, and 63.4% did not know how to use the introducer correctly. CONCLUSIONS: , regarding the use of a tracheostomy tube in a situation of emergency, the level of knowledge of the professionals evaluated was insufficient. The greatest shortcoming was detected in the level of knowledge about stay sutures.
-
The use of the cuff leak test as a factor to predict laryngospasm
Rev Bras Ter Intensiva. 2008;20(1):77-81
Abstract
The use of the cuff leak test as a factor to predict laryngospasm
Rev Bras Ter Intensiva. 2008;20(1):77-81
DOI 10.1590/S0103-507X2008000100012
Views0BACKGROUND AND OBJECTIVES: Weaning patients from mechanical ventilation is a challenge in the intensive care unit (ICU) practice and is related to some complications. One of these is the pos-extubation laryngospasm, an event that can be anticipated for the cuff leak test (CLT). The objective was demonstrate that the CLT is a simple, reliable and low costs method to available the presence of obstruction in high airway in patients under weaning ventilator. CONTENTS: It was made a systematic review in databases MedLine, SciElo and LILACS with articles from 1995 to 2007. The selected studies focused the use of the CLT to predict laryngospasm and extubation failure. It was excluded studies with animals and others literature reviews. It was looked correlates the CLT with mechanical ventilation’s days, age and specific groups that could beneficiates with the application of this technique. CONCLUSIONS: The CLT can be considerate a good index to predict laryngospasm pos-extubation, when considerate the studied population characteristics.
Keywords:cuff leak testextubation failurelaryngeal edematracheal intubationweaning from mechanical ventilationSee moreViews0Abstract
The use of the cuff leak test as a factor to predict laryngospasm
Rev Bras Ter Intensiva. 2008;20(1):77-81
DOI 10.1590/S0103-507X2008000100012
Views0BACKGROUND AND OBJECTIVES: Weaning patients from mechanical ventilation is a challenge in the intensive care unit (ICU) practice and is related to some complications. One of these is the pos-extubation laryngospasm, an event that can be anticipated for the cuff leak test (CLT). The objective was demonstrate that the CLT is a simple, reliable and low costs method to available the presence of obstruction in high airway in patients under weaning ventilator. CONTENTS: It was made a systematic review in databases MedLine, SciElo and LILACS with articles from 1995 to 2007. The selected studies focused the use of the CLT to predict laryngospasm and extubation failure. It was excluded studies with animals and others literature reviews. It was looked correlates the CLT with mechanical ventilation’s days, age and specific groups that could beneficiates with the application of this technique. CONCLUSIONS: The CLT can be considerate a good index to predict laryngospasm pos-extubation, when considerate the studied population characteristics.
Keywords:cuff leak testextubation failurelaryngeal edematracheal intubationweaning from mechanical ventilationSee more -
Artigos originais
Traumatic brain injury and acute respiratory distress syndrome: how to ventilate? Evaluation of clinical practice
Rev Bras Ter Intensiva. 2007;19(1):44-52
Abstract
Artigos originaisTraumatic brain injury and acute respiratory distress syndrome: how to ventilate? Evaluation of clinical practice
Rev Bras Ter Intensiva. 2007;19(1):44-52
DOI 10.1590/S0103-507X2007000100006
Views0See moreBACKGROUND AND OBJECTIVES: The traumatic brain injury (TBI) is a healthy-world problem, some of his patients develop respiratory failure, requiring intubation and mechanical ventilation, and the most common complications are the acute respiratory distress syndrome (ARDS). In this way, this study has the objective describe the daily clinical practice of respiratory care in this patients submit mechanical ventilation. METHODS: The methods and ventilatories parameters used to ventilate the patients with TBI and ARDS has been evaluated by a sample of physiotherapists from the city of Salvador, BA, from a descriptive study. The data were collected by face-to-face interviews in the period of October 2005 to March 2006. For in such way a half structuralized questionnaire was elaborated contends changeable social-demographic, about the hospital profile and the applied ventilatory strategy in patients with TBI that come to develop ARDS. RESULTS: The sample was composed by 70 physiotherapists, 41 (58.6%) was female, with mean of age of 31.2 ± 6.4 (24-49) years-old and graduated time 7.7 ± 6.4 (1-27) years, which 37 (52.9%) works on public hospital; 67 (95.7%) has any specialization. Sixty four physiotherapists affirm the usage of the pressure controlled ventilation mode. The peak pressure and the plateau pressure wanted to ventilate the patients with TBI and ARDS were in mean 35.6 ± 5,3 (25-50) and 28,4 ± 5,8 (15-35) cmH2O respectively. Forty eighty (68.6%) of the interviewed wants a PaCO2 in 30-35 mmHg. Thirty one (44.3%) of the interviewed finds the ideal PEEP through the best SpO2 with minor FiO2. CONCLUSIONS: It’s incontestable that the ventilatory strategy of a patient with severe TBI that become to develop ALI or ARDS is an authentic challenge; a predilection for PCV mode is observed due to the already known protective ventilation strategy.
Views0Abstract
Artigos originaisTraumatic brain injury and acute respiratory distress syndrome: how to ventilate? Evaluation of clinical practice
Rev Bras Ter Intensiva. 2007;19(1):44-52
DOI 10.1590/S0103-507X2007000100006
Views0See moreBACKGROUND AND OBJECTIVES: The traumatic brain injury (TBI) is a healthy-world problem, some of his patients develop respiratory failure, requiring intubation and mechanical ventilation, and the most common complications are the acute respiratory distress syndrome (ARDS). In this way, this study has the objective describe the daily clinical practice of respiratory care in this patients submit mechanical ventilation. METHODS: The methods and ventilatories parameters used to ventilate the patients with TBI and ARDS has been evaluated by a sample of physiotherapists from the city of Salvador, BA, from a descriptive study. The data were collected by face-to-face interviews in the period of October 2005 to March 2006. For in such way a half structuralized questionnaire was elaborated contends changeable social-demographic, about the hospital profile and the applied ventilatory strategy in patients with TBI that come to develop ARDS. RESULTS: The sample was composed by 70 physiotherapists, 41 (58.6%) was female, with mean of age of 31.2 ± 6.4 (24-49) years-old and graduated time 7.7 ± 6.4 (1-27) years, which 37 (52.9%) works on public hospital; 67 (95.7%) has any specialization. Sixty four physiotherapists affirm the usage of the pressure controlled ventilation mode. The peak pressure and the plateau pressure wanted to ventilate the patients with TBI and ARDS were in mean 35.6 ± 5,3 (25-50) and 28,4 ± 5,8 (15-35) cmH2O respectively. Forty eighty (68.6%) of the interviewed wants a PaCO2 in 30-35 mmHg. Thirty one (44.3%) of the interviewed finds the ideal PEEP through the best SpO2 with minor FiO2. CONCLUSIONS: It’s incontestable that the ventilatory strategy of a patient with severe TBI that become to develop ALI or ARDS is an authentic challenge; a predilection for PCV mode is observed due to the already known protective ventilation strategy.
Search
Search in:
KEY WORDS
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