You searched for:"Marçal Durval Siqueira Paiva Junior"
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Letters to the Editor
Influence of peripheral muscle strength on the decannulation success rate
Rev Bras Ter Intensiva. 2011;23(3):381-382
Abstract
Letters to the EditorInfluence of peripheral muscle strength on the decannulation success rate
Rev Bras Ter Intensiva. 2011;23(3):381-382
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Influence of peripheral muscle strength on the decannulation success rate
Rev Bras Ter Intensiva. 2011;23(1):56-61
Abstract
Influence of peripheral muscle strength on the decannulation success rate
Rev Bras Ter Intensiva. 2011;23(1):56-61
DOI 10.1590/S0103-507X2011000100010
Views0See moreINTRODUCTION: Tracheostomy is probably the most common surgical procedure in critically ill patients and is generally performed to facilitate mechanical ventilation weaning. Evidence-based guidelines have confirmed the benefits of tracheostomy weaning protocols and of the physiotherapists engagement in this process; however, no consensus decannulation criteria are currently available. Therefore, this study aimed to evaluate the influence of peripheral muscle strength and other indicators on decannulation success. METHODS: This was an observational retrospective study that analyzed the medical records of patients admitted to the medical and surgical intensive care unit of Hospital Agamenon Magalhães between March 2007 and August 2009. Respiratory and peripheral muscle strengths were evaluated in decannulated patients. RESULTS: Overall, 1,541 patients were evaluated, 143 of which had been tracheostomized, and only 57 of which had been decannulated. Forty-six patients had a satisfactory decannulation outcome, while 11 had decannulation failure, requiring the return to an artificial airway within 2 weeks. The calculated Medical Research Council peripheral muscle strength score was significantly lower for the failure group than for the successful decannulation group (28.33 ± 15.31 vs. 41.11 ± 11.52; P = 0.04). Scores above or equal 26 had 94.4% sensitivity and 50.0% specificity for the decannulation outcome, with an area under the ROC curve of 0.7593. In addition, white blood cell counts were higher in decannulation failure group patients (14,070 ± 3,073 vs. 10,520 ± 3,402 cells/μL; P = 0.00). CONCLUSION: This study has shown that peripheral muscle strength and blood leucocyte counts evaluated on the day of decannulation may influence the tracheostomy decannulation success rate.
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Noise in the intensive care unit: quantification and perception by healthcare professionals
Rev Bras Ter Intensiva. 2010;22(4):369-374
Abstract
Noise in the intensive care unit: quantification and perception by healthcare professionals
Rev Bras Ter Intensiva. 2010;22(4):369-374
DOI 10.1590/S0103-507X2010000400010
Views0OBJECTIVE: The several multidisciplinary team personnel and device alarms make intensive care units noisy environments. This study aimed to measure the noise level of a medical-surgical intensive care unit in Recife, Brazil, and to assess the noise perception by the unit’s healthcare professionals. METHODS: A decibel meter was used for continuous every five seconds one week noise levels recording. After this measurement, an interview shaped noise perception questionnaire was applied to the healthcare professionals, approaching the discomfort level and noise control possibilities. RESULTS: Mean 58.21 ± 5.93 dB noise was recorded. The morning noise level was higher than at night (60.85 ± 4.90 versus 55.60 ± 5.98, p <0.001), as well as work-days versus weekend (58. 77 ± 6.05 versus 56.83 ± 5.90, p <0.001). The evening staff shift change noise was louder than by daytime change (62.31 ± 4.70 versus 61.35 ± 5.08 dB; p < 0.001). Of the 73 questionnaire respondents, 97.3% believe that the intensive care unit has moderate or intense noise levels; 50.7% consider the noise harmful; and 98.6% believe that noise levels can be reduced. CONCLUSION: The measured noise levels were above the recommended. Preventive and educational programs approaching the importance of noise levels reduction should be encouraged in intensive care units.
Keywords:Humanization of assistanceIntensive care unitsmonitoringNoiseNoise levelsOutcome assessment (Healthcare)See more
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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