You searched for:"Rosa Reina"
We found (2) results for your search.-
Special Article
Consensus for the management of analgesia, sedation and delirium in adults with COVID-19-associated acute respiratory distress syndrome
Rev Bras Ter Intensiva. 2021;33(1):48-67
Abstract
Special ArticleConsensus for the management of analgesia, sedation and delirium in adults with COVID-19-associated acute respiratory distress syndrome
Rev Bras Ter Intensiva. 2021;33(1):48-67
DOI 10.5935/0103-507X.20210005
Views2See moreABSTRACT
Objective:
To propose agile strategies for a comprehensive approach to analgesia, sedation, delirium, early mobility and family engagement for patients with COVID-19-associated acute respiratory distress syndrome, considering the high risk of infection among health workers, the humanitarian treatment that we must provide to patients and the inclusion of patients’ families, in a context lacking specific therapeutic strategies against the virus globally available to date and a potential lack of health resources.
Methods:
A nonsystematic review of the scientific evidence in the main bibliographic databases was carried out, together with national and international clinical experience and judgment. Finally, a consensus of recommendations was made among the members of the Committee for Analgesia, Sedation and Delirium of the Sociedad Argentina de Terapia Intensiva.
Results:
Recommendations were agreed upon, and tools were developed to ensure a comprehensive approach to analgesia, sedation, delirium, early mobility and family engagement for adult patients with acute respiratory distress syndrome due to COVID-19.
Discussion:
Given the new order generated in intensive therapies due to the advancing COVID-19 pandemic, we propose to not leave aside the usual good practices but to adapt them to the particular context generated. Our consensus is supported by scientific evidence and national and international experience and will be an attractive consultation tool in intensive therapies.
-
Original Articles
Reducing pressure ulcers in patients with prolonged acute mechanical ventilation: a quasi-experimental study
Rev Bras Ter Intensiva. 2017;29(1):39-46
Abstract
Original ArticlesReducing pressure ulcers in patients with prolonged acute mechanical ventilation: a quasi-experimental study
Rev Bras Ter Intensiva. 2017;29(1):39-46
DOI 10.5935/0103-507X.20170007
Views1ABSTRACT
Objective:
To determine the effectiveness of a quality management program in reducing the incidence and severity of pressure ulcers in critical care patients.
Methods:
This was a quasi-experimental, before-and-after study that was conducted in a medical-surgical intensive care unit. Consecutive patients who had received mechanical ventilation for ≥ 96 hours were included. A “Process Improvement” team designed a multifaceted interventional process that consisted of an educational session, a pressure ulcer checklist, a smartphone application for lesion monitoring and decision-making, and a “family prevention bundle”.
Results:
Fifty-five patients were included in Pre-I group, and 69 were included in the Post-I group, and the incidence of pressure ulcers in these groups was 41 (75%) and 37 (54%), respectively. The median time for pressure ulcers to develop was 4.5 [4 – 5] days in the Pre-I group and 9 [6 – 20] days in the Post-I group after admission for each period. The incidence of advanced-grade pressure ulcers was 27 (49%) in the Pre-I group and 7 (10%) in the Post-I group, and finally, the presence of pressure ulcers at discharge was 38 (69%) and 18 (26%), respectively (p < 0.05 for all comparisons). Family participation totaled 9% in the Pre-I group and increased to 57% in the Post-I group (p < 0.05). A logistic regression model was used to analyze the predictors of advanced-grade pressure ulcers. The duration of mechanical ventilation and the presence of organ failure were positively associated with the development of pressure ulcers, while the multifaceted intervention program acted as a protective factor.
Conclusion:
A quality program based on both a smartphone application and family participation can reduce the incidence and severity of pressure ulcers in patients on prolonged acute mechanical ventilation.
Keywords:Intensive care unitsLength of stayMobile applications/standardsPressure ulcer/prevention & controlRespiration, artificialSmartphoneTelemedicine/methodsSee more
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