You searched for:"Roselaine Pinheiro Oliveira"
We found (2) results for your search.-
Articles
Behavior of lung ultrasound findings during spontaneous breathing trial
Rev Bras Ter Intensiva. 2017;29(3):279-286
Abstract
ArticlesBehavior of lung ultrasound findings during spontaneous breathing trial
Rev Bras Ter Intensiva. 2017;29(3):279-286
DOI 10.5935/0103-507X.20170038
Views0See moreABSTRACT
Objective:
We aimed to investigate a potential association between B-lines and weaning failure.
Methods:
Fifty-seven subjects eligible for ventilation liberation were enrolled. Patients with tracheostomy were excluded. Lung ultrasound assessments of six thoracic zones were performed immediately before and at the exnd of the spontaneous breathing trial. B-predominance was defined as any profile with anterior bilateral B-pattern. Patients were followed up to 48 hours after extubation.
Results:
Thirty-eight individuals were successfully extubated; 11 failed the spontaneous breathing trial and 8 needed reintubation within 48 hours of extubation. At the beginning of the T-piece trial, B-pattern or consolidation was already found at the lower and posterior lung regions in more than half of the individuals and remained non-aerated at the end of the trial. A trend toward loss of lung aeration during spontaneous breathing trials was observed only in the spontaneous breathing trial-failure group (p = 0.07), and there was higher B-predominance at the end of the trial (p = 0.01).
Conclusion:
A loss of lung aeration during the spontaneous breathing trial in non-dependent lung zones was demonstrated in subjects who failed to wean.
-
Original Articles
Appropriate medical professionals communication reduces intensive care unit mortality
Rev Bras Ter Intensiva. 2010;22(2):112-117
Abstract
Original ArticlesAppropriate medical professionals communication reduces intensive care unit mortality
Rev Bras Ter Intensiva. 2010;22(2):112-117
DOI 10.1590/S0103-507X2010000200003
Views0See moreOBJECTIVES: Communication issues between healthcare professionals in intensive care units may be related to critically ill patients’ increased mortality. This study aimed to evaluate if communication issues involving assistant physicians and routine intensive care unit physicians would impact critically ill patients’ morbidity and mortality. METHODS: This was a cohort study that included non-consecutive patients admitted to the intensive care unit for 18 months. The patients were categorized in 3 groups according to their assistant doctors’ versus routine doctors communication uses: DC – daily communication during the stay (>75% of the days); EC – eventual communication (25 to 75% of the days); RC – rare communication (< 25% of the days). Demographic data, severity scores, reason for admission to the intensive care unit and interventions were recorded. The consequences of the medical professionals communication failures (delayed procedures, diagnostic tests, antibiotics, ventilatory weaning, vasopressors) and medical prescriptions inadequacies (no bed head elevation, no stress ulceration and deep venous thrombosis drug prophylaxis), and their relationship with the patients outcomes were analyzed. RESULTS: 792 patients were included, and categorized as follows: DC (n=529); EC (n=187) and RC (n=76). The mortality was increased in the RC patients group (26.3%) versus the remainder groups (DC = 13.6% and EC = 17.1%; p<0.05). A multivariate analysis showed that delayed antibiotics [RR 1.83 (CI95%: 1.36 -2.25)], delayed ventilatory weaning [RR 1.63 (CI95%: 1.25-2.04)] and no deep venous thrombosis prophylaxis [RR 1.98 (CI95%: 1.43 - 3.12)] contributed independently for the increased mortality. CONCLUSION: The failure in the assistant and routine intensive care doctors communication may increase the patients’ mortality, particularly due to delayed antibiotics and ventilation weaning, and lack of deep venous thrombosis prophylaxis prescription.
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