You searched for:"Simone Nascimento Santos Ribeiro"
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Special Article
First Brazilian recommendation on physiotherapy with sensory motor stimulation in newborns and infants in the intensive care unit
Rev Bras Ter Intensiva. 2021;33(1):12-30
Abstract
Special ArticleFirst Brazilian recommendation on physiotherapy with sensory motor stimulation in newborns and infants in the intensive care unit
Rev Bras Ter Intensiva. 2021;33(1):12-30
DOI 10.5935/0103-507X.20210002
Views2Abstract
Objective:
To present guidelines on sensory motor stimulation for newborns and infants in the intensive care unit.
Methods:
We employed a mixed methods design with a systematic review of the literature and recommendations based on scientific evidence and the opinions of physiotherapists with neonatal expertise. The research included studies published between 2010 and 2018 in the MEDLINE® and Cochrane databases that included newborns (preterm and term) and infants (between 28 days and 6 months of age) hospitalized in the intensive care unit and submitted to sensory motor stimulation methods. The studies found were classified according to the GRADE score by five physiotherapists in different regions of Brazil and presented at eight Scientific Congresses held to discuss the clinical practice guidelines.
Results:
We included 89 articles to construct the clinical practice guidelines. Auditory, gustatory and skin-to-skin stimulation stand out for enhancing vital signs, and tactile-kinesthetic massage and multisensory stimulation stand out for improving weight or sucking.
Conclusion:
Although all modalities have good ratings for pain or stress control, it is recommended that sensory motor stimulation procedures be tailored to the infant’s specific needs and that interventions and be carried out by expert professionals.
Keywords:Child developmentInfantInfant, newbornIntensive care units, neonatalNeuropsychomotor developmentPsychomotor performanceSensory motor stimulationSee more -
Original Articles – Clinical Research
Incidence and primary causes of unplanned extubation in a neonatal intensive care unit
Rev Bras Ter Intensiva. 2012;24(3):230-235
Abstract
Original Articles – Clinical ResearchIncidence and primary causes of unplanned extubation in a neonatal intensive care unit
Rev Bras Ter Intensiva. 2012;24(3):230-235
DOI 10.1590/S0103-507X2012000300005
Views0OBJECTIVE: This study established the incidence and primary causes of unplanned extubation in newborns in the neonatal intensive care units of the Hospital Sofia Feldman, Belo Horizonte (Minas Gerais). METHODS: This retrospective study was conducted between July 1, 2009 and April 30, 2010. Unplanned extubations and their primary causes were assessed using an adverse events form. The following variables were assessed: gender, corrected age, present weight, duration of mechanical ventilation time, and motives/causes of the event on the day of the unplanned extubation event. RESULTS: Fifty-four unplanned extubations occurred, which corresponded to an incidence of 1.0 event/100 days of mechanical ventilation. This rate was higher among newborns with a corrected age of 30 to 36 weeks and weight < 1,000 g. The primary causes of unplanned extubations included patient agitation, inappropriate handling of patients during the performance of procedures, and inappropriate fixation and positioning of the endotracheal tube. CONCLUSION: The incidence of unplanned extubation in the investigated neonatal intensive care units was low during the study period compared to previously reported data. Nevertheless, the assessment of the quality of procedures, the continuous follow-up of newborns, and the monitoring of the causes of extubation are required to further reduce this incidence.
Keywords:Airway extubationIncidenceInfant, newbornIntensive care units, neonatalPhysical therapy modalitiesSee 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