You searched for:"Vivian Mara Gonçalves de Oliveira Azevedo"
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Original Article
Performance and labor conditions of physiotherapists in Brazilian intensive care units during the COVID-19 pandemic. What did we learn?
Crit Care Sci. 2023;35(3):273-280
Abstract
Original ArticlePerformance and labor conditions of physiotherapists in Brazilian intensive care units during the COVID-19 pandemic. What did we learn?
Crit Care Sci. 2023;35(3):273-280
DOI 10.5935/2965-2774.20230359-pt
Views5ABSTRACT
Objective:
To describe the role of physiotherapists in assisting patients suspected to have or diagnosed with COVID-19 hospitalized in intensive care units in Brazil regarding technical training, working time, care practice, labor conditions and remuneration.
Methods:
An analytical cross-sectional survey was carried out through an electronic questionnaire distributed to physiotherapists who worked in the care of patients with COVID-19 in Brazilian intensive care units.
Results:
A total of 657 questionnaires were completed by physiotherapists from the five regions of the country, with 85.3% working in adult, 5.4% in neonatal, 5.3% in pediatric and 3.8% in mixed intensive care units (pediatric and neonatal). In intensive care units with a physiotherapists available 24 hours/day, physiotherapists worked more frequently (90.6%) in the assembly, titration, and monitoring of noninvasive ventilation (p = 0.001). Most intensive care units with 12-hour/day physiotherapists (25.8%) did not apply any protocol compared to intensive care units with 18-hour/day physiotherapy (9.9%) versus 24 hours/day (10.2%) (p = 0.032). Most of the respondents (51.0%) received remuneration 2 or 3 times the minimum wage, and only 25.1% received an additional payment for working with patients suspected to have or diagnosed with COVID-19; 85.7% of them did not experience a lack of personal protective equipment.
Conclusion:
Intensive care units with 24-hour/day physiotherapists had higher percentages of protocols and noninvasive ventilation for patients with COVID-19. The use of specific resources varied between the types of intensive care units and hospitals and in relation to the physiotherapists’ labor conditions. This study showed that most professionals had little experience in intensive care and low wages.
Keywords:COVID-19Intensive care unitsOccupational risksPhysiotherapistsProfessional trainingRemunerationSurvey and questionnairesWork hoursSee more -
Original Article
Frequency and characterization of the use of cuffed tracheal tubes in neonatal and pediatric intensive care units in Brazil
Rev Bras Ter Intensiva. 2020;32(2):235-243
Abstract
Original ArticleFrequency and characterization of the use of cuffed tracheal tubes in neonatal and pediatric intensive care units in Brazil
Rev Bras Ter Intensiva. 2020;32(2):235-243
DOI 10.5935/0103-507X.20200038
Views0ABSTRACT
Objective:
To identify the neonatal, pediatric and mixed (neonatal and pediatric) intensive care units in Brazil that use cuffed tracheal tubes in clinical practice and to describe the characteristics related to the use of protocols and monitoring.
Methods:
To identify the intensive care units in Brazil, the Ministry of Health’s National Registry of Health Facilities was accessed, and information was collected on 693 registered intensive care units. This was an analytical cross-sectional survey conducted through electronic questionnaires sent to 298 neonatal, pediatric and mixed intensive care units in Brazil.
Results:
This study analyzed 146 questionnaires (49.3% from neonatal intensive care units, 35.6% from pediatric intensive care units and 15.1% from mixed pediatric intensive care units). Most of the participating units (78/146) used cuffed tracheal tubes, with a predominance of use in pediatric intensive care units (52/78). Most of the units that used cuffed tracheal tubes applied a cuff pressure monitoring protocol (45/78). The use of cuff monitoring protocols was observed in intensive care units with a physical therapy service exclusive to the unit (38/61) and in those with a physical therapist present 24 hours/day (25/45). The most frequent cause of extubation failure related to the use of cuffed tracheal tubes in pediatric intensive care units was upper airway obstruction.
Conclusion:
In this survey, the use of cuffed tracheal tubes and the application of a cuff pressure monitoring protocol was predominant in pediatric intensive care units. The use of a monitoring protocol was more common in intensive care units that had a physical therapist who was exclusive to the unit and was present 24 hours/day.
Keywords:CannulaInfantIntensive care units, neonatalIntensive care units, pediatricIntubation, intratracheal/instrumentationNewbornTracheaSee more -
Original Articles
Assessment of the neuropsychomotor development in the first year of life of premature infants with and without bronchopulmonary dysplasia
Rev Bras Ter Intensiva. 2018;30(2):174-180
Abstract
Original ArticlesAssessment of the neuropsychomotor development in the first year of life of premature infants with and without bronchopulmonary dysplasia
Rev Bras Ter Intensiva. 2018;30(2):174-180
DOI 10.5935/0103-507X.20180023
Views0ABSTRACT
Objective:
To compare the neuropsychomotor development in the first year of life of premature infants with and without bronchopulmonary dysplasia.
Methods:
A cross-sectional retrospective study was conducted between January 1, 2014, and December 30, 2015, with premature infants weighing < 1,500g at birth and diagnosed with bronchopulmonary dysplasia at the corrected ages of 6 and 9 months, assessed using the DENVER II Developmental Screening Test. Quantitative variables were described as the means, medians and standard deviations. Variables with normal distribution were tested using Student's t test; otherwise, the Mann-Whitney test was used, considering significance at p-value < 0.05. Qualitative variables were expressed as frequencies and percentages. Logistic regression was used with odds ratio analysis to evaluate the effects of other variables as risk factors for changes in neuropsychomotor development.
Results:
Infants with bronchopulmonary dysplasia showed greater developmental delay compared with those without bronchopulmonary dysplasia (p-value = 0.001). The factors associated with a higher incidence of changes in neuropsychomotor development, in addition to bronchopulmonary dysplasia, were antenatal steroid, gender, birth weight, 5-minute Apgar score, Score for Neonatal Acute Physiology-Perinatal Extension, duration of oxygen therapy, duration of mechanical ventilation and length of hospital stay. Other variables may also have influenced the result, such as drug use by mothers of infants with bronchopulmonary dysplasia.
Conclusion:
Bronchopulmonary dysplasia associated with other pre- and postnatal factors may be considered a risk factor for delayed neuropsychomotor development in the first year of life in premature infants born weighing less than 1,500g.
Keywords:Bronchopulmonary dysplasiaDevelopmental disabilitiesInfant, low birth weightInfant, prematurerisk factorsSee more -
Review Articles
Effects of kangaroo care during painful procedures in preterm infants: a review
Rev Bras Ter Intensiva. 2011;23(3):370-373
Abstract
Review ArticlesEffects of kangaroo care during painful procedures in preterm infants: a review
Rev Bras Ter Intensiva. 2011;23(3):370-373
DOI 10.1590/S0103-507X2011000300016
Views0See moreAlthough low-birth neonates are acknowledged to experience pain, many routine procedures continue to be conducted without proper pharmacological or non-pharmacological analgesia. Kangaroo care is a low-cost strategy that can be used in the preterm newborn. Mothers should be encouraged to use this easy-to-perform method, which is feasible both before and during neonatal units’ invasive procedures, therefore contributing to pain reduction
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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