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1.
Acta cir. bras ; 31(3): 212-217, Mar. 2016. tab, graf
Article in English | LILACS | ID: lil-777095

ABSTRACT

ABSTRACT PURPOSE: Clinical microsurgery has been introduced in many fields, while experimental microsurgery has the cross-disciplinary features of the sciences and techniques for growth of medicine, pharmacology, veterinary, engineering etc. Training protocol, proposing a new name as Translational Microsurgery, was introduced. METHODS: Reconstructive skills of hepatic artery in pediatric living donor liver transplantation were summarized. Ex vivo training protocol using artificial blood vessel for surgeons was proposed. RESULTS: Clinical microsurgery requires anastomosis with delicate arteries and limited field of view. Our training protocol revealed that the relation between the score and speed was seen, while not all the surgeons with enough experience got high score. This training led to muster clinical skills and to apply excellent experimental works. CONCLUSIONS: Our microsurgical training protocol has been planned from the points of clinical setting. Training for vascular anastomosis led to rodent transplantation models. These models were used for immunology and immunosuppressant research. Microsurgical techniques led to master catheter technique and to inject various drugs or gene vectors.


Subject(s)
Humans , Animals , Rats , Transplantation/methods , Translational Research, Biomedical/methods , Microsurgery/methods , Transplantation/education , Anastomosis, Surgical/education , Anastomosis, Surgical/methods , Catheterization/methods , Liver Transplantation/education , Liver Transplantation/methods , Clinical Competence , Models, Animal , Microsurgery/education
2.
Rev. eletrônica enferm ; 14(4): 903-912, dez. 2012.
Article in Portuguese | LILACS, BDENF | ID: lil-693863

ABSTRACT

Este trabalho trata-se de estudo exploratório-descritivo com abordagem quantitativa e dados prospectivos que objetivou verificar o conhecimento dos profissionais de enfermagem sobre a Morte Encefálica (ME) e a manutenção do Potencial Doador (PD). A população constou de 55 profissionais de enfermagem. Destes, a maioria eram técnicos em enfermagem (74,5%); 78,2% informaram já ter trabalhado com PDs e 50,9% afirmaram estar preparados para cuidar desses pacientes. Das condições indispensáveis para a abertura do protocolo de ME, 49,1% afirmaram erroneamente a temperatura superior a 36ºC. No manejo dos distúrbios hidroeletrolíticos, 50,9% optaram incorretamente sobre a reposição de sódio, potássio e magnésio. Nos cuidados com córneas, 58,2% optaram erradamente sobre a proteção com gaze. E 52,7% afirmaram corretamente que o PD pode ser reanimado. O conhecimento sobre o diagnóstico de ME e manutenção ao PD era insuficiente entre os pesquisados, necessitando de educação sobre o tema a fim de aumentar a oferta de órgãos/tecidos para transplantes...


This is an exploratory-descriptive study performed using a quantitative approach and prospective data, with the objective to identify the knowledge of nursing professionals regarding brain death (BD) and maintaining the Potential Donor (PD). The study population consisted of 55 nursing professionals, mostly nursing technicians (74.5%); 78.2% reported having worked with PDs and 50.9% stated being prepared to take care of those patients. Among the conditions considered indispensible to open a BD protocol, 49.1% made a wrong statement of body temperature above 36ºC. Regarding the management of hydroelectrolytic disorders, 50.9% made a wrong choice concerning the reposition of sodium, potassium and magnesium. Regarding cornea care, 58.2% made a wrong decision about the protection using gauzes. Furthermore, 52.7% made the correct statement that the PD can be reanimated. It was observed that the subjects had insufficient knowledge regarding the diagnosis of BD and PD maintenance, thus requiring education on the topic in order to increase the offer of organs/tissue for transplants...


Estudio exploratorio, descriptivo, cuantitativo, con datos prospectivos, objetivando verificar el conocimiento de los profesionales de enfermería sobre Muerte Encefálica (ME) y el mantenimiento del Potencial Donante (PD). Población constituida por 55 profesionales de Enfermería. La mayoría (74,5%), técnicos de Enfermería; 72,8% refirió haber trabajado con PDs y 50,9% afirmó estar preparado para cuidar de tales pacientes. De las condiciones indispensables para apertura de protocolo de ME, 49,1% mencionó erróneamente temperatura superior a 36°C. En el manejo de disturbios hidroelectrolíticos, 50,9% optó incorrectamente sobre la reposición de sodio, potasio y magnesio. En el cuidado de córneas, 58,2% sugirió erróneamente sobre protección con gasas. Finalmente, 52,7% afirmó correctamente que el PD puede ser reanimado. El conocimiento sobre diagnóstico de ME y mantenimiento del PD fue insuficiente entre los investigados, necesitando ellos de educación sobre el punto, a efectos de aumentar la oferta de órganos y tejidos para transplantes...


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Brain Death , Transplantation/education , Transplantation/nursing , Intensive Care Units
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