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1.
Brasilia; s.n; 19 abr. , 2020. 39 p.
Non-conventional in Portuguese | LILACS (Americas), BRISA, PIE | ID: biblio-1095204

ABSTRACT

Na comparação 1: hidroxicloroquina (HCQ) versus grupo controle/terapia padrão: quanto a cura clínica, normalização da temperatura corporal e número de dias de tosse, o grupo da HCQ sugere benefício quando comparado ao grupo controle. Em termos de cura virológica e morte/progressão da doença após o início do tratamento com HCQ, não houve diferença significativa em relação ao grupo controle. Ainda nessa mesma comparação entre os grupos, quando realizado tratamento com HCQ, observou-se menos casos com progressão radiológica quando comparado ao grupo controle. Quando se avaliou a segurança, não houve diferença significativa entre os grupos. Na metanálise, foi verificado um benefício no grupo controle/tratamento padrão quanto à progressão radiológica. Na comparação 2: HCQ associado à azitromicina (AZT) ou outras drogas versus controle/terapia padrão: em um dos estudos, 100% dos pacientes estava com cura virológica ao usar HCQ/AZT no dia 6, comparado a 57,1% em monoterapia com HCQ. Em um dos estudos, o teste de PCR positivou novamente em um paciente que ficou negativo para a PCR por tratamento com HCQ + Azitromicina. Em um dos estudos, 11% da população em terapia combinada teve prolongamento significativo do QTc (> 500 ms) e o desenvolvimento de insuficiência renal aguda foi um importante preditor de prolongamento extremo do QTc. Ainda não se pode admitir o benefício da associação do tratamento da HCQ com a AZT, pois são necessários mais estudos clínicos para uma conclusão definitiva sobre essa associação.1


Subject(s)
Humans , Pneumonia, Viral/drug therapy , Body Temperature/drug effects , Chloroquine/administration & dosage , Chloroquine/therapeutic use , Coronavirus Infections/drug therapy , Azithromycin/administration & dosage , Azithromycin/therapeutic use , Technology Assessment, Biomedical , Disease Progression , Therapies, Investigational/instrumentation , Betacoronavirus/drug effects
2.
MedUNAB ; 23(1): 118-130, 2020/03/30.
Article in Spanish | LILACS (Americas) | ID: biblio-1087985

ABSTRACT

Introducción. En mamíferos, el control de la temperatura corporal es vital. El estado de consciencia y control motor en humanos, ocurren a una temperatura de 37°C y las desviaciones pueden alterar las propiedades celulares, generando disfunciones fisiológicas. En especies como los roedores (su relación área de superficie/volumen facilita la pérdida de calor) mantienen temperaturas basales cercanas a los 30°C. Distinto es con animales como los paquidermos, cuya temperatura es menor comparada con los humanos. El objetivo es identificar los aspectos fisiológicos de la termorregulación. Descripción de temas tratados. Revisión descriptiva de la literatura de artículos publicados en diferentes bases de datos. La termorregulación es la capacidad del cuerpo para establecer y mantener su temperatura, regulando producción y pérdida de calor para optimizar la eficiencia de procesos metabólicos. El protagonismo lo tiene el sistema nervioso central y su control neurohormonal en múltiples niveles. El centro regulador térmico está en el hipotálamo anterior. Este recibe información de los receptores de grandes vasos, vísceras abdominales, médula espinal y de la sangre que perfunde el hipotálamo. Cuando aumenta la temperatura central, el termorregulador activa fibras eferentes del sistema nervioso autónomo, provocando pérdida de calor por convección y evaporación. Ante el descenso de temperatura, la respuesta es disminuir la pérdida de calor (vasoconstricción y menor sudoración); además, incrementar la producción de calor, intensificando la actividad muscular. Conclusión. La termorregulación es liderada por el hipotálamo, quien regula aumento y disminución de la temperatura respondiendo a las necesidades del organismo para llegar a la homeostasis y compensación, enfrentando las alteraciones de la temperatura ambiental. Cómo citar: Picón-Jaimes YA, Orozco-Chinome JE, Molina-Franky J, Franky-Rojas MP. Control central de la temperatura corporal y sus alteraciones: fiebre, hipertermia e hipotermia. MedUNAB. 2020;23(1):118-130. doi:10.29375/01237047.3714


Introduction. In mammals, controlling body temperature is vital. Consciousness and motor control in humans occur at a temperature of 37°C and any deviation can alter the cellular properties, generating physiological dysfunctions. In species such as rodents (their surface area/volume ratio facilitates heat loss) they maintain basal temperatures close to 30°C. This is different with animals such as pachyderms, whose temperature is lower compared to humans. This article aims to Identify the physiological aspects of thermoregulation. Topics. Descriptive literature review of articles published in different databases. Thermoregulation is the body's ability to establish and maintain its temperature, regulating heat production and loss to optimize the efficiency of metabolic processes. The main actor in this process is the central nervous system and its neuro-hormonal control on multiple levels. The thermal regulating center is located in the anterior hypothalamus. It receives information from the receptors of large vessels, abdominal viscera, spinal cord and the blood that perfuses the hypothalamus. When the core temperature increases, the thermoregulator activates efferent fibers of the autonomic nervous system, causing heat loss by convection and evaporation. When the temperature drops, the response is to decrease heat loss (vasoconstriction and less sweating); in addition, increase heat production by intensifying muscle activity. Conclusion. Thermoregulation is led by the hypothalamus, which regulates temperature increase and decrease by responding to the organism's need to reach homeostasis and compensation, facing the alterations of the ambient temperature. Cómo citar: Picón-Jaimes YA, Orozco-Chinome JE, Molina-Franky J, Franky-Rojas MP. Control central de la temperatura corporal y sus alteraciones: fiebre, hipertermia e hipotermia. MedUNAB. 2020;23(1):118-130. doi:10.29375/01237047.3714


Introdução. Nos mamíferos, o controle da temperatura corporal é vital. O estado de consciencia e controle motor em humanos ocorre a uma temperatura de 37 °C e os desvios podem alterar as propriedades celulares, gerando disfunções fisiológicas. Espécies como os roedores (a sua relação superfície/volume, facilita a perda de calor), mantêm a temperatura basal próxima de 30 °C. É diferente em animais como paquidermes, cuja temperatura é mais baixa em comparação aos humanos. Objetivo. Identificar os aspectos fisiológicos da termorregulação. Desenvolvimento. Revisão descritiva da literatura de artigos publicados em diferentes bases de dados. A termorregulação é a capacidade do corpo de estabelecer e manter sua temperatura, regulando a produção e a perda de calor para otimizar a eficiência dos processos metabólicos. O sistema nervoso central tem o papel principal, assim como seu controle neuro-hormonal em múltiplos níveis. O centro de regulação térmica está no hipotálamo anterior, que recebe informações dos receptores de grandes vasos, vísceras abdominais, medula espinhal e do sangue distribuído pelo hipotálamo. Quando a temperatura central aumenta, o termorregulador ativa fibras eferentes do sistema nervoso autônomo, causando perda de calor por convecção e evaporação. Dada a diminuição da temperatura, a resposta é reduzir a perda de calor (vasoconstrição e menos transpiração), além de aumentar a produção de calor, intensificando a atividade muscular. Conclusão. A termorregulação é liderada pelo hipotálamo, que regula o aumento e a diminuição da temperatura, respondendo às necessidades do organismo de atingir a homeostase e a compensação, enfrentando mudanças na temperatura ambiente. Cómo citar: Picón-Jaimes YA, Orozco-Chinome JE, Molina-Franky J, Franky-Rojas MP. Control central de la temperatura corporal y sus alteraciones: fiebre, hipertermia e hipotermia. MedUNAB. 2020;23(1):118-130. doi:10.29375/01237047.3714


Subject(s)
Body Temperature , Thermoreceptors , Fever , Hypothermia
3.
Arq. bras. med. vet. zootec. (Online) ; 71(6): 2107-2110, Nov.-Dec. 2019. graf
Article in Portuguese | LILACS (Americas), VETINDEX | ID: biblio-1055149

ABSTRACT

This study aimed to evaluate the viability of using a non-invasive digital monitor to monitor heart rate (HR) and motility during the embryonic development of Pantanal alligator (Caiman yacare) using Egg Buddy ® , at different incubation temperatures. The collection of the eggs followed the Ranching system and egg identification, transportation, and incubation were performed with the required care; all eggs were incubated with 90% humidity at 29°C for the first 45 days. Thereafter, the incubation temperature was either maintained at 29°C, increased to 33°C or maintained at 29°C and embryos simultaneously treated with 4-aminopyridine on days 46, 47, 48, and 49 (29°C-4AP). Embryo movement was measured with a digital non-invasive monitor on days 30, 35, 42, 49, 56, and 60, at which point embryos were sacrificed. In the statistical analysis no differences were observed between the groups for the temperature (33°C and 29°C); for motility, a difference was observed at day 49 for the 29°C-4AP group. This revealed that the non-invasive evaluation method can be used to verify embryonic motility and HR effectively in Caiman yacare embryos.(AU)


Subject(s)
Animals , Body Temperature , Eggs/analysis , Embryo, Nonmammalian , Alligators and Crocodiles/embryology , Heart Rate
4.
Av. enferm ; 37(3): 293-302, sep.-dic. 2019. tab
Article in Portuguese | LILACS (Americas), BDENF, COLNAL | ID: biblio-1055213

ABSTRACT

Resumo Objetivo: descrever o perfil da temperatura corporal (TC) e o desfecho em pacientes com sepse atendidos em uma Unidade de Terapia Intensiva (UTI). Método: estudo retrospectivo, descritivo e exploratório. Incluíram-se pacientes maiores de 18 anos, diagnosticados com sepse grave ou choque séptico no período de janeiro a dezembro 2012, atendidos em uma UTI de um hospital púbico. Foram levantadas variáveis sociodemográficas, clínicas e o desfecho. Para a avaliação da TC, consideraram-se todas as medidas registradas durante a internação, aferidas na região axilar por termômetro digital acoplado ao monitor multiparamétrico. Adicionalmente, propuseram-se cenários comparativos entre o número de episódios de febre ou hipotermia nas 24 horas após a internação e nas 24 horas prévias ao desfecho. Os dados foram coletados nos prontuários físicos e eletrônicos. Resultados: foram incluídos 105 pacientes, com predominância de maiores de 60 anos, sexo masculino e cor branca. O desfecho clínico para 26 (24,8 %) foi a alta e para 79 (75,2 %), o óbito. Foram observadas 8778 verificações da TC, sendo a hipotermia mais frequente no grupo óbito (p = 0,00). No grupo alta, as medidas dentro da normalidade foram mais frequentes (p = 0,00). Entre os cenários propostos, houve diferenças estatisticamente significantes entre os grupos quando ocorreram dois ou mais episódios de febre nas 24 horas prévias ao desfecho. Conclusão: a descrição do perfil de termorregulação em pacientes sépticos mostrou que a TC é um indicador complementar capaz de auxiliar a equipe na prática clínica com intuito de propiciar melhores desfechos.


Resumen Objetivo: describir el perfil de la temperatura corporal (TC) y el desenlace en pacientes con sepsis asistidos en una unidad de cuidado intensivo (UCI). Método: estudio retrospectivo, descriptivo y exploratorio. Se incluyeron pacientes mayores de 18 años, diagnosticados con sepsis grave o shock séptico en el periodo de enero a diciembre de 2012, asistidos en una uci de un hospital púbico. Se construyeron variables sociodemográficas, clínicas y de desenlace. Para la evaluación de la TC se consideraron todas las medidas registradas durante la hospitalización, tomadas en la región axilar con termómetro digital acoplado al monitor multiparamétrico. Adicionalmente, se propusieron escenarios comparativos entre el número de episodios de fiebre o hipotermia en las 24 horas después del ingreso y el número de estos las 24 horas previas al desenlace. Los datos fueron recolectados de registros médicos físicos y electrónicos. Resultados: se incluyeron 105 pacientes, con predominio de mayores de 60 años, sexo masculino y color blanco. El resultado clínico para 26 pacientes (24,8 %) fue el alta y para 79 (75,2 %) la muerte. Se observaron 8778 verificaciones de TC, siendo la hipotermia más frecuente en el grupo de muerte (p = 0,00). En el grupo de alta, las medidas dentro de la normalidad fueron más frecuentes (p = 0,00). Entre los escenarios propuestos hubo diferencia estadísticamente significativa entre los grupos cuando ocurrieron dos o más episodios de fiebre en las 24 horas anteriores al desenlace. Conclusión: la descripción del perfil de termorregulación en pacientes sépticos mostró que la TC es un indicador complementario capaz de auxiliar al equipo en la práctica clínica con el objetivo de propiciar mejores resultados.


Abstract Objective: to describe the body temperature profile (TC) and the outcome in patients with sepsis assisted in an intensive care unit (UCI). Method: retrospective, descriptive and exploratory study. Patients over the age of 18 were included, diagnosed with severe sepsis or septic shock in the period from January to December 2012, assisted in an UCI of a public hospital. Sociodemographic, clinical and outcome variables were built. For the evaluation of the TC, all measures recorded during hospitalization were considered, taken in the axillary region by digital thermometer coupled to the multiparametric monitor. In addition, comparative scenarios were proposed between the number of episodes of fever or hypothermia in the 24 hours after internment and the number of these 24 hours prior to the outcome. The data were collected from physical and electronic medical records. Results: 105 patients were included, predominantly over 60 years old, male and white. Clinical outcome for 26 patients (24.8 %) was to be discharged, and for 79 (75.2 %) it was death. 8778 TC verifications were observed, being hypothermia the most frequent in the death group (p = 0.00). In the discharge group, measurements within normality were more frequent (p = 0.00). Among the proposed scenarios, there was statistically significant difference between the groups when two or more episodes of fever occurred in the 24 hours prior to the outcome. Conclusion: the description of the thermoregulation profile in septic patients showed that the TC is a complementary indicator capable of assisting the team in the clinical practice in order to promote better results.


Subject(s)
Humans , Aged , Shock, Septic , Body Temperature , Sepsis , Fever , Hypothermia , Intensive Care Units , Thermometers , Body Temperature Regulation , Critical Care , Death , Hospitals, Public
5.
Nursing (Säo Paulo) ; 22(259): 3419-3425, dez.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1095307

ABSTRACT

O presente estudo objetivou comparar as temperaturas axilar final de recém-nascidos (RN) submetidos à instalação do Cateter Venoso Central de Inserção Periférica (CCIP/PICC) em dois períodos distintos e de discutir os efeitos do uso desta tecnologia na temperatura axilar final de RN submetidos a este procedimento. Tratou-se de um estudo quase-experimental, transversal, com delineamento antes e depois onde foi avaliada a temperatura axilar final em dois grupos distintos: "antes do uso da manta" e "depois do uso da manta". A abordagem quantitativa mensurou variáveis pré-estabelecidas. Este estudo confirmou a hipótese de que existe diferença na temperatura axilar final de RN submetidos à instalação do CCIP e que a manta térmica pode ser uma tecnologia que previne/corrige a hipotermia em RN submetidos à instalação de CCIP.(AU)


The present study aimed at comparing the final axillary temperatures of newborns (NB) submitted to the installation of Peripherally Inserted Central Venous Catheter (PICC) in two different periods and to discuss the effects of the use of this technology on the final axillary temperature of NB submitted to this procedure. It was a quasi-experimental, cross-sectional study with a before and after design where the final axillary temperature was evaluated in two distinct groups: "before the use of the blanket" and "after the use of the blanket". The quantitative approach measured pre-established variables. This study confirmed the hypothesis that there is difference in the final axillary temperature of NB submitted to the installation of PICC and that the thermal blanket can be a technology that prevents / corrects the hypothermia in NB submitted to the installation of PICC.(AU)


El presente estudio tuvo como objetivo comparar las temperaturas axilares finales de los recién nacidos (RN) sometidos a la instalación del catéter venoso central para inserción periférica (CCIP/PICC) en dos períodos diferentes y discutir los efectos del uso de esta tecnología en la temperatura axilar final de los RN sometidos a este procedimiento. Fue un estudio transversal, casi experimental, con un diseño de antes y después, en el que se evaluó la temperatura axilar final en dos grupos distintos: "antes del uso de la manta" y "después del uso de la manta". El enfoque cuantitativo mide variables preestablecidas. Este estudio confirmó la hipótesis de que hay una diferencia en la temperatura axilar final de RN sometida a la instalación de CCIP y que la manta térmica puede ser una tecnología que previene / corrige la hipotermia en RN sometida a la instalación de CCIP.(AU)


Subject(s)
Humans , Infant, Newborn , Neonatal Nursing , Patient Safety , Central Venous Catheters , Hypothermia , Body Temperature , Infant, Newborn, Diseases
6.
Nursing (Säo Paulo) ; 22(259): 3426-3430, dez.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1095308

ABSTRACT

OBJETIVO: Apreender evidências sobre práticas recomendadas à prevenção de hipotermia na clientela neonatal. MÉTODO: Revisão integrativa da literatura. Foram incluídos estudos em português, inglês e espanhol, disponíveis na íntegra, correspondente aos últimos cinco anos e excluídos estudos que não contemplaram os cuidados de enfermagem para redução de hipotermia bem como dissertações e teses com análise final de seis artigos. RESULTADOS: Foram identificados estudos que apontam medidas de prevenção em sala de parto, uso do filme plástico, de saco de polietileno e proteção de região cefálica. Além disso, os estudos apontam a implantação de um pacote de termorregulação em sala de parto, avaliação de temperatura na admissão e internação hospitalar, bem como discute os efeitos a curto e longo prazo deste agravo no neurodesenvolvimento infantil. CONCLUSÃO: Conclui-se que a hipotermia neonatal é um evento passível de prevenção. A partir do conhecimento e busca constante por melhorias nas práticas, as equipes tornam-se aptas a prestar cuidados que possam prevenir as variações térmicas no recém-nascido. Garantindo, assim, práticas seguras para clientela neonatal.(AU)


OBJECTIVE: Gather evidence on practices recommended for the prevention of hypothermia in the neonatal clientele. METHOD: Integrative literature review. We included studies in Portuguese, English and Spanish, available in full, corresponding to the last five years and excluded studies that did not include nursing care to reduce hypothermia as well as dissertations and theses with a final analysis of six articles. RESULTS: We identified studies that indicate prevention measures in the delivery room, use of plastic film, polyethylene bag and protection of the cephalic region. In addition, the studies indicate the implantation of a package of thermoregulation in the delivery room, temperature assessment at admission and hospital admission, as well as discusses the short- and long-term effects of this disease in children's neurodevelopment. CONCLUSION: We conclude that neonatal hypothermia is a preventable event. From the knowledge and constant search for improvements in the practices, the teams become able to provide care that can prevent the thermal variations in the newborn. This ensures safe practices for neonatal clients.(AU)


OBJETIVO: Apreciar evidencias sobre prácticas recomendadas para prevenir la hipotermia en la clientela neonatal. MÉTODO: Revisión integrativa de la literatura. Se incluyeron estudios de portugués, Inglés y Español, disponible en su totalidad, lo que corresponde a los últimos cinco años y los estudios excluidos que no incluían los cuidados de enfermería para reducir la hipotermia, así como disertaciones y tesis con un análisis final de los seis artículos. RESULTADOS: Se identificaron estudios que señalan medidas de prevención en sala de parto, uso de la película plástica, de saco de polietileno y protección de región cefálica. Además, los estudios apuntan a la implantación de un paquete de termorregulación en sala de parto, evaluación de temperatura en la admisión e internación hospitalaria, así como discute los efectos a corto y largo plazo de este agravio en el neurodesarrollo infantil. CONCLUSIÓN: Se concluye que la hipotermia neonatal es un evento pasible de prevención. A partir del conocimiento y búsqueda constante por mejoras en las prácticas, los equipos se vuelven aptos para prestar cuidados que puedan prevenir las variaciones térmicas en el recién nacido. Garantizando, así, prácticas seguras para clientela neonatal.(AU)


Subject(s)
Humans , Infant, Newborn , Intensive Care Units, Neonatal , Neonatal Nursing , Hypothermia/prevention & control , Nursing Care , Body Temperature
7.
An. bras. dermatol ; 94(5): 542-548, Sept.-Oct. 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1054874

ABSTRACT

Abstract Background There is an obvious need for more prompt and specific biomarkers of bacterial infections in generalized pustular psoriasis patients. Objective The aim of this study was to evaluate the diagnostic properties and define appropriate cut-off values of procalcitonin and C-reactive protein in predicting bacterial infection in generalized pustular psoriasis patients. Methods Sixty-four generalized pustular psoriasis patients hospitalized from June 2014 to May 2017 were included in this retrospective study. The values of procalcitonin, C-reactive protein, details of infection, and other clinical parameters were analyzed. Results Receiver operating characteristic curve analysis generated similar areas (p = 0.051) under the curve for procalcitonin 0.896 (95% CI 0.782-1.000) and C-reactive protein 0.748 (95% CI 0.613-0.883). A cut-off value of 1.50 ng/mL for procalcitonin and 46.75 mg/dL for C-reactive protein gave the best combination of sensitivity (75.0% for procalcitonin, 91.7% for C-reactive protein) and specificity (100% for procalcitonin, 53.8% for C-reactive protein). Procalcitonin was significantly positively correlated with C-reactive protein levels both in the infected (r = 0.843, p = 0.040) and non-infected group (r = 0.799, p = 0.000). Study limitations The sample size and the retrospective design are limitations. Conclusions The serum levels of procalcitonin and C-reactive protein performed equally well to differentiate bacterial infection from non-infection in generalized pustular psoriasis patients. The reference value of procalcitonin and C-reactive protein applied to predicting bacterial infection in most clinical cases may not be suitable for generalized pustular psoriasis patients. C-reactive protein had better diagnostic sensitivity than procalcitonin; however, the specificity of procalcitonin was superior to that of C-reactive protein.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Psoriasis/microbiology , Psoriasis/blood , Bacterial Infections/blood , C-Reactive Protein/analysis , Procalcitonin/blood , Reference Values , Body Temperature , Biomarkers/blood , Reproducibility of Results , Retrospective Studies , Sensitivity and Specificity , Statistics, Nonparametric , Leukocyte Count , Neutrophils
8.
Rev. bras. ciênc. mov ; 27(3): 150-157, Abr.-Jun. 2019. ilus
Article in English | LILACS (Americas) | ID: biblio-1024401

ABSTRACT

This study aimed to evaluate temperature variations on the thighs in an incremental cycling test in healthy recreational cyclists with two different fat percentages. Thirty-two male recreational cyclists were measured in height, body mass, thigh skinfold and body fat percentage, and from the body fat percentage were divided into two groups, Group 1: 16 cyclists who presented body fat percentage < 24% and Group 2: 16 cyclists who presented body fat percentage > 24%. Three thermographic photos were taken, before (Pre), just after (Post) and after 10 min (Post10) of the incremental cycling test to determine mean temperature of right and left Vastus Lateralis, Rectus Femoris and Biceps Femoris. Temperature variations were defined as the difference among the three moments: (i) var1 = Post-Pre, (ii) var2 = Post10- Pre and (iii) var3 = Post10-Post. Differences between groups and moments were calculated using magnitude-based inferences. Group 1 evidenced a very likely large increase in the cycling peak power output. Group 2 showed a likely and most likely moderate, large and very large increase in age, body mass and fat. Group 1 depicted a very likely to likely moderate temperature increase in the right and left Vastus Lateralis, Rectus Femoris and Biceps Femoris on Post10 compared to Post effort moment. Both groups depicted a very likely and most likely moderate and large temperature decrease of right and left Biceps Femoris on Pre compared to Post effort. Percentage of fat seems to discreetly influence skin temperature response, finding that might not be observed when we evaluate trained cyclists exhibiting different percentages of fat....(AU)


Este estudo objetivou a avaliar as variações de temperatura das coxas em um teste incremental de ciclismo em ciclistas recreacionais saudáveis com dois diferentes percentuais de gordura. Trinta e dois ciclistas recreacionais do sexo masculino foram avaliados em estatura, massa corporal, dobras cutâneas da coxa e percentual de gordura corporal, e, a partir do percentual de gordura corporal, foram divididos em dois grupos, Grupo 1: 16 ciclistas que apresentaram percentual de gordura corporal < 24% e Grupo 2: 16 ciclistas que apresentaram percentual de gordura corporal > 24%. Foram tiradas três fotos termográficas, antes (Pré), logo após (Pós) e após 10 min (Pós10) do teste de ciclismo para determinar a temperatura média do Vasto Lateral, Reto Femoral e Bíceps Femoral direito e esquerdo. As variações de temperatura foram definidas como a diferença entre os três momentos: (i) var1 = Pós-Pré, (ii) var2= Pós10-Pré e (iii) var3= Pós10-Pós. Diferenças entre grupos e momentos foram calculadas usando inferências baseadas em magnitude. Grupo 1 apresentou um provável a muito provável aumento moderado da temperatura para os Vastos Laterais direito e esquerdo, o Reto Femoral e o Bíceps Femoral no Pós10 em comparação com o momento pós-esforço. Grupo 2 mostrou aumentos provável e muito provável moderado, grande e muito grande na idade, massa corporal e gordura. Ambos os grupos descreveram uma muito provável e mais provável moderada e grande queda de temperatura do Bíceps Femoral direito e esquerdo no Pré comparado ao Pós-esforço. Percentagem de gordura parece influenciar discretamente a resposta da temperatura da pele, resultado que poderá não ser observado quando avaliados ciclistas treinados que apresentam diferentes percentagens de gordura....(AU)


Subject(s)
Humans , Male , Adult , Bicycling , Body Temperature , Lower Extremity , Exercise Test , Fats , Athletes , Physical Education and Training
9.
Rev. SOBECC ; 24(1): 31-36, jan.-mar.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-988150

ABSTRACT

Objetivo: Descrever os cuidados de enfermagem para manutenção da temperatura corporal durante o intraoperatório. Método: Estudo descritivo, transversal, realizado em junho de 2015 no centro cirúrgico de um hospital no interior de São Paulo. Os dados foram coletados por meio de instrumento desenvolvido para este estudo, o qual continha dados de caracterização sociodemográfica, clínica, cirúrgica e cuidados de enfermagem. Para todas as variáveis, foram realizadas análises descritivas. Resultados® Foram analisados os cuidados de enfermagem em 19 cirurgias, sendo a de maior incidência a colecistectomia videolaparoscópica (26,3%), sob anestesia geral (52,6%). O tempo médio de duração da anestesia foi de 113 minutos. A hipotermia foi identificada em 84,2% dos pacientes no período pós-operatório. O método de aquecimento utilizado em todos os pacientes no intraoperatório foi do tipo cutâneo ativo, com infusão de solução aquecida por via endovenosa. Conclusão® A hipotermia não intencional é uma condição real no centro cirúrgico, causando prejuízos à recuperação dos pacientes. Sua prevenção está relacionada à realização de cuidados de enfermagem mais seguros e à redução de complicações pós-operatórias


Objective: To describe nursing care in relation to body temperature maintenence during the intraoperative period. Method: Descriptive, cross-sectional study, performed in June 2015 in the operating department of a hospital in the state of São Paulo. Data were collected using an instrument developed for this study, which contained sociodemographic, clinical, surgical and nursing care data. Descriptive analyzes were performed for all variables. Results: Nursing care was analyzed in 19 surgeries, with the highest incidence being laparoscopic cholecystectomy (26.3%), under general anesthesia (52.6%). The mean duration of anesthesia was 113 minutes. Hypothermia was identified in 84.2% of the patients in the postoperative period. The active cutaneous heating method, with intravenous solution infusion was used in all patients intraoperatively. Conclusion: Unintentional hypothermia is a recurrent condition in the operating department and comprimises patients' recovery. Its prevention is related to the achievement of safer nursing care and the reduction of postoperative complications


Objetivo: Describir los cuidados de enfermería para manutención de la temperatura corporal durante el intraoperatorio. Método: Estudio descriptivo, transversal, realizado en junio de 2015 en el centro quirúrgico de un hospital en el interior de São Paulo. Los datos fueron colectados por medio de instrumento desarrollado para este estudio, el cual contenía datos de caracterización sociodemográfica, clínica, quirúrgica y cuidados de enfermería. Para todas las variables fueron realizados análisis descriptivos. Resultados: Fueron analizados los cuidados de enfermería en 19 cirugías, siendo la de mayor incidencia la colecistectomía video-laparoscópica (26,3%), bajo anestesia general (52,6%). El tiempo promedio de duración de la anestesia fue de 113 minutos. La hipotermia fue identificada en un 84,2% de los pacientes en el período postoperatorio. El método de calentamiento utilizado en todos los pacientes em el intraoperatorio fue del tipo cutáneo activo, con infusión de solución calentada por vía endovenosa. Conclusión: La hipotermia no intencional es una condición real en el centro quirúrgico, causando perjuicios a la recuperación de los pacientes. Su prevención está relacionada a la realización de cuidados de enfermería más seguros y a la reducción de complicaciones postoperatorias


Subject(s)
Humans , Body Temperature , Intraoperative Period , Epidemiology, Descriptive , Hypothermia
10.
REME rev. min. enferm ; 23: e-1267, jan.2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1048093

ABSTRACT

OBJETIVOS: identificar fatores que alteram a confiabilidade da temperatura axilar em relação à temperatura de cateter artéria pulmonar. MÉTODOS: estudo de medidas repetidas utilizando 67 aferições de temperatura axilar coletadas de 24 pacientes internados em centros de terapia intensiva de dois hospitais da região metropolitana de Belo Horizonte entre 2017 e 2018. Realizada análise descritiva e regressão linear dos dados. RESULTADOS: foram encontradas acurácia de 0,48 e precisão de 0,47 referentes à temperatura axilar aferida com termômetro digital comparada com a temperatura de cateter de artéria pulmonar. Os fatores que alteram a confiabilidade da temperatura axilar foram o índice de massa corporal e a dose de dobutamina. CONCLUSÃO: os fatores encontrados foram inéditos em relação à alteração da confiabilidade da temperatura axilar e poderão auxiliar enfermeiros na tomada de decisão ao escolherem um método mais preciso para estimativa da temperatura real do corpo. Ainda é necessária a realização de estudos com amostragem maior para avaliação dos fatores intervenientes da confiabilidade de técnicas de temperatura não invasivas, como a temperatura axilar.(AU)


Objectives: to identify factors that alter the reliability of axillary temperature in relation to pulmonary artery catheter temperature. Methods: studying repeated measures using 67 axillary temperature measurements collected from 24 patients admitted to intensive care centers of two hospitals in the metropolitan region of Belo Horizonte between 2017 and 2018. Descriptive analysis and linear regression of the data were performed. Results: accuracy of 0.48 and precision of 0.47 were found for axillary temperature measured with a digital thermometer compared with pulmonary artery catheter temperature. Factors that change the reliability of axillary temperature were body mass index and dobutamine dose. Conclusion: the found factors were unprecedented in relation to the change in axillary temperature reliability and may help nurses in their decision making by choosing a more accurate method to estimate the actual body temperature. Studies with larger sampling are still necessary to evaluate the intervening factors of the reliability of noninvasive temperature techniques, such as axillary temperature.(AU)


Objetivos: identificar los factores que alteran la fiabilidad de la temperatura axilar en relación con la temperatura del catéter de la arteria pulmonar. Métodos: estudio de mediciones repetidas utilizando 67 mediciones de temperatura axilar de 24 pacientes ingresados en centros de cuidados intensivos de dos hospitales de la región metropolitana de Belo Horizonte entre 2017 y 2018. Análisis descriptivo y regresión lineal de los datos. Resultados: se encontró precisión de 0,48 y precisión de 0,47 para la temperatura axilar medida con termómetro digital en comparación a la temperatura del catéter de la arteria pulmonar. Los factores que alteran la fiabilidad de la temperatura axilar fueron el índice de masa corporal y la dosis de dobutamina. Conclusión: los factores encontrados no tienen precedentes en relación con la alteración en la confiabilidad de la temperatura axilar y pueden ayudar a los enfermeros en la toma de decisiones al elegir un método más preciso para estimar la temperatura corporal real. Son necesarios estudios con muestras más amplias para evaluar los factores que intervienen en la fiabilidad de las técnicas de temperatura no invasivas, como la temperatura axilar.(AU)


Subject(s)
Pulmonary Artery , Axilla , Thermometers , Body Temperature , Catheterization, Swan-Ganz , Risk Factors
11.
Acta cir. bras ; 34(3): e201900302, 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-989067

ABSTRACT

Abstract Purpose: To evaluate, in rats, the open field videothermometry in real time while performing left pneumonectomy for early diagnosis of cardiopulmonary changes. Methods: Twelve non-specific pathogen-free Wistar rats were randomly allocated into two groups; pneumectomy group (GP) and sham surgery group (GS). Mean arterial pressure, videothermometry in real time, of the right lung, and histopathological analysis of the remaining lung were evaluated in all animals. Results: Videothermometry in real time allowed identification of temperature variance of right lung after pneumectomy, indicating a significant decrease in temperature during evaluation. There was a statistical difference between M0 and M1, M1 and M2 and M0 and M2 (p<0.004) in GS, and significant difference between M0 and M1, M1 and M2, and M2 and M0 with p<0.0001 in GP. Conclusions: Left pneumonectomy in rats shows initial histopathological changes after 60 minutes of its completion, indicating a possible compensation beginning. The open-field videothermometry in real time proved to be efficient identifying the temperature changes of the remaining lung.


Subject(s)
Animals , Pneumonectomy/methods , Body Temperature/physiology , Thermometry/methods , Lung/metabolism , Time Factors , Random Allocation , Reproducibility of Results , Rats, Wistar , Arterial Pressure/physiology , Lung/physiopathology , Lung/pathology
12.
Asia Pacific Allergy ; (4): e3-2019.
Article in English | WPRIM (Western Pacific) | ID: wprim-750171

ABSTRACT

Anhidrotic ectodermal dysplasia (AED) is a rare hereditary disorder with a triad of sparse hair, dental hypoplasia, and anhidrosis. Here we report a case of AED with food allergy and atopic eczema. The patient was a 11-month-old boy admitted to our hospital with pyrexia for 2 weeks. He presented with a history of dry skin, eczema, and food allergy to egg. On clinical examination, his body temperature was 38.8°C, with dry skin and eczema almost all over the body, sparse eyebrows, and scalp hair. Laboratory investigations and physical examination did not show any evidence of infection. Radioallergosorbent test was positive to egg yolk, egg white, ovomucoid, milk, house dust, and house dust mite. As the child did not sweat despite the high fever, we performed the sweat test which revealed a total lack of sweat glands. Genetic examination revealed a mutation of the EDA gene and he was diagnosed as AED. His pyrexia improved upon cooling with ice and fan. His mother had lost 8 teeth and her sweat test demonstrated low sweating, suggestive of her being a carrier of AED. Atopy and immune deficiencies have been shown to have a higher prevalence in patients with AED. Disruption of the skin barrier in patients with AED make them more prone to allergic diseases such as atopic eczema, bronchial asthma, allergic rhinitis and food allergy. Careful assessment of the familial history is essential to differentiate AED when examining patients with pyrexia of unknown origin and comorbid allergic diseases.


Subject(s)
Asthma , Body Temperature , Child , Dermatitis, Atopic , Dust , Ectodermal Dysplasia , Eczema , Egg White , Egg Yolk , Eyebrows , Fever , Food Hypersensitivity , Hair , Humans , Hypohidrosis , Ice , Infant , Male , Milk , Mothers , Ovomucin , Ovum , Physical Examination , Prevalence , Pyroglyphidae , Radioallergosorbent Test , Rhinitis, Allergic , Scalp , Skin , Sweat , Sweat Glands , Sweating , Tooth
13.
Immune Network ; : e10-2019.
Article in English | WPRIM (Western Pacific) | ID: wprim-740218

ABSTRACT

Despite the broad rehabilitative potential of aquatic exercises, the relationship between aquatic exercise and the immune system has not been fully elucidated to date. In particular, there are few specific and delicate immunological approaches to the effect of water temperature on immunity. Thus, we examined the effect of water temperature on immunity during aquatic exercise. The animal tumor model was adopted to examine the impact of aquatic exercise at thermoneutral temperature (TT; 29°C) on immunity compared with aquatic exercise at body temperature (BT; 36°C). Tumor-bearing mice were made to swim in TT water or in BT water for 3 wk and immune cells and their functional activity were analyzed using FACS. Tumor growth was significantly suppressed in mice that exercised in TT than in BT water. The tumor control correlated with the increased number of NK (2-fold), γδT cells (2.5-fold), NKT (2.5-fold), and cytotoxic CD8⁺ T cells (1.6-fold), which play a critical role in anti-tumor immune responses. Furthermore, the functional activity was dramatically improved in the TT group, showing enhanced production of IFNγ in CD8⁺ T cells compared with the BT group. This study demonstrates that aquatic exercise in TT water may improve protective immune responses more effectively than in BT water. Although the effects of water temperature on immune function need further verification in humans, this study suggests that water temperature in human hydrotherapy may be important for improving immune function.


Subject(s)
Animals , Body Temperature , Exercise , Humans , Hydrotherapy , Immune System , Interferons , Mice , T-Lymphocytes , Water
14.
Article in English | WPRIM (Western Pacific) | ID: wprim-760180

ABSTRACT

BACKGROUND: Preterm infants have difficulty maintaining body temperature after birth. However, clinical guidelines advocate that neonatal body temperature should be maintained at 36.5°C–37.5°C. PURPOSE: We aimed to investigate the incidence of admission hypothermia in very low birth weight (VLBW) infants and to determine the association of admission temperature with in-hospital mortality and morbidities. METHODS: A cohort study using prospectively collected data involving 70 neonatal intensive care units (NICUs) that participate in the Korean Neonatal Network. From registered infants born between January 2013 and December 2015, 5,343 VLBW infants born at less than 33 weeks of gestation were reviewed. RESULTS: The mean admission temperature was 36.1°C±0.6°C, with a range of 31.9°C to 38.4°C. Approximately 74.1% of infants had an admission hypothermia of <36.5°C. Lower birth weight, intubation in the delivery room and Apgar score <7 at 5 minutes were significantly related to admission hypothermia. The mortality was the lowest at 36.5°C–37.5°C and adjusted odd ratios for all deaths increased to 1.38 (95% confidence interval [CI], 1.04–1.83), 1.44 (95% CI, 1.05–1.97) and 1.86 (95% CI, 1.22–2.82) for infants with admission temperatures of 36.0°C–36.4°C, 35.0°C–35.9°C, and <35.0°C, respectively. Admission hypothermia was also associated with high likelihoods of bronchopulmonary dysplasia, pulmonary hypertension, proven sepsis, pulmonary hemorrhage, air-leak, seizure, grade 3 or higher intraventricular hemorrhage and advanced retinopathy of prematurity requiring laser therapy. CONCLUSION: A large portion of preterm infants in Korea had hypothermia at NICU admission, which was associated with high mortality and several important morbidities. More aggressive interventions aimed at reducing hypothermia are required in this high-risk population.


Subject(s)
Apgar Score , Birth Weight , Body Temperature , Bronchopulmonary Dysplasia , Cohort Studies , Delivery Rooms , Hemorrhage , Hospital Mortality , Humans , Hypertension, Pulmonary , Hypothermia , Incidence , Infant , Infant, Newborn , Infant, Premature , Infant, Very Low Birth Weight , Intensive Care Units , Intensive Care Units, Neonatal , Intubation , Korea , Laser Therapy , Mortality , Parturition , Pregnancy , Prospective Studies , Retinopathy of Prematurity , Seizures , Sepsis
15.
Article in English | WPRIM (Western Pacific) | ID: wprim-787388

ABSTRACT

Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disorder; affected patients are characterized by inability to feel pain and to sweat over the entire body, as well as by mental retardation. Because, in the oral examination, no specific findings on soft or hard tissue may be found except possible lesions due to self-mutilation, early recognition and diagnosis are essential for these patients. Pediatric dentists must be aware of the clinical manifestations and treatment considerations related to uncontrolled body temperature, tactile hyperesthesia and lack of pain reflex. In this case report, dental management of CIPA was suggested by presenting a 6-year follow-up of young patient.


Subject(s)
Body Temperature , Dentists , Diagnosis , Diagnosis, Oral , Follow-Up Studies , Hereditary Sensory and Autonomic Neuropathies , Humans , Hyperesthesia , Hypohidrosis , Intellectual Disability , Pain Insensitivity, Congenital , Reflex , Sweat
16.
Article in Chinese | WPRIM (Western Pacific) | ID: wprim-777532

ABSTRACT

To compare the blood-cooling and hemostasis effects of Rehmanniae Radix before and after carbonizing on rats with blood heat and hemorrhage syndrome. The blood heat and hemorrhage syndrome rat model was established. Indexes including rectal temperature,whole blood viscosity,plasma viscosity,thrombin time(TT),activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen content(FIB),red blood cell(RBC),hemoglobin(Hb),hematocrit(HCT),blood platelet count(PLT),mean platelet volume(MPV),serum IL-1,serum IL-6 and lung histopathology were detected to investigate the blood-cooling and hemostasis effects of Rehmanniae Radix and its carbonized products. Compared with the blank control group,the rectal temperature was significantly increased with rise of the high,middle and low whole blood viscosities and plasma viscosity(P<0.05); both the high and low whole blood restore viscosity and the high and low whole blood relative viscosity were increased significantly(P< 0.05); TT,APTT and PT were notably prolonged with the increase in FIB content(P<0.05); RBC,Hb and HCT increased significantly(P< 0.05); concentrations of serum IL-1 and IL-6 were also increased(P< 0.05) in model group. Additionally,obvious hemorrhages in lung and stomach were observed in rats of the model group. Rehmanniae Radix and its carbonized products can significantly reduce rectal temperature,high middle and low whole blood viscosities and plasma viscosity(P<0.05). TT and APTT were shortened,with lower expression of FIB in group of Rehmannia Radix and its carbonized products. Hemorrhages of lung and stomach were improved by Rehmannia Radix and its carbonized products. The results indicated that Rehmannia Radix before and after carbonizing had the hemostasis and blood-cooling effects by promoting coagulation,improving blood rheology and inhibiting expressions of IL-1 and IL-6.


Subject(s)
Animals , Blood Coagulation , Blood Viscosity , Body Temperature , Drugs, Chinese Herbal , Pharmacology , Hemorrhage , Drug Therapy , Hemostasis , Interleukin-1 , Metabolism , Interleukin-6 , Metabolism , Partial Thromboplastin Time , Plant Roots , Rats , Rehmannia , Chemistry , Thrombin Time
17.
Article in English | WPRIM (Western Pacific) | ID: wprim-764185

ABSTRACT

PURPOSE: To investigate the temperature-based differences of cortical bone ultrashort echo time MRI (UTE-MRI) biomarkers between body and room temperatures. Investigations of ex vivo UTE-MRI techniques were performed mostly at room temperature however, it is noted that the MRI properties of cortical bone may differ in vivo due to the higher temperature which exists as a condition in the live body. MATERIALS AND METHODS: Cortical bone specimens from fourteen donors (63 ± 21 years old, 6 females and 8 males) were scanned on a 3T clinical scanner at body and room temperatures to perform T1, T2*, inversion recovery UTE (IR-UTE) T2* measurements, and two-pool magnetization transfer (MT) modeling. RESULTS: Single-component T2*, IR-T2*, short and long component T2*s from bi-component analysis, and T1 showed significantly higher values while the noted macromolecular fraction (MMF) from MT modeling showed significantly lower values at body temperature, as compared with room temperature. However, it is noted that the short component fraction (Frac1) showed higher values at body temperature. CONCLUSION: This study highlights the need for careful consideration of the temperature effects on MRI measurements, before extending a conclusion from ex vivo studies on cortical bone specimens to clinical in vivo studies. It is noted that the increased relaxation times at higher temperature was most likely due to an increased molecular motion. The T1 increase for the studied human bone specimens was noted as being significantly higher than the previously reported values for bovine cortical bone. The prevailing discipline notes that the increased relaxation times of the bound water likely resulted in a lower signal loss during data acquisition, which led to the incidence of a higher Frac1 at body temperature.


Subject(s)
Biomarkers , Body Temperature , Female , Humans , Incidence , Magnetic Resonance Imaging , Relaxation , Tissue Donors , Water
18.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-766582

ABSTRACT

The human capacity for physiologic adaptation to cold is minimal. A cold environment can be a threat to the skin, leading to a subsequent fall in core body temperature. Many physiologic, behavioral, and environmental factors predispose to the global effects of cold injuries. Physical injuries caused by cold have two forms: systemic forms such as hypothermia and localized forms such as frostbite. Reduced temperature directly damages the tissue, as in frostbite and cold immersion foot. Vasospasm of vessels perfusing the skin induces chilblain, acrocyanosis, and frostbite. The degree of damage caused by cold is related to four factors: temperature, exposure time, wind intensity (temperature sensation), and high altitude.


Subject(s)
Adaptation, Physiological , Altitude , Body Temperature , Chilblains , Cold Injury , Frostbite , Humans , Hypothermia , Immersion Foot , Skin , Wind
19.
Rev. latinoam. enferm. (Online) ; 27: e3103, 2019. tab, graf
Article in English | LILACS (Americas), BDENF | ID: biblio-978631

ABSTRACT

ABSTRACT Objective: to compare the efficacy of three active heating methods in the prevention of intraoperative hypothermia in open gastroenterological surgeries. Method: randomized clinical trial with a sample of 75 patients, whose initial body temperature measured by a tympanic thermometer. Esophageal temperature <36ºC was considered hypothermic. Patients were divided into three groups using: thermal mattress, underbody forced-air warming blanket and heated infusion system. The tympanic and esophageal temperatures were measured at different times of the intraoperative period, but the temperature considered gold standard was the esophageal. To evaluate the homogeneity of the groups, we used chi-square test (categorical variables). In the comparison of temperature measurements over time, the analysis of variance (ANOVA) and the contrast profile test were used for the difference in temperature between the times. The non-parametric Kruskal-Wallis test was used to compare the three groups. The level of significance was 5%. Results: regarding the studied variables, the groups were not homogeneous as to the categorical variable sex. All patients presented hypothermia during the intraoperative period (p> 0.05). Conclusion: there was no significant difference between the heating methods in the prevention of intraoperative hypothermia. REBEC - Brazilian Registry of Clinical Trials (RBR- no. 52shjp).


RESUMO Objetivo: comparar a eficácia de três métodos de aquecimento ativo na prevenção da hipotermia intraoperatória em cirurgias gastroenterológicas por via aberta. Método: ensaio clínico randomizado com amostra de 75 pacientes, com temperatura corpórea inicial mensurada por termômetro timpânico. Considerou-se hipotermia a temperatura esofágica <36ºC. Foram distribuídos em três grupos: colchão térmico, manta de aquecimento de ar forçado Underbody e sistema de infusão aquecida. As temperaturas timpânica e esofágica foram aferidas em diferentes momentos do intraoperatório, mas a temperatura considerada padrão ouro foi a esofágica. Para avaliar a homogeneidade dos grupos, utilizou-se o teste qui-quadrado (variáveis categóricas). Na comparação das medidas de temperatura ao longo do tempo, a análise de variância (ANOVA) e teste de perfil de contraste para a diferença das temperaturas entre os tempos. Para comparação dos três grupos, usou-se o teste não paramétrico de Kruskal-Wallis. O nível de significância foi de 5%. Resultados: em relação às variáveis estudadas, os grupos não foram homogêneos quanto à variável categórica sexo. Todos os pacientes apresentaram hipotermia no período intraoperatório (p > 0,05). Conclusão: não houve diferença significativa entre os métodos de aquecimento na prevenção da hipotermia intraoperatória. REBEC - Registro Brasileiro de Ensaios Clínicos (RBR- nº52shjp).


RESUMEN Objetivo: comparar la eficacia de tres métodos de calentamiento activo en la prevención de la hipotermia intraoperatoria en cirugías gastroenterológicas por vía abierta. Método: ensayo clínico aleatorizado con muestra de 75 pacientes, con temperatura corpórea inicial, medida por termómetro timpánico. Se consideró hipotermia la temperatura esofágica de <36ºC. Fueron distribuidos en tres grupos: colchón térmico, manta de calentamiento de aire forzado Underbody y sistema de infusión calentada. Las temperaturas timpánica y esofágica fueron medidas en diferentes momentos del intraoperatorio, pero la temperatura considerada estándar oro fue la esofágica. Para evaluar la homogeneidad de los grupos utilizamos el test Chi-cuadrado (variables categóricas). En la comparación de las medidas de temperatura a lo largo del tiempo, el análisis de variancia (ANOVA) y el test de perfil de contraste se usaron para la diferencia de las temperaturas entre los tiempos. Para comparación de los tres grupos se usó el test no-paramétrico de Kruskal-Wallis. El nivel de significancia fue de 5%. Resultados: en relación a las variables estudiadas, los grupos no fueron homogéneos en la variable categórica del sexo. Todos los pacientes presentaron hipotermia en el período intraoperatorio (p > 0,05). Conclusión: no hubo diferencia significativa entre los métodos de calentamiento en la prevención de la hipotermia intraoperatoria. REBEC - Registro Brasilero de Ensayos Clínicos (RBR- nº52shjp).


Subject(s)
Humans , Body Temperature/physiology , Body Temperature Regulation/physiology , Hypothermia/diagnosis , Equipment and Supplies/standards , Perioperative Period/rehabilitation
20.
Belo Horizonte; s.n; 2019. 139 p. ilus, graf, tab.
Thesis in Portuguese | LILACS (Americas), BDENF | ID: biblio-1046196

ABSTRACT

A aferição da temperatura corporal é uma ferramenta essencial no cuidado de pacientes críticos. Para a identificação da temperatura corporal é necessário o uso de um termômetro preciso e ágil. Quando técnicas invasivas não estão sendo utilizadas, a equipe de enfermagem depende de termômetros não invasivos. Atualmente, na literatura, não há um consenso sobre a acurácia e precisão de métodos como as temperaturas oral, axilar, de membrana timpânica ou de artéria temporal. Ademais evidências acerca dos fatores que podem alterar a confiabilidade desses métodos são escassas. Por isso estudos clínicos devem ser realizados com esses métodos para respaldar o uso dessas técnicas na prática. Objetivo: Comparar a acurácia e precisão de métodos de termometria não invasivas (artéria temporal, membrana timpânica, oral e axilar) em comparação a temperatura de artéria pulmonar. Método: Foram realizados uma revisão sistemática e metanálise e um estudo clínico de medidas repetidas. A metanálise foi realizada com dados de 41 artigos pesquisados na literatura. Os dados do estudo clínico foram coletados em duas Unidades de Terapia Intensiva na cidade de Belo Horizonte. Foram incluídos pacientes adultos em uso do cateter de artéria pulmonar. As cinco temperaturas foram aferidas três vezes de cada paciente. Para análise dos dados foi realizada análise descritiva, gráficos de Bland-Altman e análises de regressão. Resultados: A acurácia e precisão das temperaturas na metanálise foram; temperatura axilar, -0,35 e 0,06; temperatura oral, -0,21 e 0,08; temperatura de membrana timpânica, -0,05 e 0,05; e temperatura de artéria temporal, -0,22 e 0,26. A acurácia e precisão após análise dos dados do estudo clínico foram, respectivamente: temperatura axilar, -0,42 e 0,59; temperatura oral, -0,30 e 0,37; temperatura de membrana timpânica, -0,21 e 0,44; e temperatura de artéria temporal, -0,25 e 0,61. Conclusão: Os termômetros não invasivos mostraram uma boa acurácia e precisão em relação a temperatura de artéria pulmonar, entretanto em pacientes com alterações da temperatura os termômetros não invasivos tornam-se pouco acurados.(AU)


The identification of body temperature is an essential tool in critical care nursing. The use of a reliable and agile thermometer is necessary to identify the real body temperature. When available, invasive thermometer are indicated for its precision. Although, when not available, the nursing staff must rely in noninvasive thermometers. Nowadays, in the literature, there isn´t a consensus about the reliability of noninvasive temperature techniques, such as axillary, oral, tympanic membrane and temporal artery. Furthermore, there is a lack of knowledge about factors that alters the reliability of those thermometers. Clinical studies must be developed to back these techniques in nursing care. Aim: Compare the accuracy and precision of noninvasive techniques (axillary, oral, tympanic membrane and temporal artery) with the pulmonary artery temperature. Methods: An Systematic review/Metanalysis and a Cross-sectional Repeated measure clinical study were developed. The Metanalysis used data from 41 published articles. The data for the clinical study were collected in two intensive care units of two hospitals in Belo Horizonte. Patients with pulmonary artery catheter were included. The five temperatures were measured three times in each patient. Descriptive analyses were made, Bland-Altmann graphics were plotted and a four regression models were developed. Results: The accuracy and precision identified in the Metanalysis were: axillary, -0,35 and 0,06; oral, -0,21 and 0,08; tympanic membrane, -0,05 and 0,05; and temporal artery, -0,22 and 0,26. The accuracy and precision of the noninvasive thermometers and the pulmonary artery temperature identified in the clinical study were: axillary -0,42 and 0,59; oral -0,30 and 0,37; tympanic membrane -0,21 and 0,44; and temporal artery -0,25 and 0,61. Conclusion: The noninvasive thermometers showed a good accuracy and precision when compared with the pulmonary temperature, However, in non-normothermic patients the reliability of the thermometers is poor.(AU)


Subject(s)
Humans , Male , Female , Middle Aged , Body Temperature , Thermometry/methods , Nursing Care/methods , Pulmonary Artery , Axilla , Thermometers , Tympanic Membrane , Academic Dissertation , Mouth
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