Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 715
Filter
2.
Rev. Esc. Enferm. USP ; 56: e20210467, 2022. graf
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1365415

ABSTRACT

ABSTRACT Objective: To develop and validate an instrument for nursing consultation with pediatric patients in the preoperative period. Method: This is a methodological study, consisting of five steps: identification of nursing diagnoses, discussion and evaluation of diagnoses with nurses from the institution, instrument development, instrument content validation with experts through the Delphi Technique, and instrument restructuring. The Nursing Minimum Data Set, Wanda Horta's human needs, and the NANDA-NOC-NIC connections were used as theoretical framework. Results: In its final version, the instrument includes an assessment of psychobiological, psychosocial, and psychospiritual human needs, 38 nursing diagnoses, 65 nursing interventions, 113 nursing activities, and 62 nursing outcomes. The instrument obtained a content validity index between 0.90 and 1.0 in the first round, and suggestions, validated in the second round, obtained agreement from 70 to 100%. Conclusion: The instrument developed can be a tool for use in nursing consultations in the preoperative period for children, providing greater assertiveness to nursing actions for this clientele.


RESUMEN Objetivo: Elaborar y validar un instrumento para consulta de enfermería al paciente pediátrico en preoperatorio. Método: Estudio metodológico, compuesto por cinco etapas: identificación de los diagnósticos de enfermería, discusión y evaluación de los diagnósticos con enfermeros de la institución, elaboración del instrumento, validez del contenido del instrumento con expertos por la Técnica Delphi y reestructuración del instrumento. Se utilizaron el Conjunto de Datos Mínimos de Enfermería, las necesidades humanas de Wanda Horta y la nomenclatura NANDA-NOC-NIC. Resultados: En su versión final, el instrumento contempla evaluación de las necesidades humanas psicobiológicas, psicosociales y psicoespirituales, 38 diagnósticos de enfermería, 65 intervenciones, 113 actividades y 62 resultados de enfermería. El instrumento obtuvo índice de validez de contenido entre 0,90 y 1,0 70 en la primera etapa, y sugerencias, validadas en la segunda etapa que obtuvieron concordancia de 70 a 100%. Conclusión: El instrumento elaborado puede ser una herramienta para uso en consulta de enfermería en el preoperatorio infantil, proporcionando más seguridad en las acciones de enfermería a ese público.


RESUMO Objetivo: Elaborar e validar um instrumento para consulta de enfermagem ao paciente pediátrico em pré-operatório. Método: Estudo metodológico, composto por cinco etapas: identificação dos diagnósticos de enfermagem, discussão e avaliação dos diagnósticos com enfermeiros da instituição, elaboração do instrumento, validação do conteúdo do instrumento com experts pela Técnica Delphi e reestruturação do instrumento. Foram utilizados o Conjunto de Dados Mínimos de Enfermagem, as necessidades humanas de Wanda Horta e as ligações NANDA-NOC-NIC como referencial teórico. Resultados: Em sua versão final, o instrumento contempla avaliação das necessidades humanas psicobiológicas, psicossociais e psicoespirituais, 38 diagnósticos de enfermagem, 65 intervenções, 113 atividades e 62 resultados de enfermagem. O instrumento obteve índice de validade de conteúdo entre 0,90 e 1,0 na primeira rodada, e sugestões, validadas na segunda rodada, obtendo concordância de 70 a 100%. Conclusão: O instrumento elaborado pode ser uma ferramenta para uso em consulta de enfermagem no pré-operatório infantil, conferindo maior assertividade nas ações de enfermagem a essa clientela.


Subject(s)
Pediatric Nursing , Perioperative Care , Validation Study , Standardized Nursing Terminology , Nursing Assessment , Nursing Process
3.
J. coloproctol. (Rio J., Impr.) ; 41(4): 425-429, Out.-Dec. 2021. tab
Article in English | LILACS | ID: biblio-1356441

ABSTRACT

Introduction: A therapeutic plan is elaborated based on the health needs of each user, allowing a multidisciplinary team to assess diagnoses, treatment options, bonds, and optimal hospitalization time. Objectives: To identify risk management tools already used and implemented in a reference teaching hospital in the city of São Paulo and to analyze their application and risk factors in medium and large colorectal surgery. Method: Observational, longitudinal, and prospective study, with 30 patients with colorectal disease hospitalized in the surgical ward of the coloproctology service and in need of surgical treatment. In the first group, the protocol was applied with the knowledge of the researcher only, and, in the second group, with the knowledge of both the researcher and the attending physicians. Results: Sixty percent of the patients were female with a mean age of 60.93 years and body mass index (BMI) of 26.07 Kg/m2. After surgery, patients in the first group who did not receive venous thromboembolism (VTE) prophylaxis in the first 24 hours had an increased risk of having the event compared with those who returned to prophylaxis (p<0.005), thus suggesting this prophylaxis was a protective factor against thromboembolic event (p=0.006). This group also had a higher risk of hypoglycemia when no strict control was performed (p=0.041). Conclusion: The compliance to hospital protocols with applicationmonitoring, notedly in teaching places with annual admission of resident physicians, is a fundamental part of the adequate care of the patient combined with the implementation of therapeutic plans. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Patient Care Planning , Colorectal Surgery , Perioperative Care/statistics & numerical data
4.
Rev. SOBECC (Online) ; v26(n4): 212-219, 31-12-2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1367514

ABSTRACT

Objetivo: Identificar a percepção dos profissionais em relação à utilização da Lista de Verificação de Segurança Cirúrgica e mapear os fatores que podem potencializar ou fragilizar o preenchimento e a adesão. Método: Estudo transversal, com abordagem mista. A coleta foi realizada pela aplicação de entrevista com os profissionais de saúde que atuam em um centro cirúrgico de um hospital público de município do Sul do país, no período de fevereiro a junho de 2019. Resultados: Elencaram-se as seguintes categorias: potencialidades e fragilidades na aplicação da lista; 96,6% concordaram totalmente que se sentiam mais seguros em participar de procedimentos em que o checklist é aplicado e 90,2% e concordaram que proporciona boa comunicação. Porém 39,9% discordam de que toda a equipe participe da aplicação e 69,9% concordam que nem sempre a lista é aplicada em função da resistência ou pouca praticidade. Conclusão: Os profissionais reconhecem que a aplicabilidade da lista proporciona segurança para o processo cirúrgico, porém uma das fragilidades foi a baixa adesão da equipe em realizar o passo a passo proposto.


Objective: To identify the perception of professionals regarding the use of the Surgical Safety Checklist and map the factors that can enhance or weaken its completion and adherence. Method: Cross-sectional study with a mixed approach. Data collection was carried out by applying an interview with health professionals who work in a surgical center of a public hospital in the south of the country, from February to June 2019. Results: The following categories were listed: strengths and weaknesses in the application of the list; 96.6% strongly agreed that they felt safer to participate in procedures in which the checklist is applied and 90.2% agreed that it provides good communication. However, 39.9% disagreed that the entire team participates in its applica-tion and 69.9% agreed that the list is not always applied due to resistance or impracticality. Conclusion: The professionals recognize that the applicability of the list provides security for the surgical process, but one of the weaknesses was the low adherence of the team to carry out the proposed step by step.


Objetivo: Identificar la percepción de los profesionales sobre el uso de la Lista de Verificación de Seguridad Quirúrgica (LVSQ) y mapear los factores que pueden mejorar o debilitar el llenado y la adherencia. Método: Estudio transversal con enfoque mixto. La recolección se realizó mediante la aplicación de una entrevista a profesionales de la salud que laboran en un centro quirúrgico de un hospital público de una ciudad del sur del país, de febrero a junio de 2019. Resultados: Se enumeraron las siguientes categorías: potenciales y debilidades en la aplicación de la LVSQ; El 96,6% está total-mente de acuerdo en que se siente más seguro al participar en los procedimientos donde se aplica la LVSQ y el 90,2% está de acuerdo en que propor-ciona una buena comunicación. Sin embargo, el 39,9% no está de acuerdo con que todo el equipo participe en la aplicación y el 69,9% está de acuerdo en que la LVSQ no siempre se aplica, por su resistencia o poca practicidad. Conclusión: Los profesionales reconocen que la aplicabilidad de la LVSQ brinda seguridad al proceso quirúrgico, pero una de las debilidades fue la baja adherencia del equipo en la realización del procedimiento paso a paso propuesto.


Subject(s)
Humans , Checklist , Patient Safety , Surgicenters , Work , Health Personnel , Perioperative Care
5.
Rev. SOBECC (Online) ; v26(n4): 205-211, 31-12-2021.
Article in English | LILACS, BDENF | ID: biblio-1367524

ABSTRACT

Objetivos: Identificar e discutir os fatores relacionados à qualidade do vapor e sua relação com as práticas do cotidiano do Centro de Material e Esterilização. Método: Pesquisa documental, construída com base na análise do referencial teórico normativo sobre a qualidade do vapor para esteriliza-ção de produtos para saúde. Resultados: Os fatores que estão diretamente relacionados à qualidade do vapor são: água de alimentação, contaminantes do vapor, flutuações de pressão na rede, gases não condensáveis, título e superaquecimento. Conclusão: O controle de fatores que impactam o sucesso de esterilização por vapor não é uma atribuição única da engenharia clínica, mas sim uma responsabilidade compartilhada com o gestor do centro de materiais. A segurança na esterilização pelo vapor não deve ser reduzida ao controle de tempo, à temperatura ou ao resultado de indicadores físicos, quí-micos e biológicos, mas incluir o controle da qualidade do vapor, que é o agente esterilizante.


Objectives: To identify and discuss the factors related to quality of steam and their relation to daily practices of the Central Sterile Supply Department (CSSD). Method: Documentary research based on the analysis of the normative theoretical framework about quality of steam for the ste-rilization of medical devices. Results: Factors that are directly related to quality of steam are: feedwater, steam contaminants, pipeline pressure fluctua-tions, non-condensable gases, steam dryness and superheating. Conclusion: Controlling factors that impact the success of steam sterilization is not an assignment for clinical engineering service only; it is a responsibility that should be shared with the manager of the CSSD. Safety in steam sterilization should not be reduced to monitoring of time, temperature or the result of physical, chemical and biological indicators, but include monitoring of the quality of steam, which is the sterilizing agent.


Objetivos: Identificar y discutir los factores relacionados con la calidad del vapor y su relación con las prácticas cotidianas en el Centro de Material y Esterilización. Método: Investigación documental, construida a partir del análisis del marco teórico normativo sobre la calidad del vapor para esterilización de productos sanitarios. Resultados: Los factores que están directamente relacionados con la calidad del vapor son: agua de alimentación, contaminantes del vapor, fluctuaciones de presión en la red, gases no condensables, titulación y sobrecalentamiento. Conclusión: El control de los facto-res que impactan el éxito de la esterilización por vapor no es una tarea única de la ingeniería clínica, sino una responsabilidad compartida con el gerente del centro de materiales. La seguridad en la esterilización por vapor no debe reducirse al control del tiempo, la temperatura o el resultado de indicadores físicos, químicos y biológicos, sino que debe incluir el control de la calidad del vapor, que es el agente esterilizante.


Subject(s)
Humans , Perioperative Care , Checklist , Patient Safety , Surgicenters , Nursing
7.
Enferm. foco (Brasília) ; 12(1): 191-195, jun. 2021. ilus
Article in Portuguese | LILACS, BDENF | ID: biblio-1280850

ABSTRACT

Objetivo: descrever a experiência relacionada a reabilitação respiratória para pacientes submetidos à cirurgia torácica e abdominal superior durante a execução de um programa de extensão universitária. Método: relato de experiência, com abordagem descritiva, sobre a criação de um programa interdisciplinar de reabilitação respiratória para pacientes submetidos à cirurgia torácica e abdominal superior com parceria entre universidade pública e hospital municipal de Imperatriz, Maranhão. Resultados: as atividades do programa universitário de reabilitação respiratória para pacientes em pós-operatório são desempenhadas em três eixos in locus: Educação em Exercícios Respiratórios, Capacitação sobre assistência de enfermagem no pós-operatório de cirurgias torácicas e abdominais e, Educação em saúde e intervenções de enfermagem na atenção ao paciente no período pós-operatório. Conclusão: a atuação em projeto respiratório interdisciplinar, focado em ações educativas, mostrou-se uma ferramenta inovadora de apoio ao cuidado clínico de pacientes submetidos à cirurgia torácica e abdominal superior. (AU)


Objective: To describe the experience related to respiratory rehabilitation for patients undergoing thoracic and upper abdominal surgery during the execution of a university extension program. Methods: Experience report, with a descriptive approach, on the creation of an interdisciplinary program of respiratory rehabilitation for patients undergoing thoracic and upper abdominal surgery in partnership with a public university and a municipal hospital in Imperatriz, Maranhão. Results: The activities of the university respiratory rehabilitation program for patients in the postoperative period are performed in three axes in locus: Education in Respiratory Exercises, Training in nursing care in the postoperative period of thoracic and abdominal surgeries, and Health education and interventions nursing in patient care in the postoperative period. Conclusion: Acting in an interdisciplinary respiratory project, focused on educational actions, proved to be an innovative tool to support the clinical care of patients undergoing thoracic and upper abdominal surgery. (AU)


Objetivo: Describir la experiencia relacionada con la rehabilitación respiratoria para pacientes sometidos a cirugía torácica y abdominal superior durante la ejecución de un programa de extensión universitaria. Métodos: Informe de experiencia, con un enfoque descriptivo, sobre la creación de un programa interdisciplinario de rehabilitación respiratoria para pacientes sometidos a cirugía torácica y abdominal superior en colaboración con una universidad pública y un hospital municipal en Imperatriz, Maranhão. Resultados: Las actividades del programa universitario de rehabilitación respiratoria para pacientes en el postoperatorio se realizan en tres ejes en el locus: educación en ejercicios respiratorios, capacitación en cuidados de enfermería en el postoperatorio de cirugías torácicas y abdominales, y educación e intervenciones de salud enfermería en atención al paciente en el postoperatorio. Conclusión: Actuar en un proyecto respiratorio interdisciplinario, centrado en acciones educativas, demostró ser una herramienta innovadora para apoyar la atención clínica de pacientes sometidos a cirugía torácica y abdominal superior. (AU)


Subject(s)
Teaching , Postoperative Complications , Breathing Exercises , Perioperative Care , Interdisciplinary Placement
8.
Rev. cuba. anestesiol. reanim ; 20(1): e682, ene.-abr. 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1156372

ABSTRACT

Introducción: Múltiples son los artículos publicados que abordan el tema de la ciencia abierta y su importancia para la sociedad, especialmente para la comunidad de investigadores. Esta constituye, ineludiblemente, el presente y futuro de las revistas científicas como método de expandir las investigaciones con alta calidad y credibilidad. La ciencia abierta como movimiento, tiene varios componentes y dentro de ellos, la gestión de citas y referencias de datos, códigos y materiales, que fundamentan la necesidad de que los autores tengan disponibles los contenidos subyacentes a los artículos que se publican y que constituyen la base de los resultados obtenidos en cada investigación. Objetivo: Evaluación de la eficacia de los protocolos de recuperación mejorada en cirugía cardiaca. Métodos: El protocolo que se propone fue elaborado por la investigadora principal (registro público cubano de ensayos clínicos RPCEC00000304) y se describe acorde a las recomendaciones de la lista internacional de chequeo para ensayos clínicos (SPIRIT). Conclusiones: Estarían en relación a si se puede demostrar, después de terminada la investigación, si el protocolo motivo de la Intervención, es mejor, igual o peor que el protocolo de control(AU)


Introduction: There are multiple articles published that address the subject of open science and its importance for society, especially for the research community. This constitutes, inevitably, the present and future of scientific journals as a method of expanding research with high quality and credibility. Open science, as a movement, has several components including the management of citations and references of data, codes and materials, which support the need for authors to have available the underlying content of the articles published and constituting the base for the results obtained in each investigation. Objective: Assessment of the efficacy of improved recovery protocols in cardiac surgery. Methods: The proposed protocol was prepared by the main researcher (Cuban public registry of clinical trials: RPCEC00000304) and is described according to the recommendations of the international checklist for clinical trials (SPIRIT). Conclusions: They would be related to whether it can be demonstrated, after the end of the investigation, if the protocol reason for the intervention is better, equal to, or worse than the control protocol(AU)


Subject(s)
Humans , Male , Female , Myocardial Ischemia/epidemiology , Protocols , Enhanced Recovery After Surgery/standards , Perioperative Care/standards , Perioperative Medicine/methods
9.
Rev. colomb. anestesiol ; 49(1): e400, Jan.-Mar. 2021. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1149797

ABSTRACT

Abstract Introduction Multimodal enhanced recovery programs are a new paradigm in perioperative care. Objective To evaluate the certainty of evidence pertaining to the effectiveness and safety of the multimodal perioperative care program in elective colorectal surgery. Data source: A search was conducted in the Medline, EMBASE, and Cochrane databases, up until February 2020. Eligibility criteria Systematic reviews that take into account the perioperative multimodal program in patients with an indication for colorectal surgery were included. The primary outcomes were morbidity and postoperative deaths. The secondary outcome was hospital length of stay. Study quality and synthesis method The reviews were evaluated with AMSTAR-2 and the certainty of the evidence with the GRADE methodology. The findings are presented with measures of frequency, risk estimators, or differences. Results Six systematic reviews of clinical trials with medium and high quality in AMSTAR-2 were included. Morbidity was reduced between 16 and 48%. Studies are inconclusive regarding postoperative mortality. Hospital length of stay was reduced by an average of 2.5 days (p <0.05). The certainty of the body of evidence is very low. Limitations The effect of the program, depending on the combination of elements, is not clear. Conclusions and implications Despite the proven evidence that the program is effective in reducing global postoperative morbidity and hospital stay, the body of evidence is of very low quality. Consequently, results may change with new evidence and further research is required.


Resumen Introducción Los programas multimodales de cuidado perioperatorio son nuevos paradigmas de atención en salud, particularmente en el paciente quirúrgico. Objetivo Evaluar la certeza en la evidencia de la efectividad y seguridad del programa multimodal perioperatorio en cirugía colorrectal electiva. Fuente de datos Se consultaron las bases de datos Medline, EMBASE y Cochrane hasta febrero de 2020. Criterios de elegibilidad Se incluyeron revisiones sistemáticas que consideraron como intervención el programa multimodal perioperatorio en pacientes con indicación de cirugía colorrectal. Los desenlaces primarios fueron morbilidad y mortalidad postoperatoria. El desenlace secundario fue estancia hospitalaria. Evaluación de los estudios y método de síntesis La calidad de las revisiones fue evaluada con AMSTAR-2 y la certeza de la evidencia con la metodología GRADE. Los hallazgos se presentan con medidas de frecuencia, estimadores de riesgo o diferencias. Resultados Se incluyeron seis revisiones sistemáticas de ensayos clínicos de media y alta calidad en AMSTAR-2. La morbilidad se redujo entre el 16 y el 48 %. Para la mortalidad postoperatoria no se reportan diferencias a favor del programa. La estancia hospitalaria se redujo en promedio 2,5 días (p < 0,05). La certeza del cuerpo de la evidencia es muy baja. Limitaciones El efecto del programa en función de combinación de elementos no es claro. Conclusiones e implicaciones A pesar de que la evidencia sugiere que el programa es efectivo en la reducción de morbilidad postoperatoria global y estancia hospitalaria, el cuerpo de la evidencia es de muy baja calidad, por lo que los resultados podrían cambiar con nueva evidencia. Se requieren nuevas investigaciones.


Subject(s)
Humans , Colorectal Surgery , Perioperative Care , Technology Assessment, Biomedical , Treatment Outcome , Systematic Reviews as Topic , Enhanced Recovery After Surgery
10.
Rev. colomb. obstet. ginecol ; 72(1): 53-68, Jan.-Mar. 2021. tab
Article in Spanish | LILACS | ID: biblio-1251613

ABSTRACT

RESUMEN Objetivo: sintetizar la evidencia disponible en torno a las intervenciones para la prevención de eventos tromboembólicos venosos durante el cuidado perioperatorio de las mujeres con patología ginecológica benigna, buscando reducir la morbi-mortalidad asociada a esta condición. Materiales y métodos: el grupo desarrollador estuvo integrado por profesionales de la salud, tomadores decisiones y un representante de las pacientes. Todos los participantes declararon sus conflictos de interés. Se construyeron preguntas clínicas contestables y se realizó la graduación de los desenlaces. Se elaboró la pesquisa de la información en Medline/PubMed, Embase, Epistemonikos y LILACS. La búsqueda también abarcó fuentes de literatura gris y se actualizó el 22 de septiembre de 2020 sin restricciones por fecha o idioma. Se implementó la aproximación GRADE (Grading of Recommendations Assessment, Development and Evaluation) para establecer la calidad de la evidencia y la fuerza de las recomendaciones, se realizó consenso formal acorde con la metodología RAND/UCLA. Previo a la publicación, el documento fue objeto de revisión por pares. Resultados: se presenta la versión corta del consenso "para la prevención de eventos tromboembólicos venosos durante el cuidado perioperatorio de las mujeres con patología ginecológica benigna", junto a su evidencia de soporte y respectivas recomendaciones. Conclusiones: como recomendaciones claves para la implementación, se proponen el uso de la escala de Caprini y el uso de intervenciones acorde con el nivel de riesgo perioperatorio de las pacientes.


ABSTRACT Objective: To draw a synthesis of the available evidence regarding interventions for the prevention of venous thromboembolic events during the peri-operative care of women with benign gynecological pathology, with the aim of reducing the associated morbidity and mortality. Materials and methods: The development group included healthcare professionals, decision-makers and one patient representative. All the participants stated their disclosures. Answerable clinical questions were built and outcomes were graded. The search for information was conducted in Medline, Embase, Epistemonikos and LILACS, but it also included grey literature and was updated on September 22, 2020, with no date or language restrictions. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach was used to determine the quality of the evidence and the strength of the recommendations. Formal consensus was developed in accordance with the RAND/UCLA methodology. The document was submitted to peer review before publication. Results: The abbreviated version of the "consensus on the prevention of venous thromboembolic events during the perioperative care of women with benign gynecological pathology" is presented together with the supporting evidence and respective recommendations. Conclusions: The key recommendations for implementation include the use of the Caprini scale and of interventions consistent with the individual peri-operative risk level.


Subject(s)
Humans , Female , Consensus , Venous Thromboembolism , Pulmonary Embolism , General Surgery , Women , Perioperative Care
11.
Rev. eletrônica enferm ; 23: 1-9, 2021.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1253925

ABSTRACT

Objetivo: Analisar as evidências científicas sobre cultura de segurança pelos profissionais de saúde relacionada ao ambiente do centro cirúrgico. Método: Revisão integrativa crítica com busca nas bases de dados Medline, Embase, LILACS, CINAHL, Scopus e Web of Science a partir dos descritores em ciências da saúde organizational culture, surgicenters e health personnel. Selecionaram-se 8 artigos, sendo 75% publicados pela enfermagem, a classe profissional mais encontrada nos estudos. Resultados: Na coleta de dados, 3 usaram o Hospital Survey on Patient Safety Culture, 3 o Safety Attitudes Questionnaire, 1 o Safety Attitudes Questionnaire/Operating Room e 1 survey on-line. Duas dimensões foram consideradas frágeis, o apoio da gerência e a comunicação e a melhor pontuação foi o trabalho em equipe. Conclusão: Evidencia-se o uso de variados instrumentos para a avaliação da cultura de segurança no centro cirúrgico, apesar de haver um instrumento de aplicabilidade específica.


Objective: To analyze the scientific evidence on safety culture by health professionals related to the operating room environment. Method: Critical integrative review with a search in the Medline, Embase, LILACS, CINAHL, Scopus and Web of Science databases based on the health sciences descriptors: organizational culture, surgicenters and health personnel. Eight articles were selected, 75% of which were published by nursing, the professional class most found in the studies. Results: In data collection, the Hospital Survey on Patient Safety Culture was used in 3 studies, the Safety Attitudes Questionnaire in 3, the Safety Attitudes Questionnaire/Operating Room in 1 and the online survey in 1 study. Two dimensions, management support and communication, were considered weak, while the best score was for teamwork. Conclusion: The use of various instruments to evaluate the safety culture in the operating room is evidenced, although there is an instrument of specific applicability.


Subject(s)
Perioperative Care , Patient Safety , Health Personnel
12.
São Luís; s.n; 2021. 30 p. ilus.
Monography in Portuguese | ColecionaSUS, LILACS, ColecionaSUS, CONASS, SES-MA | ID: biblio-1358138

ABSTRACT

Preparamos este manual para que você fique por dentro de tudo que vai acontecer durante seu tratamento. Aqui você encontrará as rotinas e os cuidados necessários antes, durante e após a sua cirurgia, com todas as informações para passar por esse momento com tranquilidade. Fique atento aos documentos e exames necessários. Caso tenha alguma dúvida, entre em contato com o hospital!


Subject(s)
Humans , Patient Discharge/standards , Thoracic Surgery/standards , Perioperative Care/standards , Intensive Care Units
13.
Chinese Journal of Surgery ; (12): 179-191, 2021.
Article in Chinese | WPRIM | ID: wpr-878277

ABSTRACT

Pediatric liver transplantation (PLT) is an effective strategy of treating various acute or chronic end-stage liver diseases and inherited metabolic diseases in children.PLT has been applied in many transplant centers nationwide and has achieved satisfactory results.However,the development of transplant centers is uneven,and there is a lack of consensus and standards within the industry.In order to reduce post-operative complications,accelerate post-operative recovery,and improve the short-and long-term quality of life of children,the Enhanced Recovery After Surgery Committee of Chinese Research Hospital Association organized multidisciplinary experts to summarize the progress of domestic and international research,and formulated a perioperative consensus on PLT based on the principles of evidence-based medicine.The consensus provides recommendations for perioperative PLT from three aspects:preoperative assessment and preparation,intraoperative management and postoperative management,in order to provide reference guidelines for centers that are conducting or preparing to conduct PLT.


Subject(s)
Child , Consensus , End Stage Liver Disease/therapy , Enhanced Recovery After Surgery/standards , Humans , Liver Transplantation/standards , Metabolism, Inborn Errors/therapy , Perioperative Care/standards , Practice Guidelines as Topic
14.
Rev. eletrônica enferm ; 23: 1-6, 2021.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1349115

ABSTRACT

Objetivo: relatar a experiência do planejamento e implementação de medidas de biossegurança para a assistência transoperatória a pacientes suspeitos ou confirmados da COVID-19. Método: relato de experiência desenvolvido no centro cirúrgico de um hospital de ensino, entre março e maio de 2020. Foi composto por quatro etapas - Formação do grupo de trabalho para planejamento do Procedimento Operacional Padrão (POP); Elaboração do POP; Implementação do POP e Avaliação. Resultados: as medidas implementadas foram a suspensão parcial de cirurgias eletivas, realocação de profissionais do grupo de risco, aquisição de equipamento de proteção individual; fortalecimento do sistema de comunicação entre equipes; controle de pessoas e do ambiente cirúrgico; cuidados com superfícies, equipamentos e produtos para saúde utilizados na cirurgia e capacitação da equipe. Conclusão: a implementação do POP, embora desafiadora, foi essencial para a continuidade da assistência cirúrgica mais segura no contexto pandêmico para os pacientes, trabalhadores de saúde e instituição.


Objective: to report the experience of planning and implementing biosafety measures for intraoperative care for suspected or confirmed COVID-19 patients. Method: experience report developed in the operating room of a teaching hospital, between March and May 2020. The report consisted of four stages - Formation of the working group for planning the Standard Operating Procedure (SOP); Preparation of the SOP; Implementation and Evaluation of the SOP. Results: the measures implemented were the partial suspension of elective surgeries, relocation of professionals in the risk group, acquisition of personal protective equipment; strengthening of the communication system between teams; control of people and the surgical environment; care with surfaces, equipment and health products used in surgery and team training. Conclusion: the implementation of the SOP, although challenging, was essential for the continuity of safer surgical care in the pandemic context for patients, health workers and the institution.


Subject(s)
Surgicenters , COVID-19 , Perioperative Care
15.
Rev. Col. Bras. Cir ; 48: e20202832, 2021. graf
Article in English | LILACS | ID: biblio-1155356

ABSTRACT

ABSTRACT The ACERTO project is a multimodal perioperative care protocol. Implemented in 2005, the project in the last 15 years has disseminated the idea of a modern perioperative care protocol, based on evidence and with interdisciplinary team work. Dozens of published studies, using the protocol, have shown benefits such as reduced hospital stay, postoperative complications and hospital costs. Disseminated in Brazil, the project is supported by the Brazilian College of Surgeons and the Brazilian Society of Parenteral and Enteral Nutrition, among others. This article compiles publications by the authors who belong to the CNPq research group "Acerto em Nutrição e Cirurgia", refers to the experience of other national authors in various surgical specialties, and finally outlines the evolution of the ACERTO project in the timeline.


RESUMO O projeto ACERTO é um protocolo multimodal de cuidados perioperatórios. Implementado em 2005, o projeto, nos últimos 15 anos, tem disseminado a ideia de moderno protocolo de cuidados perioperatórios baseados em evidência e com atuação interprofissional. Dezenas de estudos publicados com o uso do protocolo têm mostrado benefícios como redução do tempo de internação, complicações pós-operatórias e custos hospitalares. Disseminado pelo Brasil, o projeto tem apoio do Colégio Brasileiro de Cirurgiões e da Sociedade Brasileira de Nutrição Parenteral e Enteral, entre outros. Este artigo compila publicações dos autores que compõem o grupo de pesquisa do CNPq "Acerto em Nutrição e Cirurgia", cita a experiência de outros autores nacionais em diversas especialidades cirúrgica e finalmente, delineia a evolução do projeto ACERTO ao longo da linha do tempo.


Subject(s)
Humans , Hospital Costs/statistics & numerical data , Perioperative Care/trends , Perioperative Care/statistics & numerical data , Length of Stay/statistics & numerical data , Patient Care Team , Postoperative Care , Postoperative Complications , Brazil , Preoperative Care , Perioperative Care/economics , Nutrition Therapy
16.
Rev. latinoam. enferm. (Online) ; 29: e3483, 2021. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1347616

ABSTRACT

Objective: to assess the effect of a care intervention focused on meeting the needs of family members of surgical patients during the surgery waiting time, when compared to conventional care. Method: a study with a quasi-experimental design that was developed from December 2019 to February 2020 and included 313 family members (Intervention Group=149 and Control Group=164) from a private hospital. The intervention consisted in four moments: "knowing the surgical environment and process", "information when the surgery starts", "information when the surgery ends", and "family-patient reunion". The "satisfaction" variable was assessed through the "Patient Satisfaction with Nursing Care Quality Questionnaire" instrument. The data were analyzed using descriptive and analytical statistics. The study observed the ethical principles in research. Results: the family members in the Intervention Group presented greater satisfaction with Nursing care, 90.07(9.8), when compared to the Comparison Group, 78.72(16.38), with an 11.35-point increase(p=0.000). Conclusion: the results showed that the families that received the intervention on the patient's status during the surgery waiting time were more satisfied with Nursing care in comparison to the conventional intervention.


Objetivo: evaluar el efecto de una intervención de cuidado centrada en satisfacer las necesidades de los familiares de pacientes intervenidos quirúrgicamente durante la espera quirúrgica en comparación con el cuidado convencional. Método: diseño cuasi experimental que se desarrolló durante los meses de diciembre de 2019 a febrero de 2020 que incluyó 313 familiares (grupo de intervención = 149 y grupo de control = 164) de un hospital privado. La intervención estuvo compuesta por cuatro momentos: "conocer el ambiente y proceso quirúrgicos", "información sobre el inicio de la cirugía", "información sobre elfin de la cirugía", "reencuentro familia-paciente". La variable de satisfacción se midió a través del instrumento "Cuestionario satisfacción del paciente con la calidad del cuidado de enfermería". Los datos fueron analizados con estadística descriptiva y analítica. El estudio tuvo en cuenta los principios éticos en investigación. Resultados: los familiares del grupo de intervención presentaron una mayor satisfacción con el cuidado de enfermería 90,07 (9,8) comparado con el grupo de comparación 78,72 (16,38), con un aumento de 11,35 puntos (p = 0,000). Conclusión: los resultados demostraron que las familias que recibieron la intervención sobre el estado del paciente durante el tiempo de espera quirúrgico tuvieron una mayor satisfacción con la calidad del cuidado de enfermería en comparación con la intervención convencional.


Objetivo: avaliar o efeito de uma intervenção assistencial voltada para o atendimento das necessidades dos familiares de pacientes operados durante a espera no centro cirúrgico em comparação ao atendimento convencional. Método: estudo quase-experimental desenvolvido entre os meses de dezembro de 2019 e fevereiro de 2020 incluindo 313 familiares (grupo intervenção = 149 e grupo de comparação = 164) de um hospital privado. A intervenção consistiu em quatro momentos: "conhecer o ambiente e o processo cirúrgico", "informações sobre o início da cirurgia", "informações sobre o término da cirurgia", "reunião família-paciente". A variável de satisfação foi medida por meio do instrumento "Questionário de satisfação do paciente com a qualidade dos cuidados de enfermagem". Os dados foram analisados com estatística descritiva e analítica. O estudo levou em consideração os princípios éticos em pesquisa. Resultados: os familiares do grupo intervenção apresentaram maior satisfação com os cuidados de enfermagem 90,07 (9,8) em relação ao grupo de comparação 78,72 (16,38), com aumento de 11,35 pontos (p = 0,000). Conclusão: os resultados demonstraram que as famílias que receberam a intervenção sobre a condição do paciente durante o tempo de espera cirúrgica relataram maior satisfação com a qualidade dos cuidados de enfermagem se comparados à intervenção convencional.


Subject(s)
Humans , Operating Rooms , Clinical Nursing Research , Family , Patient Satisfaction , Perioperative Care , Nursing Assistants
17.
Belo Horizonte; s.n; s.n; 2021. 109 p. ilus, tab.
Thesis in Portuguese | LILACS, BDENF | ID: biblio-1369659

ABSTRACT

Hypothermia is one of the main events and consequently nursing diagnoses found in patients undergoing anesthetic-surgical procedures. The consequences caused by hypothermia directly interfere with the individual's recovery after the surgical anesthetic procedure, which can cause an increase in cardiac and respiratory morbidity, an increase in the rate of infections and an increase in the hospital stay. It aimed to evaluate the patient's warm-up using the Forced Air Heating System, during the post-anesthetic recovery period. The method used was a clinical trial, randomized-controlled, without blinding, following the recommendations of the Consolidated Standards of Reporting Trials, carried out from August to October 2020, in a large, public Municipal Hospital in the city of Belo Horizonte, Minas Gerais. The sample consisted of 66 patients, 33 belonging to the Control Group (standard care of the Institution) and 33 to the Experimental Group (heating intervention by Forced Air Heating System), allocated by systematic probabilistic sampling technique, associated with random sampling simple. Data were collected with sociodemographic, clinical, surgical aspects and parameters evaluated in the post-anesthetic recovery period. The research project followed all ethical principles and was submitted to the Brazilian Registry of Clinical Trials. The Chi-square test, Fisher's exact test, Mann-Whitney test and the Generalized Equations Estimating method were used. The software used in the analyzes was R (version 4.0.2). The results demonstrate that the patient heating as a forced air system was not efficient and did not reestablish the normothermic state, but other benefits related to the heating were evidenced. The mean temperature of the patients at the exit of the post-anesthetic recovery room was higher for the experimental group (35.78ºC) than for the control group (35.60ºC), but this difference was not significant (p = 0.274); the experimental group shows a higher mean time of permanence in the post-anesthetic recovery room (96.97 minutes) than the control group (82.67 minutes) (p = 0.011); the mean body temperature of the patient's entry into the post-anesthetic recovery room was higher in patients in the control group (34.91ºC) than in the experimental group (34.57ºC), this difference being significant (p = 0.003); the mean difference in body temperature in and out of the post-anesthetic recovery room was higher in the experimental group (1.21ºC) than in the control group (0.69ºC); the control group patients present a higher mean systolic blood pressure in the 15 minutes (p = 0.043) and 90 minutes (p = 0.007) of anesthetic recovery and more episodes of hypertension and hypotension (p <0.001) than the patients in the experimental group; the patients of the control group present more episodes of mild and moderate hypoxemia (p <0.001) than the patients of the experimental group; and only the patients in the experimental group presented reports of improvement in the sensation of cold and tremors.


Subject(s)
Postanesthesia Nursing , Perioperative Care , Hypothermia , Recovery Room , Randomized Controlled Trial , Academic Dissertation , Vital Signs , Hospitals, Public
18.
Rev. venez. cir ; 74(2): 44-50, 2021. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1369702

ABSTRACT

La recuperación mejorada después de la cirugía (ERAS®) es un protocolo multimodal aplicado a la atención peri operatoria. Estos protocolos están implementados por un equipo multidisciplinario centrado en el paciente, incorporan personal clínico ambulatorio, enfermeras, anestesiólogos, personal de recuperación post operatoria, personal de nutrición, fisioterapeutas, trabajadores sociales y cirujanos. Independientemente de la subespecialidad quirúrgica, todos los protocolos ERAS® comparten los mismos objetivos: optimización pre operatoria del paciente, disminución del estrés peri operatorio, mantenimiento de la función fisiológica post operatoria y tiempo de recuperación acelerado después de la cirugía. Los protocolos ERAS® están diseñados para reducir la respuesta al estrés quirúrgico, facilitar el mantenimiento de la composición corporal y función orgánica para lograr una recuperación temprana(AU)


Enhanced Recovery After Surgery (ERAS®) is a multimodal protocol applied to perioperative care. These protocols are implemented by a multidisciplinary patient-centered team, incorporating outpatient clinical staff, nurses, anesthesiologists, post-operative recovery staff, nutrition staff, physical therapists, social workers, and surgeons. Regardless of the surgical subspecialty, all ERAS® protocols share the same objectives: preoperative optimization of the patient, reduction of perioperative stress, maintenance of post-operative physiological function, and accelerated recovery time after surgery. ERAS® protocols are designed to reduce the response to surgical stress, facilitate the maintenance of body composition and organ function to achieve early recovery(AU)


Subject(s)
Humans , Male , Female , Stress, Physiological , Perioperative Care , Process Optimization , Enhanced Recovery After Surgery , Protocols , Equipment and Supplies , Physical Therapists , Anesthesiologists
19.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 1161-1166, jan.-dez. 2021. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1255129

ABSTRACT

Objetivo: Investigar o jejum prolongado em pacientes que submeteram-se a procedimentos cirúrgicos abdominais e do trato gastrointestinal com uso de anestesia geral, e as possíveis complicações no pré, intra e pós-operatório. Método: um estudo exploratório-descritivo, com recorte transversal retrospectivo-documental e abordagem quali-quantitativa, realizado num Hospital Federal do Rio de Janeiro, com análise documental referente ao período de janeiro de 2013 a abril de 2018. Resultado: houve uma grande variação no tempo de jejum pré-operatório, 0,3% dos pacientes fizeram jejum até 8 horas e 11,3% até 12 horas, alguns casos chegaram a fazer mais de 24 horas de jejum. Conclusão: foi perceptível que dentre prontuários analisados, os pacientes permaneceram em jejum perioperatório muito superiores fora dos padrões de segurança estipulados, gerando intercorrências que causam desconforto ao paciente, prejudicam a reabilitação, aumentam o tempo de internação e oneram o sistema


Objective:To investigate prolonged fasting in patients who underwent abdominal and gastrointestinal surgical procedures with general anesthesia, and possible complications in the pre, intra and postoperative periods. Method: an exploratory-descriptive study, with retrospective-documental cross-section and qualitative-quantitative approach, performed at a Federal Hospital of Rio de Janeiro, with documentary analysis from January 2013 to April 2018. Result: there was a great variation in time of preoperative fasting, with 0.3% of patients fasted for up to 8 hours and 11.3% for up to 12 hours, some cases reaching more than 24 hours fasting. Conclusion: Patients were found to be in perioperative fasting far beyond the stipulated safety standards, generating complications that cause discomfort to the patient, impair rehabilitation, increase length of hospital stay, and burden the system


Objetivo: Investigar el ayuno prolongado en pacientes que se sometieron a procedimientos quirúrgicos abdominales y del tracto gastrointestinal con uso de anestesia general, y las posibles complicaciones en el pre, intra y postoperatorio. Metodo: un estudio exploratório y descriptivo, con recorte transversal retrospectivo y documental con el abordaje cuali y cuantitativo, realizado en un Hospital Federal de Rio de Janeiro, con análisis documental referente al período de enero de 2013 a abril de 2018. Resultado:ocorrió una gran variación en el tiempo de ayuno preoperatorio, 0,3% de los pacientes hicieron ayuno hasta 8 horas y 11,3% hasta 12 horas, algunos casos llegaron a hacer más de 24 horas de ayuno. Conclusión: fue notable que entre los prontuarios analizados, los pacientes permanecieron en ayuno perioperatorio muy superiores fuera de los estándares de seguridad estipulados, generando intercurrencias que causan incomodidad al paciente, perjudican la rehabilitación, aumentan el tiempo de internación y el sistema


Subject(s)
Humans , Male , Female , Adolescent , Middle Aged , Aged , Fasting , Perioperative Care/methods , Gastrointestinal Tract/surgery , Abdomen/surgery , Time Factors , Cross-Sectional Studies , Retrospective Studies
20.
Rev. méd. Minas Gerais ; 31: 31201, 2021.
Article in Portuguese | LILACS | ID: biblio-1291266

ABSTRACT

A pandemia revolucionou a assistência médica global de uma maneira sem precedentes e com repercussões inimagináveis. A prática diária ortopédica foi significativamente afetada. O trauma e a ortopedia estão na linha de frente do coronavírus, uma vez que as operações ortopédicas de emergência ainda estão entre os procedimentos cirúrgicos de emergência mais comuns. No entanto, as indicações cirúrgicas foram reformuladas, com casos eletivos sendo adiados. De acordo com as diretrizes propostas pela Academia Americana de Cirurgiões Ortopédicos (AAOS) e Colégio Americano de Cirurgiões (ACS) as cirurgias eletivas devem ser criteriosamente adiadas, dependendo do local, prevalência de COVID-19 e disponibilidade de recursos. Estudos demonstraram que a chance do paciente que será operado ser portador assintomático do SARS-Cov-2 é de 0,07%, cerca de 1 em 1.400. A partir dessa informação, calcula-se que a chance de um paciente assintomático evoluir a óbito devido a COVID-19 após cirurgia ortopédica é de 1 em 7.000 casos. O risco de morte em cirurgia eletiva em um contexto de pandemia por COVID-19 serão cumulativos; no entanto, o risco do COVID-19 será menor do que o risco de morte por todas as causas em um determinado ano.


The COVID-19 pandemic has revolutionized global health care in an unprecedented way and with unimaginable repercussions. Daily orthopedic practice was significantly affected. Trauma and orthopedics surgeries are at the forefront of coronavirus, since emergency orthopedic operations are still among the most common emergency surgical procedures. However, surgical indications have been reformulated, with elective cases being postponed. According to the guidelines proposed by the American Academy of Orthopedic Surgeons (AAOS) and American College of Surgeons (ACS), elective surgeries should be carefully postponed, depending on the location, prevalence of COVID-19 and availability of resources. Studies have shown that the chance that the patient to be operated on will be asymptomatic with SARS-Cov-2 is 0.07%, about 1 in 1,400. From this information, it is estimated that the chance of an asymptomatic patient evolving to death due to COVID-19 after orthopedic surgery is 1 in 7,000 cases. The risk of death from elective surgery in a context of a COVID-19 pandemic will be cumulative; however, the risk of COVID-19 will be less than the risk of death from all causes in a given year.


Subject(s)
Humans , Male , Female , Orthopedic Procedures , COVID-19 , Orthopedics , Security Measures , Surgical Procedures, Operative , Coronavirus , Perioperative Care , SARS-CoV-2
SELECTION OF CITATIONS
SEARCH DETAIL