Encuesta sobre el procedimiento de extubación en las unidades de cuidados intensivos de Buenos Aires, Argentina / Survey on the extubation procedure in intensive care units in Buenos Aires, Argentina

RESUMEN Objetivo: Conocer la práctica habitual del manejo de la vía aérea durante el procedimiento de extubación mediante una encuesta online a profesionales de las unidades de cuidados intensivos de la Ciudad Autónoma de Buenos Aires y Provincia de Buenos, Argentina. Métodos: Estudio descriptivo transversal de tipo encuesta online del 11 de febrero al 11 de marzo de 2013. Se envió por correo electrónico una invitación voluntaria y anónima para acceder a la encuesta a 500 participantes a partir de una base de datos confeccionada por los investigadores de este estudio. Resultados: De un total de 500 participantes, 217 (44%) respondieron la encuesta. El 59,4% son kinesiólogos. Ciento noventa y cinco (89,9%) profesionales se desempeñan en atención de adultos. Con respecto al procedimiento de desinflado del balón y extubación, 203 (93,5%) realizan aspiración endotraqueal y 27 (12,5%) emplean presión positiva. El 53,5% de los participantes informó haber tenido en los últimos 3 meses complicaciones inmediatas a este procedimiento. Se informaron un total de 163 complicaciones, siendo el estridor el más prevalente (52,7%). Conclusión: La mayoría de los profesionales de unidades de cuidados intensivos de la Ciudad Autónoma de Buenos Aires y Provincia de Buenos Aires, Argentina, emplea aspiración endotraqueal sin aplicar presión positiva durante el procedimiento de extubación.

ABSTRACT Objective: To examine the usual practice of airway management during the extubation procedure through an online survey to professionals working in intensive care units in the Autonomous City of Buenos Aires and in the Province of Buenos Aires, Argentina. Methods: A cross-sectional descriptive study online survey was conducted from February 11 to March 11, 2013. A database was generated, and a voluntary and anonymous invitation to access the survey was sent by email to 500 participants. Results: Out of a total of 500 participants, 217 (44%) responded to the survey, of whom 59.4% were physical therapists. One hundred ninety-five (89.9%) professionals were working in adult care. Regarding the cuff deflation procedure and extubation, 203 (93.5%) performe endotracheal suctioning, and 27 (12.5%) use positive pressure. Approximately 53.5% of participants reported having experienced immediate complications with this procedure in the last three months. In all, 163 complications were reported, and stridor was the most prevalent (52.7%). Conclusion: Most professionals working in intensive care units in the Autonomous City of Buenos Aires and in the Province of Buenos Aires, Argentina, use endotracheal suctioning without applying positive pressure during extubation.

Adaptación cultural y validación argentina del cuestionario Northwick park de dolor cervical en el ámbito hospitalario de la ciudad autónoma de Buenos Aires / [Cultural adaptation and Argentine validation of the Northwick Park Neck Pain Questionnaire in the hospitals of the Autonomous City of Buenos Aires].

OBJECTIVE: [corrected] To make cultural adaptation and validation of the Northwick Park Neck Pain Questionnaire (NPQ) in Argentina, determining its psychometric properties in patients with neck pain of mechanical origin referred to the physiotherapy Service at D. F. Santojanni Hospital. MATERIALS AND METHODS: autorization of original author of the NPQ was requested. Then we make the linguistic adaptation and pilot study. Psychometric analyses included test-retest reliability (intraclass correlation coefficient), validity (Pearson correlation coefficient NPQ-Visual Analog Scale, VAS), internal consistency (Cronbach Coefficient Alpha) and sensibility to change (paired t test). Sixty patients were inclueed from September 2007 to February 2009 with mechanical neck pain. The variables percentage of disability (NPQ) and pain (VAS) were measured on the day of admission, 24 hours later and when the patient was discharged. RESULTS: Twenty six patients completed the study, 4 were eliminated and 30 did not complete the 3rd measurement. We get a good test-retest reliability (CCI 0,8979) and a high internal consistency (Cronbach Coefficient Alpha 0,86). Validity obtained a good correlation (r=0,678). Sensitivity to change was good (r=0,661). CONCLUSION: The NPQ is a valid, reliable and sensitive instrument to assess disability associated with neck pain of mechanical origin in patients treated at the hospitals of the Autonomous City of Buenos Aires.