Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 3 de 3
Filter
Add more filters










Publication year range
1.
Interact Cardiovasc Thorac Surg ; 14(1): 38-40, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22108938

ABSTRACT

This study compares the traditional live lecture to a web-based approach in the teaching of bronchoscopy and evaluates the positive and negative aspects of both methods. We developed a web-based bronchoscopy curriculum, which integrates texts, images and animations. It was applied to first-year interns, who were later administered a multiple-choice test. Another group of eight first-year interns received the traditional teaching method and the same test. The two groups were compared using the Student's t-test. The mean scores (± SD) of students who used the website were 14.63 ± 1.41 (range 13-17). The test scores of the other group had the same range, with a mean score of 14.75 ± 1. The Student's t-test showed no difference between the test results. The common positive point noted was the presence of multimedia content. The web group cited as positive the ability to review the pages, and the other one the role of the teacher. Web-based bronchoscopy education showed results similar to the traditional live lecture in effectiveness.


Subject(s)
Bronchoscopy/education , Curriculum , Education, Medical, Undergraduate/methods , Internet , Teaching/methods , Adult , Humans , Male , Multimedia , Reproducibility of Results , Young Adult
2.
J. bras. pneumol ; 33(6): 687-690, nov.-dez. 2007. tab
Article in English, Portuguese | LILACS | ID: lil-471291

ABSTRACT

OBJETIVO: Analisar a viabilidade, as complicações e a mortalidade da traqueostomia realizada em ambiente de unidade de terapia intensiva (UTI). MÉTODOS: Análise retrospectiva dos prontuários médicos dos 73 pacientes que foram submetidos à traqueostomia nos leitos das UTIs do Hospital São Paulo da Universidade Federal de São Paulo no período de janeiro a novembro de 2003. Os procedimentos foram realizados sempre por um residente de cirurgia, sob a orientação de um cirurgião torácico, utilizando a técnica aberta sistematizada no serviço. RESULTADOS: A idade média dos pacientes foi de 55,2 anos, sendo que 47 eram do sexo masculino (64,4 por cento) e 26 eram do sexo feminino (35,6 por cento). A indicação mais freqüente foi a intubação orotraqueal prolongada (76,7 por cento). Não houve mortalidade relacionada ao procedimento, e em todos os pacientes o procedimento pôde ser realizado na UTI. As complicações imediatas ocorreram em 2 pacientes (2,7 por cento), nos quais houve sangramento local aumentado que cessou com compressão local. A complicação tardia foi a infecção ao redor da ferida operatória, a qual ocorreu em 2 pacientes (2,7 por cento) e foi tratada com curativos locais, sem maiores repercussões clínicas. CONCLUSÕES: Com base nos resultados de nossa análise, os quais são comparáveis aos resultados sobre traqueostomias realizadas no centro cirúrgico encontrados na literatura, concluímos que a traqueostomia na UTI é viável e apresenta baixo índice de complicações, mesmo quando realizada em pacientes graves por cirurgiões em treinamento. Portanto, a nosso ver, é possível afirmar que vale a pena realizar a traqueostomia na UTI.


OBJECTIVE: To determine the feasibility of performing tracheostomy in the intensive care unit (ICU) environment and to assess procedure-related complications and mortality. METHODS: The medical records of the 73 patients submitted to tracheostomy in the ICU of the Federal University of São Paulo Hospital São Paulo between January and November of 2003 were evaluated retrospectively. All operations were performed by surgical residents, under the supervision of a thoracic surgeon, using the open technique standardized at the facility. RESULTS: The mean age of the patients was 55.2 years. Of the 73 patients evaluated, 47 (64.4 percent) were male and 26 (35.6 percent) were female. The most common indication was prolonged orotracheal intubation (76.7 percent). There was no procedure-related mortality, and, in all patients, the procedure was successfully performed in the ICU. Early complications occurred in 2 patients (2.7 percent), who presented increased local bleeding, which was controlled using compression. The late complication was infection at the incision site, which occurred in 2 patients (2.7 percent) and was treated by applying local dressings, without further clinical repercussions. CONCLUSIONS: Based on the results of our analysis, which are comparable to those found in the literature regarding tracheostomy performed in the operating room, we concluded that tracheostomy in the ICU is feasible and presents a low rate of complications, even when performed in critically ill patients and by surgeons in training. Therefore, in our view, it is possible to state that performing tracheostomy in the ICU is worthwhile.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Intensive Care Units , Tracheostomy/adverse effects , Feasibility Studies , Hemorrhage/etiology , Intubation, Intratracheal/adverse effects , Intubation, Intratracheal/mortality , Professional Competence , Reproducibility of Results , Retrospective Studies , Surgical Wound Infection/etiology , Tracheostomy/mortality
3.
J Bras Pneumol ; 33(6): 687-90, 2007.
Article in Portuguese | MEDLINE | ID: mdl-18200369

ABSTRACT

OBJECTIVE: To determine the feasibility of performing tracheostomy in the intensive care unit (ICU) environment and to assess procedure-related complications and mortality. METHODS: The medical records of the 73 patients submitted to tracheostomy in the ICU of the Federal University of São Paulo Hospital São Paulo between January and November of 2003 were evaluated retrospectively. All operations were performed by surgical residents, under the supervision of a thoracic surgeon, using the open technique standardized at the facility. RESULTS: The mean age of the patients was 55.2 years. Of the 73 patients evaluated, 47 (64.4%) were male and 26 (35.6%) were female. The most common indication was prolonged orotracheal intubation (76.7%). There was no procedure-related mortality, and, in all patients, the procedure was successfully performed in the ICU. Early complications occurred in 2 patients (2.7%), who presented increased local bleeding, which was controlled using compression. The late complication was infection at the incision site, which occurred in 2 patients (2.7%) and was treated by applying local dressings, without further clinical repercussions. CONCLUSIONS: Based on the results of our analysis, which are comparable to those found in the literature regarding tracheostomy performed in the operating room, we concluded that tracheostomy in the ICU is feasible and presents a low rate of complications, even when performed in critically ill patients and by surgeons in training. Therefore, in our view, it is possible to state that performing tracheostomy in the ICU is worthwhile.


Subject(s)
Intensive Care Units , Tracheostomy/adverse effects , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Feasibility Studies , Female , Hemorrhage/etiology , Humans , Intubation, Intratracheal/adverse effects , Intubation, Intratracheal/mortality , Male , Middle Aged , Professional Competence , Reproducibility of Results , Retrospective Studies , Surgical Wound Infection/etiology , Tracheostomy/mortality
SELECTION OF CITATIONS
SEARCH DETAIL
...