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Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Identify prognostic factors that interfere in outcome polytraumatized patients HC Unicamp. Methods: Observational and descriptive study, with 29 polytraumatized patients, age more than 17 years old and both genders; and excluded polytraumatized patients hospitalization time more than 72 hours. It were static program SPSS 15.0 for Windows and Graphpad Prism 6.0 and qui-quadrado test and Spearman. Value of p≤0.05 were considered statistically. Results: Mechanism trauma more often were traffic accident, male gender was more often with median age of 30 years old. The patients that had discharge from hospital had median of RTS equal 7.83 and TRISS of 99. Moreover, 19 patients that home discharge, six need of orotraqueal intubation in hospitalar admission. Conclusion: The index demonstrated the gravity and prognostic of patients in the discharge hospital. However, the factors that interfered outcome (discharge or death) this patients were need admission IOT; head with segment most affected; and value less ou equal eight GCE. [ABSTRACT FROM AUTHOR]

Introduction: The pandemic caused by the SARS-CoV-2 virus in early 2020 changed the practices of health professionals in order to mitigate the risks of contamination of health care frontline workers, mainly activities related to the management of the airways of patients with Covid-19. Objective: to identify the practices necessary to ensure the safety of health professionals in managing the airway of patients suspected or diagnosed with Covid-19. Materials and methods: an integrative review carried out in ten relevant databases in the health area, with the sample consisting of 17 surveys. The practices identified were listed according to the four procedures punctuated by the literature: endotracheal intubation, extubation, bronchoscopy and tracheostomy. Results: the main recommendations mentioned were: endotracheal intubation: performed by an experienced, trained, minimal team and professionals from risk groups for covid-19 should not be part of this team; extubation: do not use a high flow nasal catheter after the procedure; bronchoscopy: perform in an isolated room with negative pressure; tracheostomy: may be considered early, but the risk-benefit must be assessed. Conclusion: the practices identified may direct the management of airways and guide the construction of assistive, educational or managerial technologies. [ABSTRACT FROM AUTHOR]

Objective: To analyze the conditions involved in performing tracheostomy in patients on mechanical ventilation, admitted to the Intensive Care Unit (ICU) of a private hospital. Methods: Analytical, cross-sectional, and retrospective study, carried out in 2017. Age, sex, main occupation, marital status, classification by affected system or organ, day of tracheostomization, and outcome (discharge from the ICU or death) were analyzed. Data were analyzed using the R version 3.6 program, generating descriptive statistics such as: mean, standard deviation, minimums, and maximums for quantitative variables and proportions for qualitative variables. Results: Most were male, married, from the capital, and working. The most affected systems were respiratory, neurological, and gastrointestinal. Of the sample, 60% were discharged from the ICU, and 40% died. The mean age was 70 years, and the median was 68. Patients were tracheostomized, on average on the 11th day after orotracheal intubation. Crossing variables, there was an association only between outcome (discharge or death) and affected system. Conclusion: It is suggested to carry out further studies focused on nursing care with tracheostomized people. Tracheostomization is an invasive practice that requires special care and attention. [ABSTRACT FROM AUTHOR]

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article describes a study conducted at a philanthropic maternity hospital in Vitória, ES, with the aim of characterizing the clinical profile of premature newborns who underwent the use of Continuous Positive Airway Pressure (CPAP) in the delivery room. Out of the 83 premature newborns who used CPAP, only 12 met the study criteria. The results indicated that none of the newborns needed to be intubated and 17% of them did not require admission to the Neonatal Intensive Care Unit (NICU). The study concludes that the use of CPAP in the delivery room can prevent endotracheal intubation in premature newborns. [Extracted from the article]

The endotracheal intubation is a routine procedure in patients suffering from respiratory distress. It is essential the correct handling of the endotracheal prosthesis and of the cuff, which is intended to seal the airway; and it is extremely important that the physiotherapist be aware of this knowledge and care as the patient will be subject to injuries such as tracheal stenosis, nosocomial pneumonia and even death, due to inadequate pressures. This study aims to evaluate the theoretical and practical knowledge of physiotherapists in relation to its topic. This is a descriptive analysis, by means of the application of a questionnaire with six questions related to its topic, with a sample of 22 physiotherapists working in intensive care units in Joinville-SC. The research project was approved under the opinion number 58703816.1.0000.5366, by the research ethics committee of the Universidade da Região de Joinville - UNIVILLE. The results showed that some physiotherapists do not demonstrate clarity regarding the ideal cuff pressure, cuff function, or ideal measurement frequency. We also observed that differences in the literature on the values and the unit of pressure measurement favor the doubts of the professionals, being a risk factor for increasing the chances of the morbimortality of the patients, and increasing the costs of the hospital units due to the growth of hospitalized patients. This is a relevant topic, since it evidences that appropriate knowledge on the subject can provide a better quality of patient care, and may even interfere in the clinical outcome of the patient. [ABSTRACT FROM AUTHOR]

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The endotracheal intubation in the prehospital setting, is considered the gold standard in the airway maintenance in order to provide ventilation and oxygenation to the critically ill patient, however it is associated with various complications and risks for the patient. With this work of systematic literature review we intend to understand the relationship between the EIT in prehospital emergency, and the prognosis of the critically ill, posing the following question: "what is the impact of endotracheal intubation, in prehospital care, on the clinical prognosis of the patient?". This research began with a survey of English and Portuguese literature, on scientific data bases MEDLINE, CINAHL, MedicLatina and Nursing and Allied Health Collection, with a time range between 2010 and 2014. The evidence points out that the performance of a prehospital endotracheal intubation is associated with worse rates of cardiopulmonary resuscitation, increased rates of mortality and an increase in co-morbidities. These findings reinforce the discussion surrounding the practice of EIT in pre-hospital and draw health professionals attention to limit this practice to cases where there is a clear clinical indication. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)