Patrícia da Silva Pires

Ocorrência e fatores associados à hipotermia no intraoperatório de cirurgias abdominais eletivas

Objective To analyze the association between sociodemographic, clinical, surgical and environmental variables and the occurrence of hypothermia. Methods Cross-sectional and analytical study conducted with 105 adult patients of both genders. The Pearson’s coefficient showed a correlation between the patients’ temperature with the duration of the anesthetic-surgical period, the stay in the operating room, and the average temperature in the operating room. Results Of the 105 (100%) participants, 73 (69.5%) were female and 85 (81%) were adults. Hypothermia occurred in 98 (93.3%) patients. The average temperature was 36.1°C at the start of anesthetic procedure, with gradual decrease, reaching the average of 34°C. At the beginning of anesthetic induction, 29 (27.6%) patients had ear temperature <36 ° C and 60 minutes after induction, 78 (85.7%) patients were hypothermic, with an average temperature of 35.2 ° C. At the end of anesthesia, 93 (88.6%) patients had hypothermia with a minimum temperature of 31.4oC. Conclusion There was no significant correlation between the patient’s average temperature and the average temperature of the operating room. The variables of female gender, combined anesthesia, duration of the procedure and the length of stay in the operating room were statistically significant to predict hypothermia.

Elaboração e validação de Lista de Verificação de Segurança na Prescrição de Medicamentos

ABSTRACT Objective: to elaborate and validate a checklist to identify compliance with the recommendations for the structure of medication prescriptions, based on the Protocol of the Ministry of Health and the Brazilian Health Surveillance Agency. Method: methodological research, conducted through the validation and reliability analysis process, using a sample of 27 electronic prescriptions. Results: the analyses confirmed the content validity and reliability of the tool. The content validity, obtained by expert assessment, was considered satisfactory as it covered items that represent the compliance with the recommendations regarding the structure of the medication prescriptions. The reliability, assessed through interrater agreement, was excellent (ICC=1.00) and showed perfect agreement (K=1.00). Conclusion: the Medication Prescription Safety Checklist showed to be a valid and reliable tool for the group studied. We hope that this study can contribute to the prevention of adverse events, as well as to the improvement of care quality and safety in medication use.Objetivo: elaborar y validar un instrumento tipo checklist para identificar la adhesion a las recomendaciones en la estructura de las prescripciones de medicamentos, a partir del Protocolo del Ministerio de la Salud y Agencia Nacional de Vigilancia Sanitaria. Metodo: investigacion metodologica, conducida mediante el proceso de validez y analisis de confiabilidad, con muestra de 27 prescripciones electronicas. Resultados: los analisis llevados a cabo confirmaron la validez de contenido y la confiabilidad de la version del instrumento. La validez de contenido, alcanzada mediante la evaluacion de jueces, fue considerada satisfactoria por contemplar items que representan la adhesion a las recomendaciones en la estructura de las prescripciones de medicamentos. La confiabilidad, evaluada por interobservadores, se revelo excelente (ICC=1,00) y de concordancia perfecta (K=1,00). Conclusion: el instrumento Lista de Verificacion de Seguridad en la Prescripcion de Medicamentos se mostro valido y confiable para el grupo estudiado. Se espera que este estudio pueda contribuir hacia la prevencion de eventos adversos, y tambien hacia la mejora de la calidad de la atencion y seguridad en el uso de medicamentos.

Desfechos clínicos de pacientes com acidente vascular cerebral isquêmico após terapia trombolítica

Resumo Objetivo Analisar desfechos e fatores associados em pacientes com acidente vascular cerebral isquemico apos terapia trombolitica. Metodos Estudo do tipo coorte retrospectivo de pacientes com acidente vascular cerebral isquemico submetidos a terapia trombolitica. Foram descritas as comorbidades; os defices neurologicos e os tempos de atendimento. Utilizou-se o teste qui quadrado para associacao entre comorbidades, tempos de atendimento e ocorrencia de transformacao hemorragica. Resultados Houve elevada frequencia de comorbidades. Defices neurologicos pontuaram media de 15 pontos. A janela de tempo [...]