The predictors summarised in this review can be used for risk stratification of excessive bleeding after cardiac surgery. Assessment, documentation and case reporting can be guided by awareness of these factors, so that postoperative vigilance can be prioritised. Timely identification and correction of the modifiable factors can be facilitated.

OBJECTIVE: to identify the relationship between different presentations of acute coronary syndrome and cardiovascular risk factors among hospitalized individuals. METHOD: cross-sectional study performed in a teaching hospital in São Paulo, in the State of São Paulo (SP). Socio-demographic, clinical and anthropometric data of 150 individuals hospitalized due to acute coronary syndrome were collected through interviews and review of clinical charts. Association between these data and the presentation of the syndrome were investigated. RESULTS: there was a predominance of ST segment elevation acute myocardial infarction. There was significant association of systemic hypertension with unstable angina and high values of low density lipoprotein with infarction, without influence from socio-demographic characteristics. CONCLUSION: arterial hypertension and high levels of low-density lipoprotein were associated with different presentations of coronary syndrome. The results can provide support for health professionals for secondary prevention programs aimed at behavioural changing.

Blood product transfusion postoperatively is an independent predictor of bleeding-related re-exploration. Surgical errors prevailed as sources of bleeding.

Objective: to describe the nursing clinical judgment as a basis for ND identifi cation and development of a NIC treatment plan for a child after cardiac surgery under intensive care. Method: a case study with data retrospectively collected from charts. Results: Three nurses identifi ed NANDA-I diagnoses and NIC interventions. A 6-month-old child submitted to cardiac surgery, requiring extracorporeal membrane oxygenation in the postoperative period. Four main nursing diagnoses were identifi ed, towards which ten interventions were directed. The proposal of interventions to respond to the priority human responses of the child was optimized by the use of standard terminologies. Every nursing diagnosis was supported by diagnostic indicators; every intervention was scientifi cally supported. Conclusion: there must be an expectation that nurses address not only physiological responses, but also those within psychosocial domains. Key words: Nursing Diagnosis; Nursing Care; Controlled Vocabulary; Child; Thoracic Surgery. RESUMO Objetivo: descrever o julgamento clínico de enfermagem para identifi car diagnósticos NANDA e desenvolver um plano de tratamento NIC para uma criança em pós-operatório de cirurgia cardíaca em terapia intensiva. Método: estudo de caso com coleta de dados retrospectiva no prontuário. Resultados: três enfermeiras identifi caram diagnósticos NANDA e intervenções NIC. Criança de 6 meses, submetida a cirurgia cardíaca, necessitou oxigenação extracorpórea por membrana no pós-operatório. Foram identifi cados quatro principais diagnósticos, aos quais foram direcionadas dez intervenções. A proposta de intervenções para responder às necessidades humanas prioritárias da criança foi otimizada pelo uso das terminologias padronizadas. Todos os diagnósticos foram sustentados por indicadores diagnósticos; todas as intervenções foram cientifi camente sustentadas. Conclusão: espera-se que os enfermeiros abordem não somente as respostas fi siológicas, mas também aquelas dos domínios psicossociais. Descritores: Diagnóstico de Enfermagem; Cuidados de Enfermagem; Vocabulário controlado; Criança; Cirurgia Torácica. RESUMEN Objetivo: describir el raciocinio clínico de enfermería para identifi car diagnósticos y planear intervenciones NIC para una niña en el postoperatorio de cirugía cardíaca. Método: estudio de caso con datos recogidos de forma retrospectiva en registros. Resultados: tres enfermeras propusieron diagnósticos NANDA-I e intervenciones NIC. Niña de 6 meses de edad, sometida a cirugía cardíaca requirió oxigenación por membrana extracorpórea en el postoperatorio. Cuatro principales diagnósticos fueron identifi cados para los cuales diez intervenciones de enfermería fueron direccionadas. La propuesta de intervenciones para las respuestas humanas prioritarias de la niña fue optimizada por el uso de terminologías estándar. Todos los diagnósticos fueron apoyados por indicadores, cada intervención apoyada científi camente. Conclusión: los enfermeros deben abordar no sólo las respuestas fi siológicas, sino ...