Introduction: The spinal cord injury is a public heatlh problem, and it can have three different origens: traumatic, compressive and congenital. The consequences are partial or total insufficiency of the spinal cord due to the interruption of motor and sensory nervous tracts. This injury results in clinical manifestations such as: autonomic dysreflexia, conduction disorders and loss of pain and touch sensitivity. Objectives: To describe the main cardiac conduction disorders on patients with spinal cord injury trough the guiding question: “What are the most common arrhytmic disorders in patients with spinal cord injury?” Methods: A integrative review was made in the MEDLINE and LILACS databases combining the MeSH descriptors: ‘Arrhytmias, cardiac” and “Spinal cord injuries”. Furthermore, the inclusion criteria was articles produced in the past ten years that answer the guiding question. Results: After na analysis, 6 out of 15 articles were selected to compound this review. The main disorders founded were tachycardia, sinus node dysfunction, atrial and ventricular fibrillation and bradychardia, the most founded disorder. There was also descripted the possibility for these patients to envolve into a distributive choque. Conclusion: Bradycardia was the main arrhythmic impairment found in patients with spinal cord injury, followed by ventricular and atrial fibrillation and tachycardia, with the severity of bradyarrhythmias being associated with the level and severity of the spinal cord injury
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Objectives: The aim was to identify the benefits of using Dialkyl Carbamoyl Chloride for the treatment of biofilms in wounds. Methods: This is an integrative literature review that aimed to answer the guiding question: “What are the benefits of using Dialkyl Carbamoyl Chloride in the healing of skin lesions?”. The article selection stages resulted in 13 articles included. Results: The selected articles were grouped into two groups, namely: prevention and treatment of infection in wounds and prevention of surgical site infection, with nine productions in the first group and four in the second. Studies have shown that Dialkyl Carbamoyl Chloride attenuates colonization symptoms, such as odor, pain complaints and oozing, in addition to aiding in the prophylactic management of wound biofilm. Evidence indicates that dressings with Dialkyl Carbamoyl Chloride have no adverse effects, making them viable and safe options for chronic, acute and, mainly, infected injuries. Conclusion: It was identified that Dialkyl Carbamoyl Chloride was able to promote beneficial actions in the treatment of wounds, especially those of greater complexity. The proper choice of dressings and coverings can contribute to the rational use of existing technologies and antimicrobials, culminating in cost reduction and promotion of quality of life for individuals with chronic wounds.
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