Objetivo: analisar o conhecimento dos enfermeiros intensivistas em relação aos cuidados prestados a pacientes submetidos a cineangiocoronariografia. Método: trata-se de uma pesquisa de campo, de cunho descritivo-exploratório, e abordagem qualitativa, realizada entre junho e agosto de 2022 em 2 Unidades de Terapia Intensiva Adulto de um Hospital Público do Município de São Paulo, utilizando o Google Forms©. Resultados: a pesquisa realizada entrevistou um total de 21 enfermeiros, número correspondente a 100% dos profissionais atuantes no plantão diurno. A média de acertos das questões fechadas foi de 60%, em relação as questões dissertativas as respostas foram significativas. Discussão: percebeu-se que os enfermeiros apesar de conhecerem sobre a temática estudada, necessitam de atualização, bem como, participar de educação permanente sobre cineangiocoronariografia. Conclusão: é de suma importância que o enfermeiro enquanto profissional desenvolva meios seguros e eficazes de cuidar e procure se aperfeiçoar com as metodologias de assistência em enfermagem, buscando fundamentar se no conhecimento, almejando promover um cuidado holístico, humanizado e resolutivo.

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Introduction:Knowledge and proper use of hospital equipment are essential for preventing adverse events associated with their use. The risks controls for medical devices and equipment are of major importance in ensuring patient safety and the quality of care delivered by healthcare professionals. Monitoring equipment (ME), infusion pumps (IP), and mechanical ventilators (MV) are frequently used in intensive care units, but they are subject to technical, human, and process failures that may pose harm to and even cause the death of patients. The aim of this study was to evaluate the risks related to the use of ME, IP, and MV in the adult intensive care unit (AICU) of a public hospital in Brazil, and to investigate the causes of technical complaints and the adverse events associated with them. We hope the outcomes may serve as a basis for the facility to create mechanisms to diminish the risk and increase the safety and quality of care delivered to critical patientsMethods:A 12-month prospective, observational descriptive study was conducted using an active and passive search of processes related to: hospital medical equipment use; available human and material resources; training programs and continuing professional education; equipment disinfection, sterilization, and assembly processes; and the hospital risk management measures regarding the reports and actions for technical, human, and process failures and the adverse events and incidents related to them. All the data collected were checked against current Brazilian legislation and the equipment technical manuals. The root cause of every failure and adverse event was investigated.Results:The active search identified seventy-five reports on technical complaints in the study period: sixty-five were related to IP, six to ME, and four to MV. The reasons for the complaints included: deficiencies in the quantity, qualification, training, and capacity of professionals handling the devices; inadequate disinfection of MV accessories; absence of or difficulty in accessing the equipment technical manuals; and a lack of preventive and corrective maintenance programs. One single adverse event caused by an IP medication error was attributed to a programing error.Conclusions:Failures and deficiencies in the knowledge and management of hospital equipment can potentially increase risks to patients and healthcare professionals. Increasing compliance with Brazil's current legislation related to the technical and operational norms of hospital equipment might create safer practices and improve care quality for critical patients.

Objectives: Perioperative bleeding sometimes results in severe consequence. An understanding of hemostasis approaches is crucial in managing the operations. This review aims to show the development of hemostasis in surgery around the world including China. MethOds: Literature in PUBMED was searched between 2009 and 2014; search terms included hemostasis and surgery; filters included human, English and clinical trials. A similar search was done in Chinese CNKI database. Searching results were carefully reviewed and studies compatible with our inclusion criteria were then selected. Results: From an initial search which yielded 99 references in PUBMED and 50 references in CNKI, 54 articles in PUBMED and 16 articles in CNKI were included in the review. Operations in 11 subjects were involved in these articles. We found that conventional hemostasis (classic technique of tying and knots, resorbable ligature) was gradually replaced by novel techniques such as bipolar tissue sealant device, ultrasound scalpel, hempclips, blue-violet light emitting diode irradiation, Ankaferd Blood Stopper, etc. Fibrin sealant, collagen hemostat and chitosan gel had important roles to be supplement. Certain drugs (tranexamic acid, Fibrinogen concentrate, hemocoagulase, etc) used perioperatively could be efficient too. On the other hand, some new techniques (vascular clips) failed to show significant benefits in some subjects (thyroid surgery). Furthermore, some techniques (bipolar coagulation) might affect the postoperative function of certain organs (ovary). While some techniques (harmonic scalpel) could save the whole cost in hospital, most could not. Information in China was similar with the world. cOnclusiOns: Some of the novel hemostasis approaches in surgery could decrease blood loss perioperatively as well as reduce operative time, hospital stay, the rate of complications and the whole cost. However, some shortcomings still exist and more correlative researches should be performed in the future.