There is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study and one was an experience report. The vesical intra-abdominal pressure measurement was considered gold standard. There are variations in the technique however, but some common points were identified: complete supine position, in absence of abdominal contracture, in the end of expiration and expressed in mmHg. Most research results indicate keeping the transducer zeroed at the level of the mid-axillary line at the iliac crest level, and instill 25mL of sterile saline. Strong evidence must be developed.

This study aimed at exploring experiences of preceptors from two Multiprofessional Residency programs in healthcare to critically ill patients. The method used is the study of multiple cases (A and B) with data collection in two steps: 1) electronic questionnaire, analyzed through univariate descriptive statistics; 2) semi-structured interviews, with content analysis of Bardin. Preceptors’ profile - most did not have specific weekly working hours; there was financial incentive in case-unit A; for 60%(A) and 76.2%(B) this had not been their first teaching experience; and 50%(A) and 14.3%(B) had had previous pedagogical training. Four categories and sub-categories have emerged from the interviews: professional preceptor (undertaken role, required skills, previous pedagogical training); daily experience (work organization, teaching-learning process, residents’ evaluation process, extra praxis activities); relevant aspects of preceptorship (negative, positive); suggestions for improvement (preceptors’ appreciation, improvement of MRH programs). Preceptors seemed to be satisfied; however, complicating factors related to the practice were listed, such as work overload and lack of specific working hours.

Objetivo: relatar a experiência vivenciada de um serviço de emergência hospitalar do Sistema Único de Saúde (SUS) sobre os fluxos de atendimento a pacientes suspeitos ou confirmados por COVID-19. Método: trata-se de um estudo qualitativo com caráter descritivo, do tipo relato de experiência, visando a reflexão e discussão crítica acerca da experiência vivenciada por profissionais da enfermagem em um hospital de referência da região sul do Brasil no enfrentamento à pandemia. Resultados: para atendimento dos pacientes suspeitos ou confirmados de infecção por coronavírus, foram organizados planos de contingência e fluxos de atendimento nos setores de emergência em conexão com as demais áreas do hospital. Criou-se o Centro de Triagem e a sala vermelha COVID-19. Conclusão: constatou-se a importância da participação multidisciplinar para organização logística, de recursos humanos e materiais para o estabelecimento das novas rotinas assistenciais em curto prazo.Descritores: Pandemias; Coronavírus; Enfermagem; Serviço Hospitalar de Emergência; Gestão de Riscos. SUS HOSPITAL EMERGENCY SERVICE: SERVICE FLOWS FOR SUSPECTED OR CONFIRMED PATIENTS FOR COVID-19Objective: to report the experience of a hospital emergency service of the Sistema Único de Saúde (SUS) on the flows of care to patients suspected or confirmed by COVID-19. Method: it is a qualitative study with a descriptive character, of the experience report type, aiming at reflection and critical discussion about the experience lived by nursing professionals in a reference hospital in the southern region of Brazil in facing the pandemic. Results: for the care of patients suspected or confirmed of coronavirus infection, contingency plans and care flows were organized in the emergency departments in connection with the other areas of the hospital. The Triage Center and the COVID-19 red room were created. Conclusion: the importance of multidisciplinary participation for logistical, human and material resources was found to establish new care routines in the short term.Descriptors: Pandemics; Coronavirus; Nursing; Emergency Service, Hospital; Risk Management. SERVICIO DE EMERGENCIA DEL HOSPITAL SUS: FLUJOS DE SERVICIO PARA PACIENTES SUSPECTADOS O CONFIRMADOS PARA COVID-19Objetivo: informar la experiencia de un servicio de emergencia hospitalario del Sistema Único de Saúde (SUS) sobre los flujos de atención a pacientes sospechosos o confirmados por COVID-19. Método: es un estudio cualitativo con carácter descriptivo, del tipo de informe de experiencia, con el objetivo de reflexionar y debatir críticamente sobre la experiencia vivida por profesionales de enfermería en un hospital de referencia en la región sur de Brasil frente a la pandemia. Resultados: para la atención de pacientes sospechosos o confirmados de infección por coronavirus, se organizaron planes de contingencia y flujos de atención en los departamentos de emergencia en conexión con las otras áreas del hospital. Se crearon el Centro de detección y la sala roja COVID-19. Conclusión: se encontró la importancia de la participación multidisciplinaria para los recursos logísticos, humanos y materiales para establecer nuevas rutinas de atención a corto plazo.Descriptores: Pandemias; Coronavirus; Enfermería; Servicio de Urgencia en Hospital; Gestión de Riesgos.

This quantitative exploratory-descriptive study conducted from January 5 to February 26, 2010, focused

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