Abordagem do paciente reanimado, pós-parada cardiorrespiratória

Pereira, João

doi:10.1590/s0103-507x2008000200013

Cited by 11 publications

(12 citation statements)

References 24 publications

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“…Alarms with a reaction time exceeding 10 minutes were recorded as unanswered/fatigued, and the worst outcome for the patient was considered (reduced survival and neurological sequelae) if the unanswered alarm indicated an absolute emergency. ( 19 - 21 )…”

Section: Methodsmentioning

confidence: 99%

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Bridi¹,

Silva²,

Farias³

et al. 2014

Revista Brasileira De Terapia Intensiva

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ObjectiveTo define the characteristics and measure the reaction time of a health care team monitoring alarms in the intensive care unit.MethodsA quantitative, observational, and descriptive study developed at the coronary care unit of a cardiology public hospital in Rio de Janeiro state (RJ). Data were obtained from the information collected on the patients, the monitoring used, and the measurement of the team's reaction time to the alarms of multi-parameter monitors during a non-participatory field observation.ResultsEighty-eight patients were followed (49 during the day shift and 39 during the night shift). During the 40 hours of observation (20 hours during the day shift and 20 hours during the night shift), the total number of monitoring alarms was 227, with 106 alarms during the day shift and 121 during the night shift, an average of 5.7 alarms/hour. In total, 145 alarms unanswered by the team were observed, with 68 occurring during the day shift (64.15%) and 77 during the night shift (63.64%). This study demonstrated that the reaction time was longer than 10 minutes in more than 60% of the alarms, which were considered as unanswered alarms. The median reaction time of the answered alarms was 4 minutes and 54 seconds during the day shift and 4 minutes and 55 seconds during the night shift. The respiration monitoring was activated in only nine patients (23.07%) during the night shift. Regarding the alarm quality of these variables, the arrhythmia alarm was qualified in only 10 (20.40%) of the day-shift patients and the respiration alarm in four night-shift patients (44.44%).ConclusionThe programming and configuration of the physiological variables monitored and the parameters of alarms in the intensive care unit were inadequate; there was a delay and lack of response to the alarms, suggesting that relevant alarms may have been ignored by the health care team, thus compromising the patient safety.

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Section: Methodsmentioning

confidence: 99%

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Bridi¹,

Silva²,

Farias³

et al. 2014

Revista Brasileira De Terapia Intensiva

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“…7 In addition to these complications, several others may arise, further compromising the entire body of the client in the postoperative period of liver transplantation. Source: authors Many of the individuals who underwent liver transplantation presented a shock state as described in graph 4.…”

Section: Resultsmentioning

confidence: 99%

Postoperative complications of liver transplant: evidence for the optimization of nursing care Complicações pós-operatórias do transplante hepático: evidências para otimização da assistência de enfermagem

Morais

Conrad

Machado

et al. 2017

R. pesq. cuid. fundam. online

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Objetivo: investigar as principais complicações mais frequentes no pós-operatório do transplante hepático e apontar as evidências para a detecção precoce e otimização da assistência de enfermagem. Método: trata-se de um estudo com abordagem quantitativa do tipo descritiva, foram analisados todos os prontuários eletrônicos disponíveis no sistema MvPep do período de janeiro de 2012 a janeiro de 2014. Os dados foram coletados por meio de um formulário esquematizado, e para a análise foram transportados para Microsoft Office Excel 2007, transcritos em forma de tabelas e feito gráficos para melhor visualização dos dados. Resultados: destacaram-se diversas complicações como as neurológicas, pulmonares, respiratórias, cardíacas, hematológicas, vasculares, biliares, as do próprio enxerto, intestinais, peritoneais, cirúrgicas, infecciosas e renais. Conclusão: evidenciou-se a necessidade de uma assistência diferenciada e individualizada aos transplantados, com um olhar aguçado e minucioso, sendo o enfermeiro o responsável por planejá-la.

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“…Portanto, pode-se compreender que os mecanismos de lesão cerebral não têm mostrado melhoria no prognóstico do paciente acometido por PCR (PEREIRA, 2008).…”

Section: Introductionunclassified

O Conhecimento Acerca Do Suporte Básico De Vida: Uma Revisão Integrativa/Knowledge About Basic Life Support: An Review Integrative

Silva

Tassara

Ansaloni

et al. 2020

BJD

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Abordagem do paciente reanimado, pós-parada cardiorrespiratória

Cited by 11 publications

References 24 publications

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Postoperative complications of liver transplant: evidence for the optimization of nursing care Complicações pós-operatórias do transplante hepático: evidências para otimização da assistência de enfermagem

O Conhecimento Acerca Do Suporte Básico De Vida: Uma Revisão Integrativa/Knowledge About Basic Life Support: An Review Integrative

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