This work is licensed under Creative Commons Attribution 4.0 License OJCRR.MS.ID.000531.Elective double-vessel percutaneous coronary intervention (PCI) was planned to manage the patient. The patient was hospitalized and 300 mg clopidogrel daily was initiated which was then reduced to 75 mg clopidogrel daily. On the second day, transfemoral PCI was successfully performed with the implantation of three Biomatrix Flex drug-eluting stents (DES)
Objetivo: desvelar os Guias de Sentido acerca do cuidado do trabalhador de enfermagem em Unidade de Terapia Intensiva de um hospital público capixaba. Metodologia: pesquisa qualitativa de fundamentação fenomenológica. A amostra desse estudo foi composta por cinco profissionais de enfermagem que atuam em um hospital público capixaba. Como critério de inclusão, utilizamos período de trabalho igual ou superior a quatro anos de experiência em UTI para adultos. O período da coleta dos dados foi o mês dezembro do ano de 2016. Como instrumento para coleta dos dados, utilizamos uma entrevista semi-estruturada com uma questão norteadora: “Que sentido tem para você cuidar de pacientes internados em uma Unidade de Terapia Intensiva?”. Não houve tempo determinado para a entrevista e os participantes puderam narrar livremente seu vivido. As entrevistas foram agendadas individualmente, segundo disponibilidade de cada trabalhador e, foram realizadas no próprio local de trabalho. Os dados foram tratados por meio da análise temática e analisados segundo referencial da fenomenologia. Resultados: a análise permitiu a construção das Categorias: A vida por um fio, valor positivo do trabalho, sentimento da falta de sentido, alegria-tristeza, a escuta e abertura ao imprevisível, o sentir-se descuidado. Conclusão: os sentidos dados pelos trabalhadores acerca do cuidado perpassam por incertezas diante da vida, enfrentamento das adversidades, conviver com alegrias e tristezas. Ao cuidar do outro cuido dos meus modos de cuidar.Descritores: Unidade Terapia Intensiva. Educação em Enfermagem. Existencialismo.
Background The transradial access has gained great prominence in interventional coronary procedures due to lower complication rates, especially when the radial artery is punctured distally, in the anatomical snuffbox. The objective of this study was to analyze the complication and crossover rates of the access routes in invasive coronary procedures, comparing the distal radial artery to the proximal transradial route in the styloid process and the transfemoral access. Methods This was a prospective, observational, and single-center cohort study. The results of access routes were compared, using the primary outcomes of puncture site-related complications and initial arterial access crossover. Results A total of 748 patients were included; in that, 152 (20.3%) in the Distal Transradial Access Group, 388 (51.9%) in the Proximal Transradial Access Group, and 208 (27.8%) in the Transfemoral Access Group. No complications were observed in the Distal Transradial Access Group, whereas two patients (0.5%) had mild local hematomas in the Proximal Transradial Access Group, and six participants (2.9%) had complications in the Transfemoral Access Group, with mild local hematomas in four patients (1.9%), a pseudoaneurysm in one (0.5%), and an active bleeding in one (0.5%) – all with no need for surgical intervention (p=0.01). The crossover rate was 9.2% in the Distal Transradial Access Group, 5.9% in the Proximal Transradial Access Group, and 0.9% in the Transfemoral Access Group (p=0.001). Conclusion The distal radial artery access had a lower rate of vascular/hemorrhagic complications when compared to the proximal transradial access in the styloid process and the transfemoral access. However, the crossover rate was higher when the distal radial artery access was the operator’s first choice.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.