RESUMOObjetivo: Conhecer a incidência de úlcera por pressão no pré e pós-operatório de pacientes neurocirúrgicos e descrever as medidas preventivas implementadas pela equipe de enfermagem durante nesses períodos. Métodos: Estudo de Coorte prospectivo realizado na unidade de neurocirurgia do Hospital São Paulo. Foram incluídos pacientes submetidos a cirurgias eletivas do sistema nervoso central e que não apresentaram úlcera por pressão na internação. Resultados: Foram avaliados 60 pacientes sendo que 34 (56,6%) do sexo feminino. A mediana da idade foi de 49 anos, com variação de 19 a 78 anos. Oito (13,4%) pacientes desenvolveram nove úlceras por pressão. Dos pacientes de risco para úlcera por pressão, três (25%) no pré-operatório, 33 (66%) no pós-operatório imediato e 13 (86,6%) no pós-operatório mediato tinham medidas de prevenção para úlcera por pressão. Conclusão: A incidência de úlcera por pressão foi de 13,3%. Há necessidade de implantação de programas de prevenção, com a finalidade de diminuir a úlcera por pressão em pacientes neurocirúrgicos. Descritores: Úlcera de pressão; Enfermagem; Incidência; Procedimentos neurocirúrgicos ABSTRACT Objective: To identify the incidence of pressure ulcer in the preoperative and postoperative period in neurosurgical patients and to describe preventive measures adopted by nursing staff. Methods: A prospective study was conducted in the neurosurgical unit of the Sao Paulo hospital. The sample consisted of inpatients who were admitted for elective surgeries of the central nervous system and who did not have pressure ulcer. Results: Sixty patients participated in the study. They have a mean age of 49 years, ranging from 19 to 78 years. The majority of patients (56.6%) were female. Only 8 patients (13.4%) developed nine pressure ulcers. Among the patients identified as having risk for pressure ulcers, preventive measures were implement to 3 of them (25%) during the preoperative period, to 33 of them (66%) during the immediate postoperative period, and to 23 (86.6%) during the mediate postoperative period. Conclusion: The incidence of pressure ulcer in the study sample was 13.3%. There is a need to implement a preventive program to decrease the incidence of pressure ulcers in neurosurgical patients. Keywords: Pressure ulcer; Nursing; Incidence; Neurosurgical procedures RESUMEN Objetivo: Conocer la incidencia de úlcera por decúbito en el pre y post operatorio de pacientes neuroquirúrgicos y describir las medidas preventivas implementadas por el equipo de enfermería durante esos períodos. Métodos: Estudio de Cohorte prospectivo realizado en la unidad de neurocirugía del Hospital São Paulo. Fueron incluidos pacientes sometidos a cirugías electivas del sistema nervioso central y que no presentaron úlcera por decúbito en el internamiento. Resultados: Se evaluaron 60 pacientes de los cuales 34 (56,6%) eran del sexo femenino. El promedio de edad fue de 49 años, con variación de 19 a 78 años. Ocho (13,4%) pacientes desarrollaron nueve úlceras por decúbito. De los pacientes de riesgo pa...

Best practice in CVC care was achieved in the hospital, strengthening and guiding nursing care, as well as highlighting the importance of nursing records throughout the care process. However, this project highlighted the need to improve compliance through follow-up audits and periodic training to support best practice.

Objective:To analyze the available evidence in the scientific literature on the relationship between glycemic control strategies performed and the occurrence of surgical site infection in adult patients undergoing surgery. Method: This is a systematic review, through the CINAHL, Medline, LILACS, Cochrane Database of Systematic Reviews, and EMBASE, which included 8 studies. Results: Despite the diversity of tested interventions, studies agree that glycemic control is essential to reduce surgical site infection rates and should be kept between 80 and 120 mg/dl during the perioperative period. Insulin continuous infusion during surgery was the most tested and seems to get better results in reducing surgical site infection rates and success in glycemic control compared to other strategies. Conclusion: Strict glycemic control during the perioperative benefits the recovery of surgical patients, especially for the successful implementation of the measure the performance of the nursing team. DESCRIPTORS

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