ObjectiveTo construct and implement an instrument (checklist) to improve safety when
performing the prone maneuver.MethodsThis was an applied, qualitative and descriptive study. The instrument was
developed based on a broad review of the literature pertaining to the
construction of a care protocol using the main electronic databases
(MEDLINE, LILACS and Cochrane).ResultsWe describe the construction of a patient safety tool with numerous
modifications and adaptations based on the observations of the
multidisciplinary team regarding its use in daily practice.ConclusionThe use of the checklist when performing the prone maneuver increased the
safety and reliability of the procedure. The team's understanding of the
tool's importance to patient safety and training in its use are necessary
for its success.
SUMMARY Last year, interest in prone positioning to treat acute respiratory distress syndrome (ARDS) resurfaced with the demonstration of a reduction in mortality by a large randomized clinical trial. Reports in the literature suggest that the incidence of adverse events is significantly reduced with a team trained and experienced in the process. The objective of this review is to revisit the current evidence in the literature, discuss and propose the construction of a protocol of care for these patients. A search was performed on the main electronic databases: Medline, Lilacs and Cochrane Library. Prone positioning is increasingly used in daily practice, with properly trained staff and a well established care protocol are essencial.
RESUMO -Estudo das variações do EEG paroxístico provocadas pelo uso do hidrato de cloral a 20%, na dose de 50mg/Kg, na indução do sono em 50 crianças epilépticas de 1 a 12 anos de idade, em monoterapia ou sem anticonvulsivantes. Foi observado que o hidrato de cloral é capaz de induzir o sono sem efeitos colaterais e é capaz de modificar o EEG em sono, melhorando a organização dos fusos de sono e diminuindo os paroxismos generalizados.PALAVRAS-CHAVE: hidrato de cloral, EEG em sono, epilepsia.Comparison between natural sleep EEG and chloral hydrate induced sleep EEG: paroxystic changes and baseline rythms SUMMARY -EEG changes associated with the use of chloral hydrate (50 mg/Kg) to induce sleep were evaluated in 50 epileptic children (ages 1 to 12 years), either taking no anticonvulsants or on monotherapy. It was observed that chloral hydrate was capable of inducing sleep without side effects and was capable of modifying the sleep EEG, improving organization of sleep spindles and generalized paroxysms.
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.