Objetivo: descrever as ações do enfermeiro para a promoção de saúde e prevenção de doenças. Metodologia: estudo exploratório, descritivo, transversal, de abordagem qualitativa, realizado com 12 enfermeiros das Estratégias de Saúde da Família de uma cidade do Triângulo Mineiro. Os dados foram obtidos por meio de entrevista individual semiestruturada e foram submetidos à Análise Temática. Resultados: as temáticas identificadas foram: visão dos enfermeiros sobre promoção de saúde e estratégias de intervenção; conhecimento dos enfermeiros quanto à prevenção de doenças e intervenções realizadas para esta finalidade. Conclusão: evidenciou-se a confusão de alguns enfermeiros em distinguir promoção de saúde de prevenção de doenças. Além disso, os dados demonstraram que os enfermeiros enfrentam desafios no cotidiano de trabalho que podem acarretar implicações para a prática.Descritores: Enfermagem; Estratégia Saúde da Família; Promoção em saúde; Prevenção.THE FAMILY HEALTH STRATEGY NURSE AND HEALTH PROMOTION AND DISEASE PREVENTIONObjective: To describe nurses´ actions for health promotion and disease prevention. Methodology: Exploratory, descriptive, and transversal study, using a qualitative approach, carried out with 12 nurses from the family health strategies of a city in the state of Minas Gerais. Data were obtained through semi-structured interviews and were submitted to thematic analysis. Results: The themes identified were: vision of nurses on health promotion and their intervention strategies; Knowledge of nurses regarding the prevention of diseases and the interventions carried out for this purpose. Conclusion: Results showed the confusion of some nurses in distinguishing health promotion and disease prevention. They also face challenges in the daily work that can entail implications for the practice.Descriptors: Nursing, Family Health Strategy, Health Promotion, Prevention.LA ENFERMERA DE LA ESTRATEGIA DE SALUD FAMILIAR Y LA PROMOCIÓN DE LA SALUD Y LA PREVENCIÓN DE LA ENFERMEDADObjetivo: describir las acciones de la enfermera para la promoción de la salud y la prevención de enfermedades. Metodologya: estudio exploratorio, descriptivo, transversal, enfoque cualitativo, realizado con 12 enfermeros de las estrategias de salud familiar de una ciudad del triángulo minero. Los datos se obtuvieron por medio de una entrevista individual semiestructurada y fueron analizados por medio de análisis temático. Resultados: los temas identificados fueron: visión de las enfermeras sobre promoción de la salud y sus estrategias de intervención; El conocimiento de las enfermeras en cuanto a la prevención de enfermedades y las intervenciones llevadas a cabo con este fin. Conclusión: se ha puesto de relieve la confusión de algunas enfermeras en la distinción de la promoción de la salud de la prevención de enfermedades. Enfrentan desafíos en el trabajo diario que resultar en implicaciones para la práctica.Descriptores: Enfermería; Estrategia de Salud Familiar; Promoción de la Salud; Prevención.
BackgroundEpidural anaesthesia is one of the most commonly used locoregional techniques in ruminants. The lumbosacral epidural technique is reasonably easy to perform and requires low volumes of local anaesthetic drug to allow procedures caudal to the umbilicus. However, surgical procedures in the flank of the animal would require an increased volume of drugs. The anaesthetized area provided by thoracic epidural technique is larger than the lumbosacral technique; however the former is rather challenging to perform. Therefore, access through lumbosacral area to introduce a catheter into the thoracolumbar space is a potential alternative to thoracic access. Epidural anaesthesia is achieved with local anaesthetics; opioids can be added to improve analgesia. This study aimed to evaluate the effects of 0.5% bupivacaine with or without methadone, administered through an epidural catheter inserted through the lumbosacral access and advanced to the thoracolumbar space, on thoracolumbar epidural anaesthesia in goats.MethodsSix animals received two treatments each in a randomized crossover study: BUP treatment consisted of 0.5% bupivacaine (1 mL per each 10 cm of spine column; 1 ± 0.2 mg/kg BW) and BMT treatment was the same; however 1 mL of bupivacaine was replaced by 1 mL (0.22 ± 0.03 mg/kg BW) of methadone (10 mg/mL). The treatments were administered near to T11-T12 through an epidural catheter. Motor blockade and analgesia were evaluated by electrical stimulation.ResultsHeart rate, respiratory rate, ruminal motility and rectal temperature were evaluated before and after the treatment. Motor blockade was observed on both treatments, up to 6 h post-treatment. Analgesia was observed on BUP up to 4 h and on BMT up to 6 h post-treatment. Physiological values did not change at any moment.ConclusionsBupivacaine-methadone combination promoted longer-lasting analgesia in goats compared to bupivacaine alone when administered through an epidural catheter into the thoracolumbar space.Electronic supplementary materialThe online version of this article (doi:10.1186/s13620-017-0093-x) contains supplementary material, which is available to authorized users.
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.