Fatores associados à hipotermia durante o transporte intra-hospitalar em pacientes internados em Unidade de Terapia Intensiva Neonatal

Vieira, Anna Luiza Pires; Santos, Ana Beatriz; Okuyama, Mariana Kobayashi; Miyoshi, Milton Harumi; Almeida, Maria Fernanda Branco de; Guinsburg, Ruth

doi:10.1590/s0103-05822011000100003

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…In a study on intra-hospital transfers it was revealed that even during short trips, the consequences for the NB health can be significant. They can develop hypothermia as the main complication followed by cardiac frequency disorders,, arterial pressure, respiratory frequency and oxygenation alterations (7) .…”

Section: Resultsmentioning

confidence: 99%

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Thermoregulation of the newborn: care during the admission in a pediatric emergency UNIT

Balbino¹,

Cardoso²,

Lélis³

et al. 2013

Rev Rene

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We aimed to investigate the care in thermoregulation of the newborn during the admission in a High Complexity Pediatric Emergency Unit. Retrospective documentary study, carried out in a teaching hospital of Ceará, Brazil. Data collection was performed through a form, 149 medical records of newborns with a request for transfer to neonatal intensive care unit. There was prevalence of males, at term, weighing between 2,500 and 3,999 grams, and born vaginally in hospitals. Among the main causes that led to the unit transfer request, 44.3% presented respiratory disorders. Most (85.9%) was Normothermic, and the most evident care was checking the axillary temperature and the use of heat sources (incubator, radiant heat source). We concluded that mild hypothermia was the most present risk indicator and that cares concerning the thermoregulation in the admission of the newborn are consistent with the clinical manifestations presented.

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Section: Resultsmentioning

confidence: 99%

“…A NICU is a technological environment in which professional work and technological progress are aimed at the NB recovery. In these units, in which many medical procedures are performed by different professionals, there is a tendency for thermoirregularities due to the clinical instability of some assisted newborns (7) .…”

Section: Descriptoresmentioning

confidence: 99%

Thermoregulation of the newborn: care during the admission in a pediatric emergency UNIT

Balbino¹,

Cardoso²,

Lélis³

et al. 2013

Rev Rene

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“…24 Transportar um RN assegurando a manutenção da termorregulação evita alterações da frequência cardíaca, da pressão arterial, da frequência respirató-ria e da oxigenação. 25 Desta forma, acredita-se que utilizar incubadora de parede dupla durante o transporte é fundamental para assegurar transporte mais eficaz. Transporte inter-hospitalar de recém-nascido crítico Medicina (Ribeirão Preto) 2015;48(6): 610-18 http://www.revistas.usp.br/rmrp / http://revista.fmrp.usp.br A utilização de colchão térmico para garantir a termorregulação do RN com peso <1500 gramas foi sugerida como uma alternativa a ser introduzida no transporte inter-hospitalar de neonatos de baixo peso.…”

Section: Condutas Organizacionais Realizadas No Referênciasunclassified

Inter-hospital transport of newborns in critical condition: integrative literature review

Balbino¹,

Cardoso²,

Silva³

2015

Medicina (Ribeirão Preto)

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Study model: integrative review. Objective: to identify organizational behaviors described in the literature about inter-hospital transport of newborns in critical health condition performed by means of ambulance. Methodology: integrative review with query in the databases: LILACS, CINAHL, MEDLINE, Web of Science and Scopus, during the period from September to November 2013. In order to perform the research, the non-controlled descriptors 'newborn transport', 'newborn infants' and 'protocol' were used, as well as the controlled descriptors 'transport of patients', 'newborn' and 'ambulances'. The search was limited to papers published in Portuguese, English and Spanish, without an established period, which addressed the inter-hospital transport of critically ill newborn by ambulance. Results: 12 papers were selected. The identified behaviors were: pre-transport communication; composition of the team that will 611Balbino AC, Cardoso MVLML, Silva VM. Transporte inter-hospitalar de recém-nascido crítico Medicina (Ribeirão Preto) 2015;48(6): 610-18 http://www.revistas.usp.br/rmrp / http://revista.fmrp.usp.br Intr Intr Intr Intr Introdução odução odução odução oduçãoNas últimas décadas, a ciência e a tecnologia vêm avançando no campo da saúde, com destaque para a Neonatologia que tem progredido com o surgimento de novos equipamentos, terapêuticas e conhecimentos. 1 No entanto, percebe-se que ainda há muitas lacunas de conhecimento no que concerne ao processo de trabalho e ao processo de formação profissional para atuar nesta área tão específica, que possui demanda multidimensional. 2O transporte inter-hospitalar de recém-nascido (RN) em estado crítico é considerado um ponto críti-co no campo da Neonatologia. Em países desenvolvidos, cerca de 20% são considerados inadequados no que se refere a erros na regulação, equipes sem treinamento para transporte e falha na comunicação interhospitalar.3 No Brasil, em um hospital do estado do Rio Grande do Sul, percebeu-se tendência ao aumento no número de óbitos entre RN que necessitaram de transferência para outras instituições (18%), quando comparados aos nascidos em maternidade de hospital de referência (8,9%). 4 Em estudo realizado com RN transferidos para hospital terciário de Fortaleza-Ceará, concluiu-se que os transportes neonatais realizados por meio de ambulância apresentaram deficiências nos aspectos: comunicação pré-transporte, características da equipe e unidades de transporte.5 Como forma de padronizar e melhorar o transporte de pacientes críticos proporcionando uma assistência de melhor qualidade, tem-se como estratégia a elaboração e definição de protocolos. 6,7 Protocolos são rotinas dos cuidados e das ações de gestão de um determinado serviço, equipe ou departamento, elaborados a partir de um conhecimento científico atual, respaldados em evidências científi-cas, por profissionais experientes e especialistas em uma área e que servem para orientar fluxos, condutas e procedimentos clínicos dos trabalhadores dos serviços de saúde. Quanto à natureza, podem ser...

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Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review

Haydar

Baetzel

Elliott

et al. 2019

Anesthesia &Amp; Analgesia

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Intrahospital transport of a critically ill patient is often required to achieve a diagnostic and/or therapeutic objective. However, clinicians who recommend a procedure that requires transport are often not fully aware of the risks of transport. Clinicians involved in the care of critically ill children may therefore benefit from a clear enumeration of adverse events that have occurred during transport, risk factors for those events, and guidance for event prevention. The objective of this review was to collect all published harm and adverse events that occurred in critically ill children in the context of transport within a medical center, as well as the incidence of each type of event. A secondary objective was to identify what interventions have been previously studied that reduce events and to collect recommendations for harm prevention from study authors. Ovid MEDLINE, Cochrane Central Register of Controlled Trials, Embase, and CINAHL were searched in January 2018 and again in December 2018. Terms indicating pediatric patients, intrahospital transport, critical illness, and adverse events were used. Titles and abstracts were screened and full text was reviewed for any article meeting inclusion criteria. If articles included both children and adults, incidence data were collected only if the number of pediatric patients could be ascertained. Of 471 full-text articles reviewed, 40 met inclusion criteria, of which 24 included only children, totaling 4104 patient transports. Heterogeneity was high, owing to a wide range of populations, settings, data collection methods, and outcomes. The incidence of adverse events varied widely between studies. Examples of harm included emergent tracheostomy, pneumothorax, and cardiac arrest requiring chest compressions. Respiratory and airway events were the most common type of adverse event. Hypothermia was common in infants. One transport-associated death was reported. When causation was assessed, most events were judged to have been preventable or potentially mitigated by improved double-checks and usage of checklists. Prospective studies demonstrated the superiority of mechanical ventilation over manual ventilation for intubated patients. Risk of adverse events during critical care transport appears to relate to the patient’s underlying illness and degree of respiratory support. Recommendations for reducing these adverse events have frequently included the use of checklists. Other recommendations include optimization of the patient’s physiological status before transport, training with transport equipment, double-checking of equipment before transport, and having experienced clinicians accompany the patient. All available recommendations for reducing transport-associated adverse events in included articles were collated and included.

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Fatores associados à hipotermia durante o transporte intra-hospitalar em pacientes internados em Unidade de Terapia Intensiva Neonatal

Cited by 4 publications

References 18 publications

Thermoregulation of the newborn: care during the admission in a pediatric emergency UNIT

Thermoregulation of the newborn: care during the admission in a pediatric emergency UNIT

Inter-hospital transport of newborns in critical condition: integrative literature review

Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review

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