Papel neuroprotector da hipotermia terapêutica pós paragem cardio-respiratória

Abreu, Antônio Suárez; Duque, A. Villegas; Paulino, Carolina; Brito, J. T.; Silvestre, Joana; Pereira, João; Mendes, Vitor; Tapadinhas, Camila; Póvoa, Pedro

doi:10.1590/s0103-507x2011000400010

Cited by 15 publications

(12 citation statements)

References 20 publications

(24 reference statements)

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“…Alarms with a reaction time exceeding 10 minutes were recorded as unanswered/fatigued, and the worst outcome for the patient was considered (reduced survival and neurological sequelae) if the unanswered alarm indicated an absolute emergency. ( 19 - 21 )…”

Section: Methodsmentioning

confidence: 99%

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Bridi¹,

Silva²,

Farias³

et al. 2014

Revista Brasileira De Terapia Intensiva

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ObjectiveTo define the characteristics and measure the reaction time of a health care team monitoring alarms in the intensive care unit.MethodsA quantitative, observational, and descriptive study developed at the coronary care unit of a cardiology public hospital in Rio de Janeiro state (RJ). Data were obtained from the information collected on the patients, the monitoring used, and the measurement of the team's reaction time to the alarms of multi-parameter monitors during a non-participatory field observation.ResultsEighty-eight patients were followed (49 during the day shift and 39 during the night shift). During the 40 hours of observation (20 hours during the day shift and 20 hours during the night shift), the total number of monitoring alarms was 227, with 106 alarms during the day shift and 121 during the night shift, an average of 5.7 alarms/hour. In total, 145 alarms unanswered by the team were observed, with 68 occurring during the day shift (64.15%) and 77 during the night shift (63.64%). This study demonstrated that the reaction time was longer than 10 minutes in more than 60% of the alarms, which were considered as unanswered alarms. The median reaction time of the answered alarms was 4 minutes and 54 seconds during the day shift and 4 minutes and 55 seconds during the night shift. The respiration monitoring was activated in only nine patients (23.07%) during the night shift. Regarding the alarm quality of these variables, the arrhythmia alarm was qualified in only 10 (20.40%) of the day-shift patients and the respiration alarm in four night-shift patients (44.44%).ConclusionThe programming and configuration of the physiological variables monitored and the parameters of alarms in the intensive care unit were inadequate; there was a delay and lack of response to the alarms, suggesting that relevant alarms may have been ignored by the health care team, thus compromising the patient safety.

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Section: Methodsmentioning

confidence: 99%

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Bridi¹,

Silva²,

Farias³

et al. 2014

Revista Brasileira De Terapia Intensiva

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“…(24) Another maneuver used to prevent death in patients affected by CRA is Therapeutic Hypothermia (TH), which consists in the practice of controlling the patient's body temperature through a circuit of central and peripheral thermoreceptors. Temperature control through the practice of TH has three levels: mild (34-32°C), moderate (32-28°C) and deep (< 28°C), which will be administered according to the level of severity of the neurological lesions (27)(28)(29)(30)(31) .…”

Section: Post-cardiac Arrest Hospital Carementioning

confidence: 99%

Cardiopulmonary arrest: care after return of spontaneous circulation

Santos¹,

Cavalcante²,

Rocha³

et al. 2023

Collection of International Topics in Health Science- V1

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Research Question: What are the procedures to be taken during the care of a patient after the return of spontaneous circulation as a result of a Cardiorespiratory arrest? Objective: To identify in the literature what care should be applied in patient care in the face of the return of spontaneous circulation after cardiorespiratory arrest. Hypothesis: Specific care, such as hemodynamic support, correctly performed in the care of patients with post-return of spontaneous circulation, can contribute favorably to their rehabilitation. Type of study: Quantitative method aided by bibliography review methodology.

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“…Outra manobra utilizada para evitar o óbito de pacientes acometidos pela PCR é a Hipotermia Terapêutica (HT), que consiste na prática de controlar a temperatura corporal do paciente, através de um circuito de termorreceptores centrais e periféricos. O controle de temperatura através da prática de TH possuem três níveis: o leve (34-32°C), a moderada (32-28°C) e a profunda (< 28°C), que serão administrados de acordo com o nível de gravidade das lesões neurológicas Dantas et al, 2020, Abreu et al, 2011.…”

Section: Cuidados Hospitalares No Pós Parada Cardiorrespiratóriaunclassified

Parada cardiorrespiratória: cuidados pós retorno da circulação espontânea

Santos¹,

Costa²

2022

RSD

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O referido trabalho tem como foco discutir os cuidados pós retorno da circulação espontânea utilizados em paciente com Parada Cardiorrespiratória. O objeto do artigo: Analisar quais são os procedimentos a serem aplicados no atendimento de um paciente com quadro de parada cardiorrespiratória; Investigar quais os cuidados a serem aplicados a um paciente com quadro de pós retorno da circulação espontânea. A metodologia utilizada para embasar o trabalho foi a revisão narrativa. Conclusão: os procedimentos a serem aplicados no atendimento de um paciente com quadro de PCR envolvem Suporte Básico de Vida (SBV) e o Suporte Avançado de Vida (SAV). Já os cuidados a serem tomados durante o atendimento de um paciente de pós retorno da circulação espontânea em consequência de uma PCR, além dos SBV e SAV, são: os estágios de atenção imediata ou precoce, recuperação e reabilitação e a realização de avaliações físicas, neurofisiológica, cognitivas e psicossociais, para detectar sequelas. Também é recomendado a realização de exames como Tomografia Craniana, Ressonância Magnética e uma Espectroscopia de ressonância magnética e tomografia de emissão de pósitrons (PET), para verificar a existência de lesões cerebrais. Além disso, são recomendados outros cuidados como, suportes ventilatórios, hemodinâmicos, neurológico e metabólico otimizados e Hipotermia Terapêutica (HT).

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Papel neuroprotector da hipotermia terapêutica pós paragem cardio-respiratória

Cited by 15 publications

References 20 publications

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Reaction time of a health care team to monitoring alarms in the intensive care unit: implications for the safety of seriously ill patients

Cardiopulmonary arrest: care after return of spontaneous circulation

Parada cardiorrespiratória: cuidados pós retorno da circulação espontânea

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