Mechanical ventilation withdrawal as a palliative procedure in a Brazilian intensive care unit

Lacerda, Fábio Holanda; Checoli, Pedro Garcia; Silva, Carla Marchini Dias da; Brandão, Carlos Eduardo; Forte, Daniel Neves; Besen, Bruno Adler Maccagnan Pinheiro

doi:10.5935/0103-507x.20200090

Cited by 7 publications

(14 citation statements)

References 23 publications

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“…Additionally, other studies have shown that shorter periods of CPR were linked with better chances of immediate survival. 5 , 14 This is consistent with previous findings.…”

Section: Discussionsupporting

confidence: 93%

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Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study

Menezes¹,

Braga²,

Cruvinel³

2022

Indian Journal of Critical Care Medicine

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A bstract Background Cardiorespiratory arrest is defined as an abrupt halt in the cardiac mechanical activity that is accompanied by the loss of a detectable pulse, the cessation of breathing, and the loss of consciousness. The aim of this study is to create a clinical–epidemiological profile of patients who experienced cardiorespiratory arrest and were admitted to the intensive care unit to evaluate the associated factors and their impact on the prognosis of these patients. Patients and methods From January to December 2019, the medical records of 135 patients who received cardiopulmonary resuscitation were reviewed for this cross-sectional observational study. The information was collected according to the Utstein model. Results A low return of spontaneous circulation of 22.2% was observed, with a predominance of females (53.3%) and older patients (68.9%), multiple comorbidities at admission (68.4%), and asystole as the predominant rhythm. Female sex and age >60 years were statistically significant ( p = 0.017), as was the association between sex and comorbidities ( p = 0.036), with heart disease being the most prevalent in females ( p = 0.036). Conclusion In this study, even though the resuscitation maneuver time (start of resuscitation following arrest) was very short and the defibrillation was performed promptly, there was a high prevalence of cardiac arrest and low survival rates after cardiopulmonary resuscitation. How to cite this article Menezes da Silva A, Braga AL, Cruvinel de Souza V. Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2022;26(6):704–709.

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“…Additionally, other studies have shown that shorter periods of CPR were linked with better chances of immediate survival. 5 , 14 This is consistent with previous findings.…”

Section: Discussionsupporting

confidence: 93%

“…When it comes to the frequency of non-shockable rhythms compared to that of shockable rhythms in intrahospital cardiorespiratory arrest, there is significant consistency across studies. 12 , 14 …”

Section: Discussionmentioning

confidence: 99%

Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study

Menezes¹,

Braga²,

Cruvinel³

2022

Indian Journal of Critical Care Medicine

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“…We failed to capture the exact moment when providers decided to recommend palliative extubation to patients, but the median duration of mechanical ventilation in our cohort is comparable to contemporary reports 3 , 10 , 17 , 21 . We were also unable to assess death cases after withdrawing vasopressors, renal replacement therapy, and other life-sustaining interventions while preparing for palliative extubation.…”

Section: Discussionmentioning

confidence: 44%

Palliative extubation experience in a community hospital in southern Brazil

Antônio

Antonio

2023

Rev. Assoc. Med. Bras.

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“…Dias et al (2020) descreve que as crianças que estão em cuidados paliativos sofrem bastante com a dor e isso interfere diretamente no bem-estar do paciente, o que deixa os familiares estressados com a situação, pois já estão com o estado psicológico e emocional abalados. Para realizar o controle álgico o enfermeiro deve avaliar o paciente por meio de escalas ou instrumentos padronizados para mensurar a dor e oferecer e ajustar o analgésico prescrito pelo médico, além de tranquilizar o paciente e ensinar medidas não medicamentosas para o alívio da dor (Lacerda et al, 2020).…”

Section: Discussionunclassified

Prática clínica de enfermagem paliativa em pediatria

Hernandes

Flauzino

Gomes

et al. 2021

RSD

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Os cuidados paliativos são utilizados em pacientes que enfrentam doenças que não possuem cura e comprometam a sua sobrevida. No instante que a doença é descoberta em um paciente infantil, o enfermeiro deve oferecer todo o acompanhamento, suporte psicossocial e espiritual para a criança e seus familiares, com a finalidade de oferecer melhores condições de vida durante todo o percurso do tratamento até processo de partida, que pode levar anos. O objetivo deste estudo foi analisar a prática clínica de enfermagem nos cuidados paliativos realizados em pacientes infantojuvenis. Este estudo é uma pesquisa descritiva, com busca de artigos realizada em bibliotecas digitais. Foi possível constatar neste estudo que os cuidados paliativos evoluíram muito ao longo dos séculos e tornaram-se uma prática profissional, executada não somente pela equipe de enfermagem, mas por toda a equipe multidisciplinar. No século passado os pacientes eram isolados em um leito terminal e esperavam pela morte, sem alívio nenhum de sinais e sintomas. O cenário atual é diferente e exige do profissional uma assistência que leve em conta a dor, possíveis complicações físicas, psicossociais e espirituais do paciente e familiares. O enfermeiro, juntamente com a equipe multidisciplinar, deve apoiar e oferecer suporte emocional, psicológico, espiritual e alívio da dor. Por fim, destaca-se que todo profissional que atua com paciente em fase final de vida deve entender que fez o máximo para suavizar o dor do enfermo e sua família.

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Mechanical ventilation withdrawal as a palliative procedure in a Brazilian intensive care unit

Cited by 7 publications

References 23 publications

Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study

Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study

Palliative extubation experience in a community hospital in southern Brazil

Prática clínica de enfermagem paliativa em pediatria

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