Navegando por Palavras-chave "Equipment"
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- ItemAcesso aberto (Open Access)Estudo clínico prospectivo aleatório sobre o uso da máscara laríngea Supreme® em pacientes submetidos a anestesia geral(Sociedade Brasileira de Anestesiologia, 2013-12-01) Barreira, Sara Rocha [UNIFESP]; Souza, Camila Machado [UNIFESP]; Fabrizia, Fernanda [UNIFESP]; Azevedo, Ana Bárbara G. [UNIFESP]; Lelis, Talitha G. [UNIFESP]; Lutke, Claudia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND AND OBJECTIVES: Supraglottic airway devices are increasingly used as an option to tracheal intubation for elective procedures of varying complexity. The aim of this study was to prospectively evaluate the clinical use of the laryngeal mask airway Supreme® (LMAS) in patients undergoing elective breast surgery and compare it with endotracheal tube (ETT). METHODS: Sixty patients undergoing breast procedures under general anesthesia were randomly divided into two groups according to the device used (LMAS or ETT). Time of insertion, number of insertion attempts, hemodynamic response to insertion, presence of blood on the device used; and incidence of sore throat, dysphagia, nausea and vomiting were assessed postoperatively. RESULTS: There was no difference between groups regarding time of insertion, number of attempts for successful insertion, and presence of blood on the device. Heart rate and blood pressure after insertion were higher in ETT group. Incidence of sore throat and dysphagia was also higher in ETT group after two hours in the postoperative period. There was no difference regarding incidence and severity of complications evaluated after six hours postoperatively. CONCLUSIONS: The use of the LMAS technique to access airway during general anesthesia for elective breast surgery is as safe and effective as tracheal intubation, with the advantage of promoting smaller hemodynamic response during its management and lower incidence of sore throat and dysphagia in the first hours after surgery.
- ItemAcesso aberto (Open Access)Malhas para prevenção de lesões por pressão nas regiões de proeminências ósseas do quadril – revisão sistematizada de literatura(Universidade Federal de São Paulo (UNIFESP), 2020-11-17) Severiano, Eneas Jose Figueiredo [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São PauloIntroduction: The pressure injuries result from the continuous pressure exertec by bony pcoeminences in the tegument pressed against a surface. Apparatus and devices have beem proposed in na attempt do mitigate the pressure in these áreas, mosf of which are highly complex and costly, which makes it difficult to adhere to treatment, especially after hospital discharge. Objective: To perform a literature review and search for anteriority on meshes or clothing to prevent pressure injuires in the regions of bony proeminences of the hip. Method: The search covered from April 1988 to July 2020. It was carried on the databases (Cochrane Library, Lilacs, Scielo, Medline, Web of Science & SSOPUS), having as inclusion criteria clothing aimed at preventing pressure injuries in the region of bone proeminences of the hip; there was no criteria of non-inclusion. The search of anteriority was made in the patent databases: LATIPAT (Espace Patent Search), Google Patent Search, USPTO (United States Patent and Tradmark Office), WiPO (Wordl Intellectual Property Organization), JPO (Japan Property Office, CNIPA (National Intellectual Property Agency – China) and INPI – e-patents (National Intellectual Property Institute. Results: two garments were found in the patent bases. Conclusion: No results were found for searches with the Keywords “prevention”, “injury”, “pressure”, “clothing”, “mesh” and related terms in the scientific literature. Two garments were found in the patent bases.
- ItemAcesso aberto (Open Access)National equipment of intraoperatory gamma detection in the identification of sentinel lymph node in animal model(Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2009-06-01) Santos, Paula Cristina Fada dos [UNIFESP]; Santos, Ivan Dunshee de Abranches Oliveira [UNIFESP]; Nahas, Fabio Xerfan [UNIFESP]; Oliveira Filho, Renato Santos de [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)PURPOSE: To investigate a national equipment of intraoperatory gamma detection in the identification of sentinel lymph node. METHODS: Thirty young adult male rats were used. After anesthetized, animals were divided into two groups of 15 animals each. Animals from group A received dextram 500 - Tc99 radiopharmaceutical and patent blue V and those from group B received only patent blue V to map the lymphatic drainage. The presence of radiation in the background area, in the area of injection and of the ex vivo sentinel lymph node of group A were measured. After the exeresis, each lymph node in group A and in group B was mixed forming a new random sequence and the radioactive reading of each lymph node was carried out, using both pieces of equipment. RESULTS: The hottest sentinel lymph node was identified by the national equipment when radiation was measured in the area of limphatic drainage after the Dextran 500 was injected. Also, the ex vivo sentinel lymph node. The national equipment has also detected radiation in the lymph nodes that had not received radiopharmaceutical, leading to false positive, checked by the application of Mann-Whitney tests and Student's paired t-tests. The Cronbach alpha has shown high internal consistency of data 0,9416. CONCLUSIONS: The national equipment of intraoperatory gamma detection identifies the LS and showed false positives LS and needs improvement.