Navegando por Palavras-chave "Transferência de pacientes"

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    Safety in intrahospital transportation: evaluation of respiratory and hemodynamic parameters. A prospective cohort study
    (Associação Paulista de Medicina - APM, 2008-11-01) Mazza, Bruno Franco [UNIFESP]; Amaral, José Luiz Gomes do [UNIFESP]; Rosseti, Heloisa [UNIFESP]; Carvalho, Rosana Borges [UNIFESP]; Senna, Ana Paula Resque [UNIFESP]; Guimarães, Hélio Penna [UNIFESP]; Machado, Flávia Ribeiro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT AND OBJECTIVE: Intrahospital transportation of mechanically ventilated patients is a high-risk situation. We aimed to determine whether transfers could be safely performed by using a transportation routine. DESIGN AND SETTING: Prospective cohort study with before and after evaluation. METHODS: Mechanically ventilated patients who needed transportation were included. Hemodynamic and respiratory parameters were measured before and after transportation. Statistical analysis consisted of variance analysis and paired Student's t test. Results were considered significant if P < 0.05. RESULTS: We studied 37 transfers of 26 patients (12 female) of mean age 46.6 ± 15.7. Patients with pulmonary diseases, positive end expiratory pressure > 5, FiO2 > 0.4 and vasoactive drug use comprised 42.4%, 24.3%, 21.6% and 33.0% of cases, respectively. Mean duration of transportation was 43.4 ± 18.9 minutes. Complications occurred in 32.4%. There was a significant increase in CO2 (before transportation, 29.6 ± 7.3 and after transportation, 34.9 ± 7.0; P = 0.000); a trend towards improved PO2/FiO2 ratio (before transportation, 318.0 ± 137.0 and after transportation, 356.8 ± 119.9; P = 0.053); increased heart rate (before transportation, 80.9 ± 18.7 and after transportation, 85.5 ± 17.6; P = 0.08); and no significant change in mean arterial blood pressure (P = 0.93). CONCLUSION: These results suggest that intrahospital transportation can be safely performed. Our low incidence of complications was possibly related to both the presence of a multidisciplinary transportation team and proper equipment.
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    Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2012-01-01) Almeida, Ana Carolina Goulardins de; Neves, Ana Lúcia Domingues; Souza, Claudenice Leite Bertoli de; Garcia, Júlia Helena; Lopes, Juliana de Lima [UNIFESP]; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Instituto do Coração Unidade Coronariana; Instituto do Coração Unidade de Terapia Intensiva Cirúrgica; Hospital Nove de Julho de São Paulo Unidade de Terapia Intensiva; Instituto do Coração; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To identify in the literature the complications related to physiological changes of the patient, the multidisciplinary team and the use of equipment during the intrahospital transport of critically ill patients. METHODS: Integrative review of literature, through a search in the databases of PubMED, MEDLINE, and LILACS. RESULTS: We encountered 20 articles, all written in the English language. Studies have shown that changes in arterial pressure and heart rate are most common during transport. Of the adverse events related to problems with the team, the lack of knowledge of the professional and failure of communication stood out, apart from those derived from equipment used. CONCLUSION: Transporting the critically ill patient safely requires improving communication between teams, standardizing the actions and equipment used by means of protocols, and identifying opportunities to obtain excellence in service during transport.