A5000656184- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Long-Term Effects of COVID-19
- Sepsis Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Nosocomial Infections in ICU
- Non-Invasive Vital Sign Monitoring
- Healthcare Decision-Making and Restraints
- COVID-19 Clinical Research Studies
- Mechanical Circulatory Support Devices
- Healthcare professionals’ stress and burnout
- Healthcare Regulation
- Myasthenia Gravis and Thymoma
- Radiology practices and education
- COVID-19 and healthcare impacts
- Radiation Dose and Imaging
- Influenza Virus Research Studies
- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Disaster Response and Management
- Nursing Diagnosis and Documentation
Hospital Israelita Albert Einstein
2015-2024
Ceres
2022
Jewish Hospital
2011
Ventilator-associated pneumonia (VAP) is a common infection in the intensive care unit (ICU) and associated with high mortality.A quasi-experimental study was conducted medical-surgical ICU. Multiple interventions to optimize VAP prevention were performed from October 2008 December 2010. All of these processes, including Institute for Healthcare Improvement's (IHI) ventilator bundle plus oral decontamination chlorhexidine continuous aspiration subglottic secretions (CASS), adopted patients...
Background Mobilization of critically ill patients is safe and may improve functional outcomes. However, the prevalence mobilization activities ICU in Brazil unknown. Methods A one-day point prospective study with a 24-hour follow-up period was conducted Brazil. Demographic data, characteristics, activities, level patients' mobilization, main reasons for not mobilizing were collected all adult more than 24hs stay 26 participating ICUs. activity defined as any exercise performed during stay....
To evaluate the frequency of severe burnout syndrome among critical care providers and to correlate it with work engagement.A self-administered survey including Maslach Burnout Inventory, Depression Anxiety Stress Scales, Gallup questionnaire was distributed. All analyses were stratified by setting (intensive unit or step-down unit) professional group (nurses versus physicians physiotherapists).Between February 2017 June 2017, 206 out 325 invited professionals (63.4%) answered...
In December 2019, a series of patients with severe pneumonia were identified in Wuhan, Hubei province, China, who progressed to acute respiratory syndrome and distress syndrome. Subsequently, COVID-19 was attributed new betacoronavirus, the coronavirus 2 (SARS-CoV-2). Approximately 20% diagnosed as develop forms disease, including hypoxemic failure, syndrome, renal failure require intensive care. [...]
To describe clinical characteristics, resource use, outcomes, and to identify predictors of in-hospital mortality patients with COVID-19 admitted the intensive care unit.Retrospective single-center cohort study conducted at a private hospital in São Paulo (SP), Brazil. All consecutive adult (≥18 years) unit, between March 4, 2020 February 28, 2021 were included this study. Patients categorized survivors non-survivors according discharge.During period, 1,296 [median (interquartile range) age:...
The functional independence measure (FIM) is an outcome of the severity physical and cognitive disability for inpatient rehabilitation setting. changes during treatment, making in FIM scale indicator treatment benefits its results. So far there no evidence profile patients followed by physiotherapists their critically ill department stay.
A recent meta-analysis showed that weaning with SmartCare™ (Dräger, Lübeck, Germany) significantly decreased time in critically ill patients. However, its utility compared respiratory physiotherapist-protocolized is still a matter of debate. We hypothesized would be as effective physiotherapy-driven patients.Adult patients mechanically ventilated for more than 24 hours the adult intensive care unit Albert Einstein Hospital, São Paulo, Brazil, were randomly assigned to weaned either by...
Introduction Respiratory Muscle Weakness (RMW) has been defined when the maximum inspiratory pressure (MIP) is lower than 70% of predictive value. The prevalence RMW in chronic heart failure patients 30 to 50%. So far there are no studies on acute (AHF) patients. Objectives Evaluate admitted because AHF and condition respiratory muscle strength discharge from hospital. Methods Sixty-three had their MIP measured two occasions: at beginning hospital stay, after they reached respiratory,...
Objective To analyze and describe the maneuvers most commonly used in clinical practice by physical therapists reasons for choosing them. Methods A prospective multicenter study using a questionnaire. The sample consisted of from five hospitals (three private hospitals, teaching hospital public hospital). Results total 185 questionnaires were filled in. Most professionals had graduated 6 to 10 years before over intensive care unit experience. often vibrocompression, hyperinflation, postural...
In 2009, an outbreak of respiratory illness caused by influenza A H1N1 virus occurred worldwide. Some patients required Intensive Care Unit (ICU) admission. The use non-invasive ventilation (NIV) in these is controversial, as the aerosol dispersion may contaminate environment and health-care co-workers.Describe profile, mortality rate, benefit using NIV with confirmed diagnosis AH1N1 who were admitted ICU during year 2009.A total 1, 401 cases our hospital real-time RT-PCR 20 to ICU....
A number of complications exist with invasive mechanical ventilation and the use withdrawal from prolonged ventilator support. The protocols that enable systematic identification patients eligible for an interruption in can significantly reduce complications. This study describes application a weaning protocol its results.Patients who required more than 24 hours were included assessed daily to identify individuals ready begin process.We studied 252 median time 3.7 days (interquartile range 1...
ABSTRACT Objective To evaluate the vital capacity after two chest therapy techniques in patients undergoing abdominal surgical. Methods A prospective randomized study carried out with admitted to Intensive Care Unit surgery. We checked capacity, muscular strength using Medical Research Council scale, and functionality Functional Independence Measure first time patient was breathing spontaneously (D1), also upon discharge from (Ddis). Between D1 Ddis, respiratory according group. Results...
Introduction The Coronavirus Disease 2019 (COVID-19) outbreak is evolving rapidly worldwide. Data on the mobility level of patients with COVID-19 in intensive care unit (ICU) are needed. Objective To describe admitted to ICU and address factors associated at time discharge. Methods Single center, retrospective cohort study. Consecutive confirmed infection were analyzed. status was assessed by Perme Score admission discharge from higher scores indicating level. Mobility Index (PMI) calculated...
OBJECTIVE: To identify which noninvasive ventilation (NIV) masks are most commonly used and the problems related to adaptation such in critically ill patients admitted a hospital city of São Paulo, Brazil. METHODS: An observational study involving ≥ 18 years age intensive care units submitted NIV. The reason for NIV use, type mask, regimen, reasons non-adaptation mask were investigated. RESULTS: We evaluated 245 patients, with median 82 years. Acute respiratory failure was common use (in...
Pulmonary interstitial emphysema is a common complication of mechanical ventilation in preterm babies. We report case severe unilateral pulmonary premature newborn, treated with high-frequency oscillatory ventilation, lateral decubitus positioning and selective intubation. After complete radiological resolution the left lung, patient was studied by electrical impedance tomography marked reduction identified lung despite cysts. This finding indicates that functional abnormalities may persist...