Enfermería intensiva
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Enfermería intensiva · Jul 2000
[Postural technique in prone position: hemodynamic and respiratory parameters and complications].
Therapeutic strategies used in the treatment of adult respiratory distress syndrome (ARDS) recommend placing the patient in prone position as an effective method for optimizing ventilation-perfusion parameters. We evaluated the therapeutic effect of postural treatment in prone position with the following goals: Comparison of hemodynamic and respiratory parameters before and after placing the patient in prone position, while in prone position, and before and after postural treatment. Complications associated with turning and time in prone position. ⋯ Comparisons before and after postural treatment disclosed a clinically significant difference but no change in pH. Following the protocol for placing the patient in prone position, no complications were associated with the turning procedure (accidental loss of TOT, tracheostomy, SNG, urinary catheter, vascular catheters, chest tubes, and drainage tubes). While patients were in prone position, stage II and III UPP, palpebral and/or conjunctival edema, and intolerance of enteral feeding occurred, but our results do not indicate that these complications appeared solely as a result of prone position.
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Enfermería intensiva · Jul 2000
[Opinions and attitudes of intensive care nurses on the effect of open visits on patients, family members, and nurses].
The policy of family visits to patients admitted to the intensive care unit has been liberalized in recent years. This change has been progressive in our unit and family members now spend long periods of time with patients. An analysis was made of the beliefs, opinions and attitudes of nurses toward family visits and the relation between the beliefs of nurses and their attitude toward the effect of an open visiting policy on patients, family members and nurses. ⋯ Comparison of sociodemographic and other variables disclosed no statistically significant differences, except for the variables attitude and having children (t = -2.254, p = 0.03), which obtained a higher score. It is concluded that the opinions of nurses regarding the positive effect of open visits depended on their attitudes. For the most part, they were satisfied with the current visiting policy.