Enfermería intensiva
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Enfermería intensiva · Jan 2014
Observational Study[Interobserver reliability of the Glasgow coma scale in critically ill patients with neurological and/or neurosurgical disease].
The Glasgow coma scale (GCS) is a common tool used for neurological assessment of critically ill patients. Despite its widespread use, the GCS has some limitations, as sometimes different observers may value differently the same response. ⋯ In our cohort of patients we observed a high level of consistency in the application of both the GCS as in each of its components.
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Enfermería intensiva · Jan 2014
Observational Study[Evaluation of immediate post-operative pain in heart surgery using the Behavioural Pain Scale].
Patients in the immediate postoperative period of cardiac surgery have abolished communication skills and therefore can not express pain. Pain produces significant adverse effects that alter the patients' course. Therefore, identifying and controlling them will lead to increased quality of care for the critical patient. ⋯ This study has identified that the patients suffer pain during the postoperative period. Within these patients, there is a small, but not insignificant number whose pain is unacceptable during this period. This finding serves as a beginning for a line of research to improve the handling of the postoperative pain during immediate post-operative cardiac surgery.