Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Jan 2019
Pharmacological and nonpharmacological measures of pain management and treatment among neonates.
This study sought to describe and quantify the pharmacological and nonpharmacological strategies used to relieve the pain/stress of neonates during hospitalization in neonatal intensive care units. ⋯ Neonates receive few specific measures for pain relief given the high number of painful and stressful procedures performed during hospitalization. Thus, it is essential to implement effective pain-relief protocols.
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Rev Bras Ter Intensiva · Jan 2019
Comparative StudyImpact of fast-track management on adult cardiac surgery: clinical and hospital outcomes.
To compare the impact of two fast-track strategies regarding the extubation time and removal of invasive mechanical ventilation in adults after cardiac surgery on clinical and hospital outcomes. ⋯ Patients undergoing fast-track management with extubation within 6 hours had shorter stays in the intensive care unit without increasing postoperative complications and death. Patients extubated in the operating room had a shorter hospital stay and a shorter stay in the intensive care unit but showed an increase in the frequency of reintubation and postoperative complications.
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Rev Bras Ter Intensiva · Jan 2019
Noninvasive ventilation as the first choice of ventilatory support in children.
To describe the use of noninvasive ventilation to prevent tracheal intubation in children in a pediatric intensive care unit and to analyze the factors related to respiratory failure. ⋯ A high rate of effectiveness was found for the use of noninvasive ventilation for acute episodes of respiratory failure. A higher PRISM score on admission, comorbidities associated with respiratory symptoms and oxygen use ≥ 40% were independent factors related to noninvasive ventilation failure.