What Are the Ready-to-Use Endoscope Channels Hiding?: Unraveling the Risks of Safe Reuse.

Contamination due to failures or omissions in the reprocessing steps of gastrointestinal endoscopes is common in clinical practice. Ensuring the proper execution of each step is a challenge for reprocessing personnel. This cross-sectional study was conducted in an endoscopy setting between March and May 2021.

Early passive mobilization increases vascular reactivity response in critical patients with sepsis: a quasi-experimental study.

Objective: To investigate the influence of a passive mobilization session on endothelial function in patients with sepsis.

Methods: This was a quasi-experimental double-blind and single-arm study with a pre- and postintervention design. Twenty-five patients with a diagnosis of sepsis who were hospitalized in the intensive care unit were included.

Criteria for the Use, Processing, and Disposal of Flexible Endoscope Cleaning Brushes.

To ensure effectiveness in the endoscope channel cleaning process, using functional brushes that are in good condition is necessary. This study sought to identify the criteria for acquiring, using, and disposing of cleaning brushes at endoscopy facilities in Brazil. We further sought to evaluate the conditions of the cleaning brushes in use in the facilities.

Storage of gastrointestinal endoscopes: when is the safe time for re-use?

Objectives: to identify the safe storage time for the use of flexible gastrointestinal endoscopes after high-level disinfection, as well as the defining criteria for this time.

Methods: an integrative literature review was carried out in the Virtual Health Library, PubMed, Scopus, and Web of Science, considering original articles published since 2000.

Results: eleven articles were selected, whose storage times ranged from 1 to 56 days, with a predominance of one to seven days (73%).

Patterns of vascular response immediately after passive mobilization in patients with sepsis: an observational transversal study.

Sepsis is a serious organ dysfunction leading to endothelial damage in critical patients. Physiologically, there is an augment of vascular diameter in response to increased vascular blood flow and shear stress stimulus. However, the pattern of vascular response in face of passive mobilization (PM), an early mobilization physical strategy, has not yet been explored in patients with sepsis.

Effectiveness of manual versus automated cleaning on Staphylococcus epidermidis biofilm removal from the surface of surgical instruments.

Background: Biofilm removal is a challenge during surgical instrument processing. We analyzed the time required for Staphylococcus epidermidis to form biofilms on surgical instruments, and how cleaning methods removed them.

Methods: Different areas (ratchet, shank, and jaw) of straight crile forceps were contaminated by soaking in Tryptic Soy Broth containing 10 colony forming units (CFU)/mL of S epidermidis for 1, 2, 4, 6, 8, and 12 hours.

COMFORT behaviour scale and skin conductance activity: what are they really measuring?

Aim: To assess how efficiently the COMFORT behaviour scale measures acute pain in neonates, in comparison with skin conductance activity, a validated measure of pain and stress.

Methods: Images of 36 newborns were analysed before, during and after painful heel pricks to measure glucose levels and compared with skin conductance activity variables.

Results: Scale indicators and skin conductance variables were sensitive to changes in the periods 'during-before' and 'during-after' (Wilcoxon's test, p < 0.

Can semiology predict psychogenic nonepileptic seizures? A prospective study.

Objective: Reducing health and economic burdens from diagnostic delay of psychogenic nonepileptic seizures (PNES) requires prompt referral for video electroencephalography (VEEG) monitoring, the diagnostic gold standard. Practitioners make VEEG referrals when semiology suggests PNES, although few semiological signs are supported by well-designed studies, and most VEEG studies neglect to concurrently measure how accurately seizure witnesses can ascertain semiology. In this study, we estimate the value of eyewitness-reported and video-documented semiology for predicting PNES, and we measure accuracy of eyewitness reports.