Patient-ventilator asynchrony in conventional ventilation modes during short-term mechanical ventilation after cardiac surgery: randomized clinical trial.

Introduction And Aim: Studies regarding asynchrony in patients in the cardiac postoperative period are still only a few. The main objective of our study was to compare asynchronies incidence and its index (AI) in 3 different modes of ventilation (volume-controlled ventilation [VCV], pressure-controlled ventilation [PCV] and pressure-support ventilation [PSV]) after ICU admission for postoperative care.

Methods: A prospective parallel randomised trialin the setting of a non-profitable hospital in Brazil.

Effectiveness, safety and cost reduction of long-term tunneled central venous catheter insertion in outpatients performed by an interventional nephrologist.

Introduction: Invasive procedures performed by trained nephrologists can reduce delays in making a definitive vascular access, complications, number of procedures on the same patient, and costs for the Public Health System.

Objective: to demonstrate that a long-term tunneled central venous catheter (LTCVC) implanted by a nephrologist is safe, effective, and associated with excellent results.

Methods: A retrospective study analyzed 149 consecutively performed temporary-to-long-term tunneled central venous catheter conversions in the operating room (OR) from a dialysis facility from March 2014 to September 2017.

Microsurgical resection of foramen magnum meningioma through a transcondylar approach: three-dimensional operative video.

Foramen magnum (FM) meningiomas are challenging lesions. We present the case of a 38-year-old female with neck pain, dysphonia, and slight twelfth nerve palsy. Imaging workup was highly suggestive of an FM meningioma, and microsurgical resection with the aid of intraoperative neurophysiological monitoring was indicated.

[Development and validation of indicators for best patient safety practices: the ISEP-Brazil Project].

Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.

Trauma in elderly people: access to the health system through pre-hospital care.

Objective: to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care.

Method: documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data.

[Occupational risks in a hospital environment: a challenge for workers' health].

Objective: This study was aimed at analysing health workers' social representations concerning occupational risks.

Methods: The study adopted a qualitative approach using social representation theory; it was carried out with doctors, nurses and dentists from a Natal/RN-BR hospital dealing with emergencies. A semi-structured interview was used for data collection using the following question for interviewee orientation, "What do occupational hazards mean to you?" The data was analysed by Alceste software based on a dendogram generating four classes containing statements by the subjects who were interviewed.