Navegando por Assunto "Queimaduras"

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Atuação da fisioterapia em pacientes queimados na Unidade de Terapia Intensiva em um hospital de referência na região amazônica
(Centro Universitário do Estado do Pará, 2021) Holanda, Beatriz Leão de; Lima, Cleiciany Pedreira; Freitas, Izabella Mafra; Costa, Leonardo Ramos Nicolau da; Lima, Gabriela Martins de; http://lattes.cnpq.br/9186298523685237; Maria, Ellen do Socorro Cruz de; http://lattes.cnpq.br/7374026472492199; http://lattes.cnpq.br/0412027987799407
Describe the profile and the outcome of burn patients, as well as the role of physiotherapy in the Intensive Care Unit of a Burn Treatment Centre. A descriptive, retrospective and quantitative study developed at the SAME of the HMUE. Medical records of patients admitted to the CTQ's ICU from 2019 to 2020 were analyzed. Individuals over 18 years of age with progression or not to death were included, from the city of Belém, metropolitan region and interior of the state of Pará. We analyzed 58 medical records of patients, mostly male (81%), aged between 18 and 28 (27.59%), from the interior of the State of Pará (75.86%). The thermal agent was the main cause (52%) and the occupational environment was the location of the occurrences (64%). There was a prevalence of second-degree burns (43%), major burns (60%) and no inhalation injury (91.40%). All underwent motor and respiratory physiotherapy, 84.48% required ventilatory support and among them, 75.51% required IMV. Most patients remained from 1 to 10 days (75.86%) in the ICU and most were discharged from the sector. From knowledge inherent to the profile of critically ill patients and the pathophysiology of burns, the physiotherapist in an Intensive Care Unit for burn patients seeks to act according to the clinical and hemodynamic presentation of the patient, being able to reduce the length of stay in the sector.
A influência da queimadura de tórax nas funções pulmonares – uma revisão de literatura
(Centro Universitário do Estado do Pará, 2021) Cardoso, Lorena Brito; Santos, Gabriela Godinho Bernardes Arnaud dos; Lima, Gabriela Martins de; http://lattes.cnpq.br/9186298523685237
Search the literature for the influence of chest burns on the respiratory system, in order to know the possible repercussions on lung function. This study was based on a literature search using the MEDLINE, PubMed, LILACS and SciELO databases, characterized as a descriptive literature review, using original articles published from January 2015 to May 2021. The search in the databases took place from April to May 2021, following 6 steps: elaboration of the guiding question, search or sampling in the literature, data collection, critical analysis of the included studies, discussion of the results and presentation of the review. Fifty-eight articles were found related to the proposed topic and within the inclusion criteria, among these only 11 articles addressed the pulmonary complications resulting from burns and the need for ventilatory support. In the studies analyzed, the main complications found were pneumonia and respiratory failure, all patients who had some type of pulmonary complication required ventilatory support. In addition, it could be observed that the use of occlusive dressings on the chest directly influenced lung functions, decreasing the strength of the respiratory muscles, changing respiratory pressures, volumes and capacities.
Manejo clínico pré-operatório de pacientes candidatos ao transplante facial: relato de caso
(Centro Universitário do Estado do Pará, 2021) Borges, Mateus de Sousa; Albuquerque, Mário Roberto Tavares Cardoso de; Morales, Martin Iglesias; http://lattes.cnpq.br/3233617656287982
Introduction: Face transplantation has gained recognition, changing the clinicalsurgical outlook for the restoration of complex facial defects, since it attributes functional and aesthetic recovery to patients who have suffered serious accidents. To date, in official publications, about 43 patients have undergone facial transplantation worldwide. The face transplant has numerous evidences that can provide improvements to the patient in an irrefutable way. For this, preoperative care for the patient must be carefully established, as in this stage the short and long term acquired comorbidities, lifestyle, food, among others, which are essential for the performance of a good surgery, are revealed. Objective: To report the routine of preoperative care and preparation of a patient who is a candidate for facial transplantation attended at a referral unit for reconstructive surgery in Mexico City. Methodology: This was a retrospective and cross-sectional study, which was carried out through the analysis of the medical record of the patient seen between January 2017 and January 2020, in the Ayuda para la Mano Artrítica AC Group, "Tlalpan Team". Report: a 46-year-old male patient reports that, at the age of 6, he had a burn from exposure to gasoline with 72% (TBSA), with sequelae from burns and surgical reconstructions on the face, scar from rotation of the frontal flap, amorphous frontal flap in a nasal site, redundant and ptotic skin flap on the left cheek, absence of upper and lower lip, ectropion on both lower eyelids, bilateral hyperemic conjunctiva, exposure of the lower teeth and loss of definition of the mandibular line. Conclusion: the importance of disseminating this innovative procedure in different medical specialties and preoperative care is emphasized through a thorough investigation, which attributes a better surgical efficacy and a good performance of the patient after the transplant and, thus, enabling the rescue of their facial identity once stigmatized.