Navegando por Assunto "Unidade de Terapia Intensiva Neonatal"

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Incidência de lesões cutâneas em neonatos na Unidade de Terapia Intensiva Neonatal de um hospital de referência
(Centro Universitário do Estado do Pará, 2019) Pereira, Jakeline Batista; Sousa, Jaqueline Téles de; Santos, Wanessa Lyandra Oliveira; Sozinho, Maria de Belém Ramos; http://lattes.cnpq.br/0704907714026557; Cruz, Maria de Nazaré da Silva; http://lattes.cnpq.br/5419032892855863; Peixoto, Ivonete Vieira Pereira; http://lattes.cnpq.br/0072766773987067
The skin is one of the major organs of the human body, in addition to being the largest organ, and performs important functions such as immunological thermoregulation, defense against toxins and infections. Therefore, the preservation of skin integrity is very important especially in children and newborns that still have thin and sensitive skin. GOAL: To analyze the incidence of skin lesions in a neonatal intensive care unit of a referral hospital; Trace the main factors that cause injuries in neonates admitted to the NICU; Observe the neonate during the procedures of the professionals quantifying the skin lesions in the NICU; To characterize newborns hospitalized in a Neonatal Intensive Care Unit regarding the clinical variables. The data collection was done through the form of the characterization of the clinical variables of the newborn; the data were organized and accounted for in the Excel spreadsheet program. After the correction of some errors and the analysis was carried out in the SPSS Statistics Program, the development of the study met the national and international standards of ethics in research involving human beings. Participants were 43 neonates. Pretere newborns prevailed with 37.2% males, and born cesarean births that gave the percentage of 70%, and 28% weighed up to 1088 g. In the evaluation of the diagnosis of hospitalizations, 32.6% of hospital admission among the newborns was respiratory disorder, followed by prematurity with 18.6%, followed by meconium aspiration syndrome with 9.3% of the cases. 4.7% due to unspecified intestinal obstruction. On the other hand, the evaluation of the skin, from the data recorded, 72.7% of the lesions were caused by adhesive fixation and by venous puncture. Secondly, the removal of adhesives with 21.2% and with 3% the infiltration, besides the friction in the region of the diaper also with 3%. The sites that presented lesions with more incidences were on the lips, in which 55.8% of the children had these lesions. Then, the MMSS had 48.8%, followed by the MMII with 41.8%, the umbilical stump and the abdominal region had an incidence of 13.9%, 9.3% presented lesions on the perineum and on the face, 6, 9% in the posterior thorax and in the head, 2.3% of the infants had lesions in the anterior thorax and sacral region and 4.6% had no lesions By associating the variables with the scores, the neonates presented statistical significance for the development of skin lesions, extreme premature infants, low birth weight infants and newborns nursing PICC and peripheral catheter concomitantly. A positive evaluation of the skin of these RNs was concluded. However, the scores show the rupture injury was the prevailing construct and is related to venous punctures and the fixation by tape.
A influência do posicionamento terapêutico nos parâmetros fisiológicos de prematuros sob oxigenioterapia em uma Unidade Neonatal
(Centro Universitário do Estado do Pará, 2021) Neri, Noádia Ribeiro; Silva, Priscila Samara Garcia Moraes; Luz, Walbert Jemison Pompeu da; Santos, Renato Caldas dos; Guimarães, André Gustavo Moura; http://lattes.cnpq.br/7135874493191606; Blois, Luana Valéria dos Santos; http://lattes.cnpq.br/7089782464308507; http://lattes.cnpq.br/9398055614059253
The Neonatal Unit (UN) has advanced hospital technological resources, intending to provide adequate support and specialized therapeutic treatment in cases of high complexity of Newborns (NBs) who need intensive and/or semi-intensive care. The objective was to analyze variations in the physiological parameters of newborns according to each position to which they were submitted. An unblinded randomized clinical trial was carried out with a random selection of 30 preterm infants, comprising the 1st to 29th day of life with a gestational age less than 37 weeks, of both genders, clinically stable, who were under oxygen therapy, according to with bed admission at the Neonatal Intermediate Care Unit (NICU-A) (A1 and A2) of the Santa Casa de Misericórdia Foundation of Pará (FSCMPA). They were divided into 3 groups: Prone, Left Lateral Decubitus (LLD), and Right Lateral Decubitus (RLD) and positioned in the nest, where data were collected in a proper form, lasting 30 minutes for each positioning, 10 minutes before, during, and after the maneuvers. When analyzing the data, a significant difference was observed in SpO2 through the Prone positioning, but when compared with the other positions through Tukey's Post-Hoc test, it did not present statistical significance (pvalue <0.0001). It was found that the Prono positioning provides an improvement in SPO2 when compared to other positions, however, more research is needed with a larger number of samples focused on these positions, to prove the importance of changes in decubitus in PTNBs, favoring their neuropsychomotor development.