ESSV - UEMC - Artigo em revista científica, indexada ao WoS/Scopus
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Browsing ESSV - UEMC - Artigo em revista científica, indexada ao WoS/Scopus by Author "Alves, Mónica"
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- Intervenções de enfermagem pré-hospitalar : revisão narrativaPublication . Mota, Mauro; Cunha, Madalena; Reis-Santos, Margarida; Cunha, Isabel Cristina Kowal Olm; Alves, Mónica; Marques, NunoObjetivo: Construir algoritmos de intervenção de enfermagem pré-hospitalar para vítimas de trauma. Metodologia: Revisão Narrativa da Literatura, entre 2008 e 2019, nas principais bases de dados. Dois revisores independentes realizaram a avaliação crítica, extração e síntese dos dados. A construção dos algoritmos resultou do processo interpretativo da revisão narrativa por três peritos na área. Utilizou-se o modelo teórico de Virgínia Henderson. Resultados: Obtiveram-se 17 documentos, seis foram incluídos no desenvolvimento dos metaparadigmas Saúde, Pessoa e Ambiente e 16 na elaboração e construção de Algoritmos de avaliação, diagnóstico e intervenções de enfermagem às vítimas de trauma. Conclusões: A revisão possibilitou a operacionalização do modelo teórico de Henderson para a assistência pré-hospitalar permitindo a criação de algoritmos orientadores da prática de enfermagem.
- Prehospital therapeutic hypothermia : influence in good neurological outcome at hospital dischargePublication . Marques, Nuno; Cunha, Madalena; Alves, Mónica; Santos, EduardoIntroduction: Therapeutic hypothermia improves neurological outcomes after Out-of-Hospital Cardiac Arrest (OHCA). Its use has been recommended in the victims with Return of Spontaneous Circulation (ROSC). Objectives: The aim of this study was to know the effect of Prehospital Therapeutic Hypothermia (PHTH) on the neurological outcomes in victims with OHCA. Methods: We conducted a Systematic Review of Literature (SRL) on studies that evaluated the effect of HTPH in victims with OHCA and also performed a research (in PUBMED, EBSCO and Google Scholar) in studies published between January 2007 and 31 May 2013. The studies found were then assessed taking into account the previously established inclusion criteria. The quality of the studies included was assessed by two reviewers using the critical evaluation scale of a study describing a prospective, randomized, controlled clinical trial (RCT) by Carneiro (2008). The meta-analysis was performed using the Mantel-Haenszel method, using the effect of random models. Results: Five RCT's that respect the inclusion criteria were used, involving 759 participants from which 378 were selected from the prehospital hypothermia group and 381 from the control group. The studies show that there are not significant differences observed with respect to the neurological outcomes favorable at discharge (RR = 0.98; 95% CI = 0.79 to 1.20; p = 0.83). Conclusions: Despite SRL show that PHTH has no influence on the neurological outcome at hospital discharge, the scientific evidence points to an improvement in neurologic outcomes when kept at normothermia, so suggests a prompt reference to health units where can be made a control of temperature in the victims with ROSC in prehospital.
- The noninvasive ventilation in prehospital : influence in mortalityPublication . Marques, Nuno; Cunha, Madalena; Alves, Mónica; Santos, EduardoIntroduction: The Noninvasive Ventilation (NIV) is considered one of the pillars in the treatment of victims with Acute Pulmonary Edema (APE). Objectives: The aim of this study consisted in determine the effectiveness of the application of NIV in victims with APE, in the Prehospital (PH) context in what concerns the outcomes of the mortality. Methods: We conducted a Systematic Review of Literature (SRL) on studies that assessed the effectiveness of NIV application in APE in the PH context. After research (in PUBMED, EBSCO, Google Scholar and SciELO) in studies published between January 2007 and 31 December 2013. The studies found were subjected to analysis, taking into account the previously established inclusion criteria. The quality of the studies included was assessed by two reviewers using the critical evaluation scale of a study describing a prospective, randomized, controlled clinical trial (RCT) by Carneiro (2008). In the meta-analysis was performed using the Mantel-Haenszel method, using the effect of random models. Results: From two RCT's that involved 329 participants were selected 167 of the NIV and 162 of the control group. The studies show in what concerns the mortality, the use of NIV associated with the standard medical treatment in PH provides clinically relevant advantage compared to the application in exclusive of standard medical treatment, but without statistical power (RR = 0.85; 95% CI = 0.43-1.69, p = 0.65). Conclusions: The use of NIV in the treatment of patients with APE in PH compared to the exclusive application of standard medical treatment presents benefits in the mortality rate, so we suggest that NIV should be implemented in victims with APE in PH.