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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: evaluar la calidad de vida relacionada con la salud (CVRS), de los supervivientes de una enfermedad crítica a los seis meses del alta de una unidad de cuidados intensivos (UCI). Método: estudio observacional de carácter longitudinal realizado en la UCI de un hospital universitario de nivel terciario. Población: todos los pacientes adultos ingresados en UCI, mayores de 18 años, con una estancia > de 48 horas, durante el período del 18 de septiembre del 2020 al 18 de abril del 2021. Criterios de exclusión, pacientes con dificultad con el idioma y personas con alteraciones neurológicas que impidan su comunicación o psiquiátricas graves. Criterios de exclusión, pacientes con dificultad con el idioma y personas con alteraciones neurológicas que impidan su comunicación o psiquiátricas graves. Durante las primeras 48 horas del ingreso del paciente en UCI, se le realizó una encuesta de calidad de vida (CV), con el cuestionario EuroQol (EQ-5D-5L), donde se le preguntó por su CV durante los cuatro meses anteriores a su ingreso en UCI. A los 6 meses del alta, se contactó con los pacientes, vía telefónica, para realizar de nuevo la encuesta de CVRS. Resultados: se incluyeron en el estudio 125 pacientes que cumplían los criterios de inclusión, 27 pacientes fallecieron durante el ingreso en UCI y 12 pacientes EN los 6 meses después del alta. El total de pacientes que completaron el cuestionario a los seis meses fue de 86. Los resultados del cuestionario de salud (EQ-5D-5L) a los seis meses del alta, presentan un aumento de los problemas en las dimensiones de la movilidad del 34,9%, en el auto cuidado el 19,8%, en las actividades cotidianas el 40,7%, en el dolor/malestar el 22,1% y el 26,8 % más de ansiedad/depresión, de la que tenían antes de la enfermedad. Conclusiones: en nuestra investigación hemos observado una disminución de la calidad de vida percibida por los pacientes a los seis meses del alta de UCI.

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Conocimiento Enfermero is the property of Colegio Oficial de Enfermeria de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: En diciembre de 1985 se realizó el primer trasplante renal del Hospital de Clínicas. El equipo multidisciplinario trabajó coordinadamente para dar respuesta a pacientes que requerían de esta terapéutica. El objetivo de este trabajo fue caracterizar a los pacientes trasplantados renales ingresados al Departamento de Cuidados Intensivos Adultos del Hospital de Clínicas de la Facultad de Ciencias Médicas de la Universidad Nacional de Asunción. Metodología: Se realizó un estudio observacional, descriptivo, retrospectivo de corte transversal, con muestreo no probabilístico de casos consecutivos. Se utilizaron fichas médicas de pacientes trasplantados que ingresaron a terapia intensiva en post operatorio inmediato de enero 2017 a diciembre 2023. Resultados: Fueron sometidos a trasplante renal 74 pacientes. El riñón trasplantado provenía de donante cadavérico en 63,6 %. Fueron del sexo masculino 64,8 % (n:48). La mediana de edad fue de 33 años. La principal comorbilidad del receptor fue hipertensión arterial 79,7 %. El score pronóstico utilizado fue APACHE II, con mediana de 12. La mediana de días de internación fue 3. Necesitaron asistencia respiratoria mecánica 5,4% y el promedio de días de ventilación fue 9 (rango: 2-19). Requirieron infusión continúa de furosemida 48,6%, vasodilatadores 39,1 % y vasopresores en un 10,8 %. De los pacientes estudiados, 95,9 % se encontraban en hemodiálisis (n:71). Requirieron sesiones dialíticas posterior al trasplante 9 pacientes. La ecografía Doppler del riñón trasplantado mostró estenosis de la arteria renal en 12, 9%, con repercusión clínica en 2 pacientes, llegando a trasplantectomía en uno de ellos. La supervivencia al alta de la terapia intensiva fue 100 %. Reingresaron en postoperatorio mediato por infecciones asociadas a cuidados de la salud 2 pacientes, que finalmente fallecieron. Conclusión: En el Paraguay el trasplante renal, es una válida opción terapéutica con buenos resultados y bajas complicaciones para pacientes en etapa terminal de la enfermedad renal.

Enquadramento: A exposição dos enfermeiros ao sofrimento e morte dos doentes pode desencadear níveis elevados de sofrimento, dependendo das estratégias de coping utilizadas. Objetivos: Analisar a relação entre o sofrimento e as características sociodemográficas e profissionais identificar as estratégias de coping mais utilizadas; analisar a relação entre o sofrimento e as estratégias de coping. Metodologia: Estudo descritivo, correlacional e transversal. Participaram 26 enfermeiros de uma Unidade Cuidados Intensivos Cardíacos (UCIC). Foi utilizada a Caregiver Grief Scale para avaliar o sofrimento e o Ways of Coping Questionnaire para avaliar as estratégias de coping. Resultados: Não se verifica relação entre o sofrimento e as características sociodemográficas e profissionais. As estratégias de coping mais utilizadas são as centradas no problema (autocontrolo, procura de suporte social). Constata-se uma correlação positiva (r = 0,56) entre o sofrimento e a estratégia de coping distanciamento (p = 0,01). Conclusão: O sofrimento é transversal a todos os enfermeiros de uma UCIC, independentemente das variáveis sociodemográficas e profissionais. Utilizando como estratégia de coping o distanciamento, o sofrimento pode ser maior.

Copyright of Avances en Enfermería is the property of Editorial Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: After the SARS-CoV-2 pandemic, there has been an increase in hospitalization for lower respiratory infection secondary to respiratory syncytial virus (RSV), with greater complications. Associated extrapulmonary alterations, biventricular dysfunction, acute kidney injury, among others, have been found. The objective of this study was to analize the evolution and complications in hospitalized children with lower respiratory infection secondary to RSV after COVID-19 pandemic. Methods: All pediatric patients under 2 years of age admitted to the emergency department with RSV infection were included. Clinical characteristics, need for supplemental oxygen, use of amines, renal angina index, and requirement for renal replacement therapy were analyzed. Lung ultrasound was performed upon admission. Statistical analysis was carried out for the quantitative variables by means of mean and standard deviation, and qualitative variables by frequency and percentage. Differences in the distribution were evaluated with Fisher's exact distribution. Results: 45 patients with RSV infection were identified, 26.7% required invasive mechanical ventilation and 11.1% requiered peritoneal dialysis. Fatality was observed in four cases, three of these younger than 12 months with a LUS score > 7; contrasts with 90.2% of survivors with a score < 7 (p = 0.0004). Conclusions: An increase in the incidence of bronchiolitis after pandemic was observed, with more than half having moderate to severe symptoms and requiring supplemental oxygen support in all patients upon admission. Acute kidney injury is the most common extrapulmonary manifestation. [ABSTRACT FROM AUTHOR]

Prevention includes measures not only dedicated to prevent the emergence of the disease, but also to stop its advance and attenuate the possible consequences once it is established. The classic pattern of Leavell and Clark constitutes a prevention strategy that is sometimes used associated with the medical care levels and its complexity; aspect that brings confusion. In such a sense, this work aims at reflecting on the main elements to take into account in the tertiary prevention that is implemented in the intensive care units, given the questions that the topic generates. [ABSTRACT FROM AUTHOR]

Introduction: Pressure ulcers constitute a major problem, whose magnitude, for patients, health services and society in general, means that they are considered a public health problem, which requires all the necessary means and resources to treat them. Objective: To characterize bedridden patients affected by in-hospital pressure ulcer (PU). Method: A cross-sectional descriptive study was carried out with data from the period from 2017 to 2019 and the year 2022 at the "Dr. Joaquín Castillo Duany." 109 patients who developed PU during admission were selected. The variables studied were: age, services where the UPP developed, stages of the UPP, average length of stay and average number of days from admission until the appearance of the UPP. Results: The age group between 61 and 80 years predominated (52.3%), patients who developed PU did so more frequently in intensive care services (61.5%), the average length of stay was above those 20 days, the appearance of UPP was between 11 and 12 days after the patient was admitted. Conclusions: Bedridden patients with in-hospital pressure ulcers are elderly, female, admitted to intensive care services, with a prolonged stay, PUs appear after 11 days of admission, and are more frequently discharged with UPP in stage II.

Introdução: A doença do coronavírus (COVID-19) espalhou-se rapidamente pelo mundo e foi considerada uma pandemia no dia 11 de março de 2020. O desfecho de saúde de indivíduos acometidos varia, e, de 5 a 20% se tornam graves. O uso da ventilação não invasiva (VNI) mesmo sem consenso inicial teve crescimento como terapia de primeira linha. O objetivo deste estudo é investigar o desfecho dos pacientes com COVID-19 que utilizaram a VNI como terapia de primeira linha, relacionar pressão arterial de oxigênio (PaO2) inicial com o resultado encontrado, descrever o perfil epidemiológico dos pacientes e avaliar o desfecho da internação na unidade de terapia intensiva (UTI). Métodos: Estudo observacional, transversal, retrospectivo, realizado através da análise de prontuários de pacientes acometidos pela COVID-19 atendidos na UTI de um hospital do Vale dos Sinos, entre janeiro e julho de 2021. Resultados: Foram incluídos 49 pacientes, 63,3% do sexo masculino, com idade de 47,5 ± 12,9 anos, 96% apresentou comorbidades e apenas 36,7 % evolui de forma melhorada, o que tem forte relação (p = 0,007) com o nível de PaO2. Obtivemos uma taxa de alta da UTI de 67,3%. Conclusão: Pacientes infectados com COVID-19 podem se beneficiar do uso da VNI, desde que a escolha seja feita de forma segura levando em consideração a gravidade da hipoxemia.

La inteligencia artificial (IA) es una disciplina de las ciencias de la computación que crea sistemas informáticos capaces de imitar la inteligencia humana y mejorar sus tareas a medida que recopilan información. En el campo de los cuidados intensivos tiene el potencial de revolucionar el cuidado, ofreciendo numerosos beneficios y mejoras en la atención al paciente. Además, la IA puede desempeñar un papel crucial en abordar los desafíos planteados por la escasez de recursos humanos calificados en este campo y el aumento de los costos asociados con esta disciplina. Este editorial examina las áreas clave donde la IA puede traer cambios sustanciales en los cuidados intensivos desde la perspectiva de los proveedores de atención médica. Nuestra intención es proporcionar una visión general de los aspectos generales en los que la IA está contribuyendo al manejo de los pacientes críticamente enfermos.

Background: Children with congenital heart disease present a higher frequency of cardiorespiratory arrest (CRA) than the general pediatric population. The epidemiology of CRA is not exactly known in our setting, nor are the mortality risk or the neurological evolution factors. Objective: To describe the epidemiology and outcomes associated with pediatric cardiopulmonary resuscitation in a cardiovascular recovery unit. The primary endpoint was the survival to discharge and the secondary endpoints were the return to spontaneous circulation, the survival at 24 hours and the remote neurological condition. Methods: Descriptive, prospective, longitudinal cohort study in children under 18 years of age who required cardiopulmonary resuscitation between 2016 and 2019. Demographic variables, characteristics of cardiopulmonary arrest, resuscitation and outcome were analyzed. An uni- and multivariate analysis was performed comparing survivors and deceased. Results: Out of 1,842 hospitalized patients, 4.1% presented CRA. Fifty patients with complete records were analyzed. Seventy-eight percent (39) returned to spontaneous circulation with a high survival rate of 46%. Resuscitation > 6 min and the use of vasoactive drugs were predictors of mortality; 16/23 patients were followed up, 10 of them with normal development for age at 6 months, six had pervasive developmental disorder. Conclusions: 4.1% of patients presented CRA, with a rate of 3.4 CRA per 1,000 patient-days. Survival at hospital discharge (n = 50) was 46%. Resuscitation > 6 min and the use of vasoactive drugs were independent predictors of mortality. At six months, 63% had normal neurological development for age. [ABSTRACT FROM AUTHOR]

Background: Intensive care unit (ICU) admission and invasive mechanical ventilation (IMV) are associated with psychological distress and trauma. The COVID-19 pandemic brought with it a series of additional long-lasting stressful and traumatic experiences. However, little is known about comorbid depression and post-traumatic stress disorder (PTSD). Objective: To examine the occurrence, co-occurrence, and persistence of clinically significant symptoms of depression and PTSD, and their predictive factors, in COVID-19 critical illness survivors. Method: Single-centre prospective observational study in adult survivors of COVID-19 with ≥24 h of ICU admission. Patients were assessed one and 12 months after ICU discharge using the depression subscale of the Hospital Anxiety and Depression Scale and the Davidson Trauma Scale. Differences in isolated and comorbid symptoms of depression and PTSD between patients with and without IMV and predictors of the occurrence and persistence of symptoms of these mental disorders were analysed. Results: Eighty-nine patients (42 with IMV) completed the 1-month follow-up and 71 (34 with IMV) completed the 12-month follow-up. One month after discharge, 29.2% of patients had symptoms of depression and 36% had symptoms of PTSD; after one year, the respective figures were 32.4% and 31%. Coexistence of depressive and PTSD symptoms accounted for approximately half of all symptomatic cases. Isolated PTSD symptoms were more frequent in patients with IMV (p≤.014). The need for IMV was associated with the occurrence at one month (OR = 6.098, p = .005) and persistence at 12 months (OR = 3.271, p = .030) of symptoms of either of these two mental disorders. Conclusions: Comorbid depressive and PTSD symptoms were highly frequent in our cohort of COVID-19 critical illness survivors. The need for IMV predicted short-term occurrence and longterm persistence of symptoms of these mental disorders, especially PTSD symptoms. The specific role of dyspnea in the association between IMV and post-ICU mental disorders deserves further investigation. [ABSTRACT FROM AUTHOR]

Introduction: The nursing care process includes actions aimed at preventing diseases during postpartum period. Objective: To describe the process of nursing care for the tertiary prevention of some complications related to postpartum. Methods: An observational descriptive and cross-sectional study was carried out at Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January to December, 2022, that included 2 population groups integrated by 225 newlydelivered women and 80 nurses. The variables studied were the following: complications, type of care, working time with newly-delivered women and level of knowledge about prevention. Results: In the series there was a prevalence of the hemorrhage (36.4%), pre-eclampsia and thromboembolism (26.0 and 21.1%, respectively) as main complications, besides the care of standardized type (56.5%) and the inadequate knowledge on prevention (58.7%). Conclusions: Nursing care for the tertiary prevention of some complications is offered fundamentally to newly-delivered women with pre-eclampsia, thromboembolism and hemorrhages, reason why the standardized care requires more preparation of the staff that intervenes in the process. [ABSTRACT FROM AUTHOR]

Copyright of Avances en Enfermería is the property of Editorial Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Enquadramento: a pessoa com delirium representa um desafio aos profissionais de saúde, nomeadamente aos enfermeiros. Por outro lado, existem limitações importantes quanto ao tratamento farmacológico desta doença. Objetivos: identificar a eficácia de intervenções não farmacológicas em adultos com delirium implementadas pelos enfermeiros em cuidados intensivos. Metodologia: realizámos uma revisão integrativa, tendo recorrido a bases bibliográficas eletrónicas, nomeadamente EBSCO e Pubmed MEDLINE, para artigos publicados entre 2018 e 2022. O processo de seleção de artigos teve por base as recomendações da PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) para revisões sistemáticas. Resultados: foram incluídos no estudo nove artigos (n=9), dos quais seis correspondem a artigos originais, dois a meta-análises e uma revisão sistemática. A intervenção não farmacológica com maior evidência disponível foi a intervenção multicomponente, apesar da qualidade dos estudos limitar recomendações concretas em relação a esta abordagem. Conclusão: a evidência aponta para que uma personalização dos cuidados numa perspetiva complexa e integrada seja a abordagem não farmacológica do delirium com maior eficácia.

Prevention includes measures not only dedicated to prevent the emergence of the disease, but also to stop its advance and attenuate the possible consequences once it is established. The classic pattern of Leavell and Clark constitutes a prevention strategy that is sometimes used associated with the medical care levels and its complexity; aspect that brings confusion. In such a sense, this work aims at reflecting on the main elements to take into account in the tertiary prevention that is implemented in the intensive care units, given the questions that the topic generates.

Introduction: The nursing care process includes actions aimed at preventing diseases during postpartum period. Objective: To describe the process of nursing care for the tertiary prevention of some complications related to postpartum. Methods: An observational descriptive and cross-sectional study was carried out at Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January to December, 2022, that included 2 population groups integrated by 225 newly-delivered women and 80 nurses. The variables studied were the following: complications, type of care, working time with newly-delivered women and level of knowledge about prevention. Results: In the series there was a prevalence of the hemorrhage (36.4%), pre-eclampsia and thromboembolism (26.0 and 21.1%, respectively) as main complications, besides the care of standardized type (56.5%) and the inadequate knowledge on prevention (58.7%). Conclusions: Nursing care for the tertiary prevention of some complications is offered fundamentally to newly-delivered women with pre-eclampsia, thromboembolism and hemorrhages, reason why the standardized care requires more preparation of the staff that intervenes in the process.

Introduction: Parental satisfaction is rarely measured in the neonatal intensive care unit due to a lack of specific assessment tools. The Empowerment of Parents in The Intensive Care-Neonatology (EMPATHIC-N) questionnaire is an instrument to assess satisfaction in relation to family-centred care that has been validated in several countries, but not Spain. Objectives: To perform the translation and cultural adaptation of the EMPATHIC-N to Spanish followed by its validation for the purpose of assessing satisfaction in parents with children admitted to the neonatal intensive care unit. Material and methods: The questionnaire first underwent forward and backward translation and transcultural adaptation by a panel of experts through a standardized process based on the Delphi method, followed by a pilot study in 8 parents and then a cross-sectional study in the neonatal intensive care unit of a tertiary care hospital to assess the reliability and converging validity of the Spanish version. Results: The study proved the comprehensibility, validity, feasibility, applicability and usefulness of the Spanish version of the EMPATHIC-N in the field of paediatric health after being evaluated by 19 professionals and 60 parents. The content validity was found to be excellent (0.93). The reliability and convergent validity of the Spanish version of the EMPHATIC-N was analysed in a sample of 65 completed questionnaires. The Cronbach α for each domain was greater than 0.7, indicating a high internal consistency. We assessed validity by analysing the correlation of the 5 domains with the with the 4 general satisfaction items. The validity was found to be adequate (rs, 0.4−0.76; P

Puerperal hemorrhage causes an increase in the number of admissions to intensive care units, which in turn requires greater and better care from nursing staff. This work aims to reflect on the main elements to take into account for nursing care of postpartum women with hemorrhage, in the context of the intensive care unit. The care plan for postpartum women with hemorrhage should be based on nursing diagnoses that focus more on the disease; in which action planning is more specific to postpartum women with hemorrhage. Likewise, combine standardization with individualization, to achieve greater effectiveness in the care of this serious complication, the main cause of maternal mortality in the world. Therefore, nursing care must take actions regarding patient safety, from promoting teamwork to strengthening skills for the implementation of practice guides that guarantee faster and more efficient action.

Decision-making in pediatric intensive care units (PICUs) is often difficult when the patient's progress becomes unfavorable, giving rise to doubts and dilemmas. Therefore, it is necessary for the attending physician to have the skills to communicate effectively with family members. When intensivist physicians engage in bioethical reflection and deliberation it may allow them to make more satisfactory decisions, particularly to provide palliative care. This article presents information that may be useful for the care of pediatric patients treated in the ICU. [ABSTRACT FROM AUTHOR]

Objective: to estimate the frequency and risk factors associated with mortality in patients treated in a Pediatric Intensive Care Unit (PICU). Material and methods: prospective cohort study of patients admitted to the PICU between September 2019 and September 2022. Analysis. The mortality rate per 100 admissions was estimated; to identify the factors associated with mortality, the OR and 95%CI were calculated using logistic regression. Results: a total of 315 patients were studied; the median age was 60 months and 56.5% were male. The in-hospital mortality rate was 22.2 per 100 admissions (95% CI 17.9-27.1). Factors associated with mortality were hematologic malignancy (OR 4.2, 95%CI 2.1-8.3), cardiomyopathy (OR 23, 95%CI 2.3-228), requiring mechanical ventilation (OR 3.6, 95%CI 1.7-7.3), use of blood products (OR 2.4, 95%CI 1.3-4.3) and elevated serum lactate on admission (OR 1.2, 95%CI 1.1-1.4). While when the admission to the PICU was elective. [ABSTRACT FROM AUTHOR]

Background: Lung ultrasound is a bedside tool that allows the evaluation of pulmonary parenchymal involvement in pediatric patients through the lung ultrasound score (LUS). We aimed to evaluate a group of patients under 3 years of age with lower respiratory tract infections using LUS at the Hospital Infantil del Estado de Sonora. Methods: We included patients younger than 3 years admitted to the emergency department with lower respiratory tract infections. A lung ultrasound was performed within the first 24 h of admission to the emergency department and evaluated using LUS. We analyzed age, sex, etiology of infection, days of stay, use of mechanical ventilation, Downes scale, failure of mechanical ventilation on admission, and mortality. Descriptive analysis was performed with frequencies and percentages for qualitative variables and medians and interquartile intervals for quantitative variables. Differences in the distribution of LUS variables were evaluated with the Fishers' exact test and Student's t-test. Results: We included a total of 19 patients with lower respiratory tract infections, 73.7% with bronchiolitis. Fifty percent of the cases scored 7 on the LUS, 91.7% were admitted to the pediatric intensive care unit, and 53.8% required invasive mechanical ventilation. Conclusions: The use of LUS in lower respiratory tract infections can predict the need for PICU admission, the use of invasive ventilatory support, and prolonged hospital stay. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To understand the perception of the nurses who work in the Shock Unit about care during fibrinolytic therapy. Method: Qualitative study, Ethnographic approach, according to ethno-nursing, of Leininger's theory. Thirty-four nurse practitioners participated in a shock unit for adults of a Mexican general hospital. The data were obtained through a semi-structured interview, participant observation, it opted for the content analysis that allowed the elaboration of the categories that facilitated the understanding the data. Results: The analysis revealed the themes: An experience in the time of the other, the scientific and humanistic with a light on the paradigmatic path; opportunity from the nature of life and care from the sensitive vision of my human side. Conclusion: human care is perceptible by belief, motivated from the experiences lived in intensive care units, in this scenario it is necessary to promote hospital cross-cultural studies, due to the scientific wealth of nursing interventions in the shock unit, that strengthens cares like a light on the road. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introdução: Pacientes hospitalizado, em estado crítico tendem a apresentar altos índices de perda de peso, que relacionado ao quadro clínico, associa-se ao aumento de ocorrência de infecções, morbidade e tempo de internação prolongada. Objetivo: Identificar o estado nutricional e a adequação calórica e proteica da dieta enteral infundida em pacientes internados na unidade de tratamento intensivo. Materiais e Métodos: Trata-se de um estudo transversal, descritivo de natureza quantitativa, que contou com participantes de ambos os sexos, com idade igual ou superior a 18 anos, em uso de terapia nutricional enteral exclusiva. O estado nutricional foi avaliado pelo índice de massa corporal (IMC) e circunferência do braço (CB). Para cálculo das necessidades energéticas e proteicas, foram consideradas as recomendações das diretrizes brasileiras de nutrição enteral. A adequação foi realizada através de coleta diária das informações de prescrição e infusão. Para as análises foram aplicados testes considerando significância estatística p

Objetivo: Explorar os fatores que dificultam a doação de órgãos no Brasil. Métodos: Foi realizada uma revisão de literatura buscando principais fatores que dificultam a doação de órgãos, utilizando os seguintes descritores: encaminhamento de órgãos, morte encefálica, cuidados intensivos. Resultados: Foram encontrados 54 estudos publicados nos últimos cinco anos: PubMed (n=15), EMBASE (n=32), Lilacs (n=1), Mendeley (n=16) e SciELO (n=0). A recusa de familiares parece ser a principal dificuldade no processo de doação de órgãos no Brasil. A sistematização da captação e distribuição de órgãos, e a eficiência para diagnóstico de morte encefálica mostraram-se como fatores preditivos para maiores taxas de aceitação familiar e eficiência nas etapas do processo. Conclusão: Medidas de sistematização do processo de captação e distribuição de órgãos, e a capacitação da equipe de saúde podem impactar beneficamente no cenário brasileiro de doação de órgãos.

Introduction: ventilator-associated pneumonias cause great concerns to physicians who pose serious diagnostic difficulties that often lead to disproportionate therapeutic decisions that favor the genesis of antimicrobial resistance. Objective: to characterize pneumonias associated to mechanical ventilation in the Intermediate Care Unit of the "Arnaldo Milián Castro" Hospital. Methods: an observational, descriptive, cross-sectional study was carried out in the Intermediate Care Unit of the "Arnaldo Milián Castro" Hospital in 2021. The population of patients who developed pneumonia associated with mechanical ventilation (73) was studied. A documentary review guide was used as an instrument for data collection; data were collected from the individual clinical history of patients with ventilatorassociated pneumonia, from the admission book and from the Service's infection control register. Results: the diseases that most frequently led the patient to mechanically assisted ventilation were cerebrovascular diseases, respiratory distress and sepsis. Symptoms became evident in the first nine days of the patient's admission. A greater isolation of Gram-negative germs was obtained, including Acinetobacter. Conclusions: ventilator-associated pneumonias were more frequently observed in male patients over 60 years of age; they were more frequently associated with cerebrovascular diseases and, in most cases, symptoms appeared between four and six days; Acinetobacter, Klebsiella pneumoniae and Staphylococcus aureus were the most frequently isolated germs and half of the patients were discharged dead. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Investigación e Innovación en Ciencias de la Salud (RIICS) is the property of Fundacion Universitaria Maria Cano and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO Objetivo: Analisar e comparar as características de pacientes críticos com a COVID-19, a abordagem clínica e os resultados entre os períodos de pico e de platô na primeira onda pandêmica em Portugal. Métodos: Este foi um estudo de coorte multicêntrico ambispectivo, que incluiu pacientes consecutivos com a forma grave da COVID-19 entre março e agosto de 2020 de 16 unidades de terapia intensiva portuguesas. Definiram-se as semanas 10 - 16 e 17 - 34 como os períodos de pico e platô. Resultados: Incluíram-se 541 pacientes adultos com mediana de idade de 65 [57 - 74] anos, a maioria do sexo masculino (71,2%). Não houve diferenças significativas na mediana de idade (p = 0,3), no Simplified Acute Physiology Score II (40 versus 39; p = 0,8), na pressão parcial de oxigênio/fração inspirada de oxigênio (139 versus 136; p = 0,6), na terapia com antibióticos na admissão (57% versus 64%; p = 0,2) ou na mortalidade aos 28 dias (24,4% versus 22,8%; p = 0,7) entre o período de pico e platô. Durante o período de pico, os pacientes tiveram menos comorbidades (1 [0 - 3] versus 2 [0 - 5]; p = 0,002); fizeram mais uso de vasopressores (47% versus 36%; p < 0,001) e ventilação mecânica invasiva na admissão (58,1% versus 49,2%; p < 0,001), e tiveram mais prescrição de hidroxicloroquina (59% versus 10%; p < 0,001), lopinavir/ritonavir (41% versus 10%; p < 0,001) e posição prona (45% versus 36%; p = 0,04). Entretanto, durante o platô, observou-se maior uso de cânulas nasais de alto fluxo (5% versus 16%; p < 0,001) na admissão, remdesivir (0,3% versus 15%; p < 0,001) e corticosteroides (29% versus 52%; p < 0,001), além de menor tempo de internação na unidade de terapia intensiva (12 versus 8 dias; p < 0,001). Conclusão: Houve mudanças significativas nas comorbidades dos pacientes, nos tratamentos da unidade de terapia intensiva e no tempo de internação entre os períodos de pico e platô na primeira onda da COVID-19.

Copyright of Revista Médica Clínica Las Condes is the property of Editorial Sanchez y Barcelo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Científica de Enfermería (2071-5080) is the property of Colegio de Enfermeros del Peru and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To determine the relationship between working conditions and dimensions of health-related quality of life during the COVID 19 pandemic among nursing and medical staff in intensive care units in Santa Marta, Colombia. Method: Cross-sectional analytical study. The sample consisted of 110 health professionals (physician and nurses) selected by non-probability sampling. The MOS-36 questionnaire was used. Results: The respondents were mostly female (69.09%), with children (64.54%), living with their nuclear family (90.00%), nursing assistant (59.09%), followed by nurses (23.63%) and physicians (17.27%), with postgraduate degrees (13.63%), with chronic illness (14.54%) and with multiple jobs (93.63%). The dimensions of quality of life with the best perception were physical functioning (M: 85.69, SD: 19.04) and role emotional (M: 81.79, SD: 33.92), while a lower mean was found in the vitality dimension (M: 59.95, SD: 17.51). The variables age, sex (male), having children, suffering from a chronic disease, profession (physician), hiring format, multi-employment, seniority at work and service seem to negatively influence workers' mental and physical health. Conclusions: The mental component was the most affected. The health-related quality of life in the study group is generally evaluated as good; and this showed to be related to working conditions, meriting the design and implementation of strategies to minimize the impact of work on the health and integrity of health care professionals. [ABSTRACT FROM AUTHOR]

Copyright of Acta Medica Colombiana is the property of Acta Medica Colombiana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Critically ill hospitalized patients tend to present high rates of weight loss, which, related to the clinical picture, is associated with increased occurrence of infections, morbidity and prolonged hospitalization. Objective: To identify the nutritional status and the caloric and protein adequacy of the enteral diet infused in patients in the intensive care unit. Materials and Methods: This is a cross-sectional, descriptive quantitative study, with participants of both genders, aged 18 years or older, using exclusive enteral nutritional therapy. Nutritional status was assessed by body mass index (BMI) and arm circumference (AC). To calculate energy and protein needs, the recommendations of the Brazilian enteral nutrition guidelines were considered. The adequacy was performed through daily collection of prescription and infusion information. For the analyses we applied tests considering statistical significance p<0.05. Results: 22 patients were evaluated, 68.18% were male. The main reasons for hospitalization were cardiovascular and pulmonary diseases, and the most predominant nutritional status according to the BMI was overweight in 55% of patients, while 50% were eutrophic. The calorie adequacy was adequate in 73% of patients, while protein adequacy was not adequate in 55%. The caloric and protein adequacy showed no association between the nutritional parameters and clinical outcome. Conclusion: The findings of this study allow us to affirm the importance of early nutritional assessment, as well as the adequate monitoring of nutritional support, aiming at the best clinical outcome of the patient. [ABSTRACT FROM AUTHOR]

Los objetivos de la presente investigación fueron describir el cuidado humanizado de enfermería para la reducción del síndrome de estrés postraumático en pacientes atendidos en la unidad de cuidado intensivo, así como identificar los factores estresantes que predisponen a los pacientes a presentar este síndrome. Se trató de una investigación de revisión documental, Se realizó búsqueda bibliográfica en bases de datos: PubMed, Scielo, google scholar, SciencDirect; de las cuales se revisaron 13 artículos; igualmente se revisaron repositorios de los cuales se tomaron 8 documentos, para un total de 21 artículos. Entre los resultados principales se encuentra que, en la actualidad el solo hecho de ingresar a una unidad de cuidados intensivos genera estrés, afectando el estado emocional del paciente y predisponiéndolo al desarrollo del síndrome de estrés postraumático; entre los factores estresantes se encuentran los procedimientos invasivos y dolorosos, muerte de otros pacientes en la unidad, excesiva manipulación del paciente, separación de la familia, pérdida de autonomía, uso de medicamentos. Finalmente se concluye que el brindar un cuidado humanizado integral y global creara un vínculo protector enfermero-paciente inquebrantable, misma que ayudara significativamente a evitar el síndrome de estrés postraumático.

Objetivo: comparar el perfil de atención de los pacientes críticos en hemodiálisis antes y durante la pandemia de COVID-19. Método: estudio observacional realizado en un hospital de San Pablo, Brasil. Participaron pacientes críticos en hemodiálisis hospitalizados en 2019 y 2020. Los datos se recolectaron de documentos de sesiones de hemodiálisis e historias clínicas. Para las comparaciones se utilizaron las pruebas de chi-cuadrado, Mann-Whitney, Shapiro-Wilk y exacta de Fisher (p

Introducción: Las Infecciones Respiratorias Agudas (IRA) son un grupo de enfermedades con sintomatología respiratoria similar, causadas por bacterias o virus que se adquieren por contacto directo o a través del aire. Objetivo: Determinar la prevalencia de virus respiratorios identificados por RT-PCR múltiplex y detección por microarreglos, en la Fundación Valle del Lili entre junio de 2013 y diciembre de 2014. Métodos: Realizamos un estudio observacional descriptivo de corte transversal, se evaluaron registros de pacientes hospitalizados en la FVL entre junio de 2013 y diciembre de 2014. Las muestras fueron evaluadas por RT-PCR múltiplex y detección por microarreglos (CLART PneumoVir), se aplicó estadística descriptiva. Resultados: De 161 muestras, 96 (60 %) fueron positivas. El servicio con la mayor proporción de pacientes positivos fue la Unidad de Cuidados Intensivos-UCI (56%). El 32 % de los aislamientos positivos se identificaron en pacientes mayores de 60 años. Los virus más frecuentemente detectados fueron: Rinovirus (30%), Influenza (H1N1/ 2009) (12 %) y Bocavirus (12 %). Influenza A (H1N1/2009) fue la cepa más comúnmente aislada entre los virus de la gripe (12%), seguido de un 11% (17 casos) con coinfección viral. No se identificó el patrón estacional. Conclusión: La RT-PCR múltiplex y la detección por microarreglos para la identificación de los virus de mayor circulación en el mundo, son herramientas útiles, sensibles y rápidas. A diferencia de lo reportado por la literatura científica, en este estudio se observó mayor porcentaje de pruebas positivas en adultos y no se observó estacionalidad para ninguno de los virus evaluados

RESUMO Objetivo: Avaliar a síndrome do doente eutireóideo como fator prognóstico em pacientes na unidade de terapia intensiva, detectar fatores que possam influenciar a mortalidade e desenvolver uma equação para calcular a probabilidade de morte. Métodos: Este foi um estudo de coorte longitudinal, observacional e não concorrente realizado na unidade de terapia intensiva da Fundação Santa Casa de Misericórdia do Pará. Realizou-se coleta de 20mL de sangue em 100 adultos sem endocrinopatia previamente documentada para a dosagem do hormônio estimulante da tireoide, da tetraiodotironina livre, da tri-iodotironina livre e da tri-iodotironina reversa. Resultados: A maioria dos pacientes era do sexo feminino, com idades entre 20 e 29 anos. A maioria dos pacientes que morreram era mais velha (idade mediana de 48 anos), e 97,5% deles possuíam a síndrome do doente eutireóideo. A síndrome do doente eutireóideo esteve relacionada à morte, às comorbidades, à idade e ao tempo de internação (mediana de 7,5 dias) na unidade de terapia intensiva. A baixa dosagem de hormônio estimulante da tireoide estava associada à morte. Os pacientes com dosagem da tri-iodotironina livre menor que 2,9pg/mL tinham maior probabilidade de morrer e, naqueles que morreram, a dosagem de tri-iodotironina reversa era maior que 0,2ng/mL. A tri-iodotironina livre apresentou maior sensibilidade e acurácia, e a tri-iodotironina reversa teve maior especificidade para prever a mortalidade. Com base nos resultados e pontos de corte, desenvolveu-se uma fórmula de regressão logística múltipla para calcular a probabilidade de morte. Conclusão: Sugere-se verificar oportunamente a dosagem da triiodotironina livre e reversa em pacientes graves e aplicar a equação proposta.

RESUMO O manejo deficiente das secreções é uma das complicações mais frequentes em pacientes em ventilação mecânica invasiva. A depuração das secreções por meio da fisioterapia respiratória é um aspecto crítico do tratamento desses pacientes. A compressão torácica manual é uma das técnicas de fisioterapia respiratória mais praticadas em pacientes ventilados, mas seu impacto nos desfechos clínicos permanece controverso devido a questões metodológicas e ao pouco conhecimento sobre sua ação. Nesta revisão, apresenta-se uma análise detalhada dos princípios físicos envolvidos na execução da técnica de compressão torácica. Também investigam-se os efeitos fisiológicos observados em estudos experimentais e clínicos, que mostram que o uso de compressão torácica curta e vigorosa, baseada no aumento de fluxos expiratórios (diferença de fluxo aéreo inspiratório-expiratório > 33L/minuto), pode melhorar o movimento do muco em direção à glote. Por outro lado, o uso de compressão torácica suave e gradual ao longo de toda a fase expiratória não afeta os fluxos expiratórios, resultando em efeitos ineficazes ou indesejados em alguns casos. Mais estudos fisiológicos são necessários para entender os princípios da técnica de compressão torácica em pacientes ventilados. No entanto, de acordo com as evidências, a compressão torácica tem mais benefícios potenciais do que riscos, o que incentiva sua implementação.

RESUMO Objetivo: O presente estudo avaliou a prevalência da elevação da troponina e sua capacidade de prever a mortalidade em 60 dias em pacientes com COVID-19 internados em unidade de terapia intensiva. Metódos: Um estudo longitudinal prospectivo e unicêntrico foi realizado em uma coorte de pacientes em terapia intensiva devido a diagnóstico de COVID-19 confirmado, usando teste de reação em cadeia da polimerase em tempo real de maio a dezembro de 2020. Uma curva Característica de Operação do Receptor foi construída para predizer o óbito de acordo com o nível de troponina, calculando a área sob a curva e seus intervalos de confiança. Um modelo de risco proporcional de Cox foi gerado para relatar as razões de risco com intervalo de confiança de 95% e o valor de p para sua associação com mortalidade em 60 dias. Resultados: Foram incluídos 296 pacientes com taxa de mortalidade em 60 dias de 51%. A troponina foi positiva em 39,9% (29,6% versus 49,7% em sobreviventes e não sobreviventes, respectivamente). Foi encontrada área sob a curva de 0,65 (IC95% 0,59 - 0,71) para prever a mortalidade. O modelo univariado de Cox demonstrou razão de risco de 1,94 (IC95% 1,41 - 2,67) e p < 0,001, mas essa relação não se manteve no modelo de análise multivariado, no qual a razão de risco foi de 1,387 (IC95% 0,21 - 1,56) e o valor de p foi de 0,12. Conclusão: A elevação da troponina é frequentemente encontrada em pacientes em terapia intensiva para COVID-19. Embora seus níveis sejam maiores em pacientes que vão a óbito, nenhuma relação foi encontrada em um modelo de análise multivariado, o que indica que a troponina não deve ser utilizada como único marcador prognóstico de mortalidade nessa população.

RESUMO Introdução: A reversão precoce da hipoperfusão tecidual induzida é essencial para a sobrevida no choque séptico. No entanto, falta consenso sobre a melhor estratégia de ressuscitação inicial, uma vez que intervenções destinadas a toda a população com choque séptico podem produzir administração desnecessária de líquidos. Este artigo relata a justificativa, o delineamento e o plano de análise do estudo ANDROMEDA-2, que visa determinar se uma estratégia guiada por perfusão periférica, que consiste na ressuscitação guiada pelo tempo de enchimento capilar com base em fenótipos clínicos e hemodinâmicos, está associada a uma diminuição no desfecho composto de mortalidade, tempo até a interrupção ao suporte de órgãos e tempo de internação em comparação com o atendimento padrão em pacientes com choque séptico precoce (< 4 horas do diagnóstico). Metódos: O estudo ANDROMEDA-2 é um ensaio clínico randomizado controlado multinacional e multicêntrico. No grupo de intervenção, o tempo de enchimento capilar será medido a cada hora, durante 6 horas. Se estiver anormal, os pacientes serão alocados em um algoritmo, começando com a avaliação da pressão de pulso. Pacientes com pressão de pulso inferior a 40mmHg serão testados quanto à capacidade de resposta a líquidos e receberão líquidos de acordo. Em pacientes com pressão de pulso > 40mmHg, norepinefrina será titulada para manter a pressão arterial diastólica > 50mmHg. Os pacientes que não normalizarem o tempo de enchimento capilar após as etapas anteriores serão submetidos à ecocardiografia de cuidados intensivos para avaliação da disfunção cardíaca e posterior manejo. Por fim, serão realizados testes com vasopressores e inodilatadores para otimizar ainda mais a perfusão. Um tamanho de amostra de 1.500 pacientes fornecerá 88% de poder para demonstrar a superioridade da estratégia direcionada ao tempo de enchimento capilar. Conclusão: Se for demonstrado que o direcionamento ao tempo de enchimento capilar é uma estratégia melhor, os processos de atendimento na ressuscitação do choque séptico podem ser otimizados com ferramentas usadas à beira do leito.

Introduction: Hypoalbuminemia can develop in the first hours after an acute illness, and is closely related to an active inflammatory state, regardless of the patient's nutritional status. It has been associated with hospital mortality in patients with post-surgical complications, patients with sepsis and trauma. Objective: To evaluate the association between hypoalbuminemia level and the risk of mortality in critically ill patients in a polyvalent unit. Methods: Observational, descriptive, prospective, case series study, with 216 patients admitted to the unit. Demographic, clinical, and laboratory variables were analyzed and the APACHE II prognostic score was applied. Albumin concentration is calculated on admission and hypoalbuminemia is classified as mild (30-35 g/L) and moderate/severe (≤ 30 g/L). Results: In the study, 28 patients died, which represented 13% of the total number of patients admitted. Albumin levels were low in 118 patients (54.6%), and of these 66 patients (56%) were classified as hypoalbuminemia moderate/severe, with albumin values below 30 g/L. Patients with moderate-severe hypoalbuminemia had a higher risk of death (23.5%) than those patients with levels classified as mild (15.3%), a statistically significant difference (p= 0.034); and in the group of patients with moderate-severe hypoalbuminemia, 67% died, in relation to 33% of patients with levels classified as mild. Conclusions: Moderate-severe hypoalbuminemia is associated with mortality risk, regardless of admission diagnosis.

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Weaning of the mechanical ventilation (MV) is a complex process and when it fails, it can increase the risks of complications and expenses in health systems. Objective: To identify risk factors for failed weaning in adults with MV. Materials and Methods: Case-control study carried out in patients older than 18 years admitted to the intensive care unit of a tertiary care hospital. Cases were identified as failed weaning (FW) of MV, and controls were simple weaning. Patients from another hospital with MV were excluded. Risk factors studied were high nutritional risk by the modified Nutric score, late enteral nutrition, positive water balance (WB) and the absence of physical therapy prior to weaning. OR was calculated with a significance < 0.05 for bivariate, multivariate, and adjusted analysis. Results: 105 patients were included, 35 cases and 70 controls. The bivariate analysis found that high nutritional risk (OR = 2.5; 95% CI = 1.1 - 5.9; p = 0.027) was a risk factor, but the multivariate analysis did not confirm it. Late enteral nutrition (OR = 1.2; 95% CI = 0.4 - 3.4), positive WB (OR = 0.7; 95% CI = 0.3 - 1.7) and the absence of respiratory physiotherapy (OR = 0.2; 95% CI = 0.004 - 0.011) were not risk factors for FW. Conclusions: High nutritional risk, late enteral nutrition, positive BH and the absence of respiratory physiotherapy before weaning were not risk factors for FW. [ABSTRACT FROM AUTHOR]

Introduction: Children with tetralogy of Fallot face great challenges during their postoperative stage, so nurses must recognize the mechanisms involved in this process, to help them reach an integrated physiological and psychosocial level of adaptation. Objective: The objective of the study was to establish nursing interventions for children following palliative or corrective surgery for tetralogy of Fallot. Materials and methods: Using the methodology proposed by Fawcett et al. and the Joanna Briggs Institute, we searched 10 databases and search engines for articles published from 2014 to 2019 using 2 formulas: Pediatric AND Tetralogy of Fallot AND Post-operative and Pediatric AND Tetralogy of Fallot AND Postoperative AND Psychosocial Adaptation. Results: 1.901 studies were obtained, of which 56 met all eligibility criteria. The results were structured according to the nursing care plan and were framed within the modes of adaptation and needs of Callista Roy’s adaptation model. With the information obtained, 12 NANDA diagnoses corresponding to the physiological mode of adaptation and 11 to the psychosocial mode were constructed. Conclusion: There is relevant information to establish care interventions within the nursing scope of practice in this pediatric intensive care unit context, as interventions were obtained to address all the needs proposed by the epistemological model. [ABSTRACT FROM AUTHOR]

Introduction: children with tetralogy of Fallot face great challenges during their postoperative stage, so it is necessary for nurses to recognize the mechanisms involved in this process, in order to help them reach an integrated physiological and psychosocial level of adaptation. Objective: to establish nursing interventions for children in palliative or corrective postoperative tetralogía de Fallot. Materials and method: using the methodology proposed by Fawcett et al. and the Joanna Briggs Institute, we searched 10 databases and search engines for articles published from 2014 to 2019 using 2 formulas: Pediatric AND Tetralogy of Fallot AND Postoperative; and Pediatric AND Tetralogy of Fallot AND Postoperative AND Psychosocial Adaptation. Results: 1.901 studies were obtained, of which 56 met all eligibility criteria. The results were structured according to the nursing care plan, and were framed within the modes of adaptation and needs of Callista Roy’s adaptation model. With the information obtained, 12 NANDA diagnoses corresponding to the physiological mode of adaptation and 11 to the psychosocial mode were constructed. Conclusion: There is relevant information that allows us to establish care interventions from the field of action for nursing in this paediatric intensive care unit context, as interventions were obtained to address all the needs that the epistemological model proposes. [ABSTRACT FROM AUTHOR]