Category: Pneumology Introduction: Lung Ultrasound (LUS) is a complementary imaging method utilized alongside clinical examination for the etiological identification of acute respiratory failure (ARF). It assists physicians in the differential diagnosis of conditions such as pneumothorax, pneumonia, pulmonary embolism, pulmonary edema, asthma, and Chronic Obstructive Pulmonary Disease (COPD) in patients with dyspnea in emergency departments. The advantage of LUS is that it can be performed bedside without exposing the patient to radiation, and it requires only one trained professional.(–) Methods: […]

Category: Pneumology Introduction: Pulmonary neoplasms represent one of the most prevalent types of malignant tumors. In some cases, treatment requires complex thoracic surgeries, including the use of Venovenous Extracorporeal Membrane Oxygenation (VV ECMO), a pulmonary support technique used in patients with severe respiratory problems.(–) To aid in the recovery of these patients, physiotherapy plays a critical role, especially in cases of difficult ventilator weaning caused by loss of muscle strength. Objective: To describe the individualized physiotherapy strategies used to promote […]

Category: Nefrology Introduction: Parathyroidectomy is a common treatment for secondary hyperparathyroidism in chronic kidney disease (CKD) patients. Postoperative management includes calcium, phosphate, and vitamin D replacement to prevent sudden parathyroid hormone deficiency and bone hunger syndrome.(–) This replacement can be done intravenously and orally.() Objective: To report a case of continuous intravenous calcium replacement in a CKD patient after parathyroidectomy, with an emphasis on nursing and pharmacy care. Methods: Descriptive case report of a continuous intravenous calcium replacement strategy in […]

Category: Neurology Introduction: Post-cardiac arrest syndrome often involves significant neurological injury, necessitating early and accurate cerebral perfusion assessment to optimize patient management and prognostication. Transcranial Doppler (TCD) offers a non-invasive method for monitoring cerebral blood flow velocities, potentially aiding in the early detection of neurological impairment and guiding therapeutic interventions. Methods: A systematic search of PubMed, Scopus, and the Cochrane Library was conducted using keywords such as “transcranial Doppler,” “cardiac arrest,” and “neurological outcome.” Studies were included if they assessed […]

Category: Nutrition/Metabolism Introduction: According to the National Cancer Institute, 704 thousand new cases of cancer are expected in Brazil for each year of the 2023-2025 triennium.() Malnutrition in cancer patients is common and largely multifactorial due to the direct and indirect effects of the tumor, treatments performed and psychological factors.() Objective: To verify whether, in patients admitted to the ICU, a protein intake target of 2.0g/kg/day compared to a conservative protein intake target of 1.5g/kg/day may be associated with kidney […]

Category: Safety/Quality/Management Introduction: The use of simulation within medical education is already a reality. Currently many articles describe the various modes and the impacts self-reported by students. Within cardiology it is no different, but reviews on the subject do not direct to a single area. Objective: To review the effects of using simulation for medical education, specifically within cardiology. Methods: This is a systematic review according to PRISMA guidelines, using the Ovid MEDLINE, LILACS, CINAHL and CENTRAL databases. Clinical trials […]

Category: Safety/Quality/Management Introduction: Modern healthcare systems demand innovative solutions to enhancecare quality and streamline hospital management. Artificial intelligence (AI) platforms, integrating complex data from various hospital systems, offer promising tools toaddress these challenges.(,) This study evaluates the impact of implementing the QlinkAI platform in a private hospital in São Paulo’s interior, aiming to improve patient safety, elevate care standards, and enhance operational efficiency. Detailed analysis includes assessing reductions in hospital infections, improvement in diagnostic accuracy, and enhanced interdepartmental communication. This […]

Category: Safety/Quality/Management Introduction: Efficient management of daily goals is strategic for tracking quality and communication of care in the Intensive Care Unit (ICU).() In the dynamic and complex environment of the ICU, clear coordination of conduct among members of the multidisciplinary teams is essential to ensure the direction of the therapeutic plan, efficiency of care, and team satisfaction.(,) Thus, a tool for monitoring team adherence to daily goals can contribute to better hospital outcomes. Objective: To develop and implement a […]

Category: Safety/Quality/Management Introduction: The protocolized care for patients with severe hemorrhage has proven to be a determining factor in reducing morbidity and mortality among hospitalized patients. The primary mechanism leading to death in this population is the state of shock resulting from this situation. Based on this information and an existing protocol in a private hospital of the Einstein Network, the H code was adapted and implemented in the Hospital Municipal Dr. Moysés Deutsch, which is part of the secondary […]

Category: Safety/Quality/Management Introduction: Invasive mechanical ventilation (IMV) is the most widely used vital medical support worldwide in a diverse context of indications, such as: medical treatment of severe respiratory failure conditions, trauma, elective surgical procedures, among others.(,) However, adequate management by the multidisciplinary team is essential to achieve the goal set out in the therapeutic plan, the guarantee of operational efficiency, the rational use of the resource, and the prevention of adverse events, especially episodes of infection. Thus, a discussion […]