22/abr/2025
Perioperative management of adult patients undergoing coronary artery bypass grafting and valve surgery: a literature review
einstein (São Paulo). 22/abr/2025;23:eRW1353.
Ver Artigo22/abr/2025
Perioperative management of adult patients undergoing coronary artery bypass grafting and valve surgery: a literature review
DOI: 10.31744/einstein_journal/2025RW1353
ABSTRACT Purpose of review Coronary artery bypass grafting, revascularization by percutaneous coronary intervention, and heart valve surgery are crucial therapeutic interventions for patients with various cardiovascular diseases. The objective of this literature review was to present the main evidence and practical aspects of the perioperative management of patients undergoing coronary artery bypass grafting and heart valve surgery. Recent findings Despite advancements in surgical and anesthetic techniques, coronary artery bypass grafting and heart valve surgery present significant risks for perioperative complications […]
Palavras-chave: Anesthetics; Coronary artery bypass; Cuidados críticos; Insuficiência cardíaca; Heart valves; Monitorização intra-operatória; Percutaneous coronary intervention; Cirurgia torácica
14/mar/2025
Assessment of mortality due to severe SARS-CoV-2 infection in public and private intensive care units in Brazil: a multicenter retrospective cohort study
einstein (São Paulo). 14/mar/2025;23(spe1):eAO1060.
Ver Artigo14/mar/2025
Assessment of mortality due to severe SARS-CoV-2 infection in public and private intensive care units in Brazil: a multicenter retrospective cohort study
DOI: 10.31744/einstein_journal/2025AO1060
Highlights ■ Public intensive care unit COVID-19 patients presented with more comorbidities and higher severity at admission. ■ Public intensive care units required more invasive organ support (e.g., mechanical ventilation, vasopressors, and renal replacement therapy) but less non-invasive ventilation and high-flow nasal cannula than private intensive care units. ■ In-hospital mortality was higher in public intensive care units, with an increased risk of death even after adjusting for patient characteristics and illness severity at intensive care unit admission. ABSTRACT Objective: […]
Palavras-chave: Coronavirus; Infecções por coronavírus; COVID-19; Cuidados críticos; Resultados de cuidados críticos; Unidades de terapia intensiva; Mortality; SARS-CoV-2
14/mar/2025
Spiritual care in the intensive care unit. Is it already a reality?: an integrative review
DOI: 10.31744/einstein_journal/2025RW1081
ABSTRACT Introduction Spirituality has emerged as a phenomenon of interest in various global contexts. The adoption of spirituality as a fundamental aspect of healthcare remains underexplored, especially in critical environments such as intensive care units. Objective To identify strategies for incorporating spiritual care into adult intensive care environments through an integrative literature review. Methods An integrative review was conducted using the Embase, Web of Science, Medline/PubMed, PsycINFO, LILACS, and Cochrane Central databases. Twenty-one studies published in English, Spanish, or Portuguese […]
Palavras-chave: Cuidados críticos; Health personnel; Unidades de terapia intensiva; Professional competence; Spiritual therapies; Spirituality
21/nov/2024
Point-of-care ultrasonography for diagnosis of purulent pericarditis postappendectomy: a case report
DOI: 10.31744/einstein_journal/2024RC0962
ABSTRACT Purulent pericarditis is rare condition in the modern era of antibiotics. However, it is a serious condition as it has an accelerated progression and is difficult to diagnose due to its nonspecific clinical presentation, resulting in high mortality. Herein, we present a case in which a 36-year-old male patient with otherwise unremarkable medical history developed abdominal sepsis complicated by purulent pericarditis post-appendectomy. While the initial clinical presentation was not compatible with the classic signs of purulent pericarditis, the diagnosis […]
Palavras-chave: Apendicectomia; Cuidados críticos; Pericardial effusion; Pericardite; Suppuration; Ultrassonografia
15/set/2023
Are patient volume and care level in teaching hospitals variables affecting clinical outcomes in adult intensive care units?
einstein (São Paulo). 15/set/2023;21:eAO0406.
Ver Artigo15/set/2023
Are patient volume and care level in teaching hospitals variables affecting clinical outcomes in adult intensive care units?
DOI: 10.31744/einstein_journal/2023AO0406
Highlights Worse outcomes were more prevalent in the teaching hospital. Understanding the importance of teaching hospitals to implement well-established care protocols is critical. INTRODUCTION Some studies have reported the association between receiving hospital characteristics and the number of patients assisted with clinical outcomes.(,) Some authors have also demonstrated this relationship in scenarios such as coronary care units and care units for patients with diabetes.(,) Reportedly, hospitals with high admission volumes have better outcomes for surgical procedures; however, studies on […]
Palavras-chave: Cuidados críticos; Hospitais de ensino; Unidades de terapia intensiva; Patients; Resultado de tratamento
06/maio/2022
In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study
DOI: 10.31744/einstein_journal/2022AO6781
ABSTRACT Objective To compare in-hospital outcomes between small-for-gestational-age and appropriate-for-gestational-age preterm neonates who needed intensive care. Methods A retrospective cohort study with preterm newborns, from January to December 2017. The results are presented as median, frequency, and odds ratio. Numerical variables were compared using the Wilcoxon test. Categorical variables were compared using the χ2 test. We considered p
Palavras-chave: Cuidados críticos; Enterocolitis, necrotizing; Troca materno-fetal; Prematuro; Infant, premature, diseases; Infant, small for gestational age; Retinopathy of prematurity
07/mar/2022
Needs of family members of patients in a coronary care unit
DOI: 10.31744/einstein_journal/2022AO6258
ABSTRACT Objective: To identify the need of family members of patients hospitalized in a coronary intensive care unit and their degree of satisfaction with the care provided. Methods: An observational and cross-sectional study including family members of patients hospitalized in the coronary intensive care unit for acute coronary syndrome in Killip I or II. After the second visit of the same family member to the patient in the unit, a 43-item inventory of needs and stressors of family members was […]
Palavras-chave: Síndrome coronariana aguda; Cuidados críticos; Família; Humanização da assistência; Pacientes internados; Unidades de terapia intensiva; Nursing; Assistência centrada no paciente
02/out/2020
Tempo de permanência em unidade de terapia intensiva pediátrica: modelo de predição
DOI: 10.31744/einstein_journal/2020AO5476
RESUMO Objetivo Propor um modelo de predição de risco de permanência das crianças na unidade de terapia intensiva pediátrica, considerando-se as características demográficas e clínicas na admissão. Métodos Coorte retrospectiva realizada a partir da análise de 1.815 admissões na terapia intensiva pediátrica, em um hospital privado e geral, do município de São Paulo (SP). Foram utilizados procedimentos de validação interna e obtenção da área sob a curva ROC na construção do modelo preditor. Resultados A mediana do tempo de permanência […]
Palavras-chave: Cuidados críticos; Gestão em saúde; Leitos/provisão e distribuição; Modelos logísticos; Previsões; Tempo de permanência; Unidades de terapia intensiva pediátrica
22/jan/2020
Práticas relacionadas à avaliação de sedação, analgesia e delirium entre pediatras intensivistas no Brasil
DOI: 10.31744/einstein_journal/2020AO5168
RESUMO Objetivo Compreender o uso de ferramentas, protocolos e medidas de conforto relacionadas à sedação/analgesia, além de rastrear a presença de delirium em unidades de terapia intensiva pediátricas. Métodos Um inquérito com 14 questões foi distribuído, por meio de correio eletrônico, para médicos pediatras intensivistas brasileiros. Oito questões eram sobre os dados demográficos dos médicos e dos hospitais, e seis questões eram sobre as práticas na avaliação da sedação, analgesia e delirium em unidades de terapia intensiva pediátrica. Resultados Responderam […]
Palavras-chave: Analgesia; Brasil; Criança; Cuidados críticos; Delírio; Inquéritos e questionários; Sedação profunda
Abordagem e descrição metodológica do uso do prontuário eletrônico como forma de coleta de dados em pesquisa clínica em centro participante de estudo internacional e multicêntrico

16/set/2019
Abordagem e descrição metodológica do uso do prontuário eletrônico como forma de coleta de dados em pesquisa clínica em centro participante de estudo internacional e multicêntrico
einstein (São Paulo). 16/set/2019;17(4):eAE4791.
Ver Artigo16/set/2019
Abordagem e descrição metodológica do uso do prontuário eletrônico como forma de coleta de dados em pesquisa clínica em centro participante de estudo internacional e multicêntrico
DOI: 10.31744/einstein_journal/2019AE4791
RESUMO A coleta de dados para pesquisa clínica pode representar um desafio em que sistemas de registro eletrônico em saúde podem facilitar o processo. O objetivo deste estudo foi descrever e avaliar o uso secundário de registros eletrônicos em saúde na coleta de dados para um estudo clínico observacional. Usamos o Cerner Millennium®, software de registro eletrônico em saúde, de acordo com os seguintes passos: (1) cruzamento dos dados das fichas de coleta de dados do estudo e dos registros […]
Palavras-chave: Anestesia; Coleta de dados; Confiabilidade dos dados; Cuidados críticos; Registros eletrônicos de saúde