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_c3145 _d3145 |
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003 | PC3145 | ||
005 | 20200428062727.0 | ||
008 | 130622s2013 xxx||||| |||| 00| 0 eng d | ||
040 | _cH12O | ||
041 | _aspa | ||
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_aAlted López, Emilio _91090 _eMedicina Intensiva |
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_92620 _aCornejo Bauer, Clara _eUCI |
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_aCuenca Solanas, Manuela _91293 _eMedicina Intensiva |
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_91291 _aGarcía Iglesias, Mónica _eUCI |
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_aLópez López, Candelas _91286 _eUCI |
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_aMorales Sánchez, Cindia _91289 _eMedicina Intensiva |
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_aMurillo Pérez, María del Ara _91285 _eUCI |
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_aOrejana Martín, María _91290 _eUCI |
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_aTorrente Vela, Silvia _91287 _eUCI |
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_aAplicación de la Escala de conductas indicadoras de dolor (ESCID) en el paciente con trauma grave no comunicativo y ventilación mecánica. _h[artículo] |
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_c2013 _bEnfermería intensiva / Sociedad Española de Enfermería Intensiva y Unidades Coronarias, |
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300 | _a24(4):137-44. | ||
500 | _aFormato Vancouver: López López C, Murillo Pérez MA, Torrente Vela S, Cornejo Bauer C, García Iglesias M, Orejana Martín M et al. Aplicación de la Escala de conductas indicadoras de dolor (ESCID) en el paciente con trauma grave no comunicativo y ventilación mecánica. Enferm Intensiva. 2013 Oct-Dec;24(4):137-44. | ||
501 | _aPMID: 24140448 | ||
504 | _aContiene 37 referencias | ||
520 | _aOBJECTIVE: To assess pain in non-communicative patients with severe trauma undergoing mechanical ventilation prior to, during and after tracheal suctioning, mobilization and wound care. MATERIAL AND METHOD: A prospective and observational study from October to December 2011 was performed. Study variables were ESCID scale and monitoring of vital signs (blood pressure, heart rate, and respiratory rate). Data were gathering 5 minutes before, during and 15 minutes after the 3 procedures. The nursing evolutive report recorded pain assessment, administration and effectiveness of the analgesia. Descriptive analysis of variables included Student's T test/ANOVA for multivariate analysis with SPSS 17.0. RESULTS: A hundred eighty four observations: 46.8% tracheal suctioning, 38.5% mobilization and 14.7% wound care were performed in 29 patients. ESCID score was 0.41 before, 3.42.7 during and 0.41 after for wound care; 0.41.1 before, 3.62.2 during and 1.10.5 for tracheal suctioning; 0.51.1 before, 32.8 during and 0.20.8 after for mobilization. These increased significantly during the performance of the 3 procedures before-during/during-after: P=.000. All the hemodynamic variables were significantly modified during mobilization and tracheal suctioning: before-during/during-after: P=.000, with the exception of the cures that only affected respiratory rate. 27% of the procedures received analgesia: 9% received it before, 15% during and 3.2% after, with more analgesia being required for the wound care (33.3%). The data collected in the nursing report on the evaluation of pain/effectiveness of the analgesia showed 20.66%. CONCLUSION: An increase on the ESCID score was observed while performing the procedures. | ||
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_967 _aServicio de Medicina Intensiva |
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_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/3/pc3145.pdf _ySolicitar documento |
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