000			02546na a2200265 4500
999			_c7271 _d7271
003			PC7271
005			20181115114617.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_aCasas Martin, A. I. _92434 _eMedicina Intensiva
100			_aFernández Gaute, Nieves _92018 _eMedicina Intensiva
100			_aFernandez Jimenez, A. _92435 _eMedicina Intensiva
100			_aFernandez Miralles, M. J. _92436 _eMedicina Intensiva
100			_aFrade Mera, María Jesús _91295 _eMedicina Intensiva
100			_aMontejo González, Juan Carlos _9874 _eMedicina Intensiva
100			_aMontes Gil, Diego _92019 _eMedicina Intensiva
100			_aVergara Díez, Laura _92020 _eMedicina Intensiva
245	0	0	_aProfundizando en el conocimiento sobre el manejo del dispositivo para control de la eliminación fecal en el paciente crítico. _h[artículo]
260			_bEnfermeria intensiva, _c2013
300			_a24(1):23-35.
500			_aFormato Vancouver: Frade Mera MJ, Vergara Díez L, Fernández Gaute N, Casas Martín AI, Montes Gil D, Fernández Miralles MJ et al. Profundizando en el conocimiento sobre el manejo del dispositivo para control de la eliminación fecal en el paciente crítico. Enferm Intensiva. 2013 Jan-Mar;24(1):23-35.
501			_aPMID: 23347729
504			_aContiene 84 referencias
520			_aOBJECTIVE: To describe the general characteristics of the patient and device use. To know retention balloon pressure (RBP) and related factors. To identify rate of leakage incidence, relocation and perineal damage due to the device (PSD) and related risk factors. MATERIAL AND METHODS: An analytical observational, cross-sectional study conducted in a polyvalent ICU from June-December 2010 was performed. The sample included Flexi-Seal() carriers. Variables evaluated were patient and device use characteristics, RBP, leakage and quantity, relocation and reason, PSD, sedoanalgesia infusion, neuromuscular block, patient position, Flexi-Seal type catheter, ventilatory mode (VM), intra-abdominal pressure (IAP), mean intrathoracic pressure (MITP), PEEP, Glasgow, color-aspect, fecal consistency and volume. Significance P<.05. RESULTS: Twenty-one patients were included, 52% male, aged 5417 with 30 insertion episodes, Flexi-Seal-Signal() 33%, 108 days permanency, main indication 33% diarrhea and injured skin," 30% device removal intolerance and/or spontaneous expulsion. Median (Me) PGR =40; RI (61-19) cmH2O. Factors associated to higher PGR: SCI absence, prone-decubitus position, leakage, relocation, conventional Flexi-Seal(), MV, lower PEEP and IMP, Color-aspect, higher MITP. Leakage, relocation and PSD incidence density 43, 30 and 2 cases/100 days of catheter, respectively. Leakage and relocation risk factors: higher PGR, Glasgow and fecal volume, lower MITP, MV, assisted-spontaneous mode OR 2.5 CI (1.6-3.8) and OR 1.7(1.1-2.7), absence SCI OR 3.3 (2.2-5.1) and OR 2.4(1.5-3.8), absence neuromuscular block OR 2.4 (1.4-3.9) and OR 1.8 (1.1-3.1), Flexi-Seal() conventional
710			_967 _aServicio de Medicina Intensiva
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/7/pc7271.pdf _ySolicitar documento
942			_n0 _2ddc _cART