21 research outputs found
Plataformas de coleta de dados para monitoramento ambiental de pisciculturas em tanques-rede.
Resumo: A publicação tem como objetivo apresentar as principais orientações para fundeio, manutenção e operação das plataformas de coleta de dados de qualidade da água e do sistema integrado de monitoramento ambiental (Sima), bem como os procedimentos rotineiros das sondas e das linhas de sensores de temperatura, tendo como base uma metodologia de baixo custo, eficiente e com confiabilidade na obtenção dos dados.bitstream/item/225021/1/Sampaio-Plataforma-coleta-2021.pd
A survey of 1000 consecutive epidural catheter placements performed by inexperienced anesthesia trainees
Background.Education is the core activity of academic anaesthesia departments. One of the main difficulties appears
to be the development of realistic high-quality 'training' practices that are safe for patients. The aim of this study was
to determine the incidence of complications occurring after epidural catheter placement by inexperienced anaesthe-
sia trainees and their possible relationship with the experience of the operator.
Methods. In a period covering 16 months, we performed a survey of 1,000 consecutive epidural placements per-
formed by inexperienced anaesthesia residents under the direction of staff members in Padoa University Hospital,
Italy. Neurological and cardiovascular complications as well as side effects were assessed and analyzed in terms of the
experience levels of the trainees.
Results. Complications during epidural catheter placement included dural puncture (2.2%), epidural vascular dam-
age (1.7%), and paresthesias (0.9%). Postoperative complications and side effects comprised local bleeding at the
catheter insertion point (0.7%), catheter malfunction (0.4%), cardiovascular side effects (2.0%) and persistent post-
operative paresthesias not caused by local anaesthetic infusion (1.7%). One patient suffered a transient radiculopathy.
The overall incidence of complications was similar for each experience level examined.
Conclusion.Epidural catheterization performed under supervision by inexperienced anaesthesia residents is not asso-
ciated with a significantly greater number of complications than reported in the literature. Moreover, at the early stage
of training, we could not demonstrate any correlation between the experience of the operator and the incidence of com-
plications incidence