Use of patients’ classification instruments: analysis of the brazilian production of knowledge

Objective To analyze the production of scientific knowledge about the use of patients’ classification instruments in care and management practice in Brazil. Method Integrative literature review with databases search in: Latin American and Caribbean Literature on Health Sciences (LILACS), Medical Literature Analysis and Retrieval System on-line (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and SCOPUS, between January 2002 through December 2013. Results 1,194 studies were found, 31 met the inclusion criteria. We observed a higher number of studies in the category care plans and workload (n=15), followed by the category evaluation of psychometric properties (n=14). Conclusion Brazilian knowledge production has not yet investigated some purposes of using instruments for classifying patients in professional nursing practice. The identification of unexplored areas can guide future research on the topic

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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May cyclooxygenase-2 (COX-2), p21 and p27 expression affect prognosis and therapeutic strategy of patients with malignant pleural mesothelioma?

The expression of cyclooxygenase-2 (COX-2) and cell-cycle proteins (p21 and p27) proves useful in predicting prognosis and orientating therapy in many malignant tumours. Malignant pleural mesothelioma is an uncommon and lethal cancer for which there are limited treatment options. In this study, we evaluated the impact on prognosis and the influence on therapeutic strategy of immunohistochemical expression of COX-2, p21 and p27 in specimens from patients treated for malignant pleural mesothelioma

Awake thoracoscopic sympathectomy

Video-Assisted Thoracic Surgery (VATS) sympathectomy is a safe and effective procedure for treatment of facial, palmar and axillary hyperhidrosis. It can be more rarely used in other conditions. Awake thoracic surgery with epidural anesthesia and spontaneous ventilation has been employed to perform many surgical procedures including VATS sympathectomy. This chapter describes the anatomy of the nerve with the most frequent abnormalities, the indications and contraindication for both sympathectomy and awake surgery, the method for awake anesthesia, a detailed step-by-step description of the surgical technique and postoperative management as well as an analysis of benefits and potential side-effects of awake VATS sympathectomy. Patient selection, choice of the level of sympathectomy and adequate information about anesthesia and side effects of the operation are extremely important for the good result of the procedure. Awake VATS sympathectomy may be considered a globally minimally invasive approach combining avoidance of general anesthesia-related adverse effects with maximum patient satisfaction