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Abstract(s)
Este estudo tem como objectivo descrever a Unidade de cuidados intensivos e
intermédios respiratórios do Hospital Clínico em Barcelona de forma a
caracterizá-la tanto ao nível de recursos materiais e humanos como em termos
de protocolos usados.
Esta unidade é considerada uma das melhores da Europa, dispondo da mais
alta tecnologia, desenvolvendo protocolos baseados na evidência de forma a
reduzir ao máximo a taxa de mortalidade neste local. O staff médico sempre
em constante actualização, trabalhando muito no campo da investigação.
Por outro lado, a fisioterapia integrante no Instituto Clínico do Tórax realiza
menos investigação investindo mais no tratamento de doentes não intubados,
tendo como técnicas de eleição posicionamento, mobilização, expiração
forçada e hidratação oral.
Em relação à VNI, muitos dos estudos referentes a este tema foram realizados
pelo staff médico deste Hospital. O staff de fisioterapia é responsável pela
adaptação da VNI nos pacientes hipercápnicos.
Em conclusão, o número e tempo limitado de fisioterapeutas na unidade não
contribuem para a aplicação de novas técnicas que requerem a intervenção de
dois fisioterapeutas.
Palavras-chave: unidade de cuidados intensivos respiratórios, unidade de
cuidados intermédios respiratórios, VNI, papel dos fisioterapeutas respiratórios.
This study aims to describe the Intensive Care Unit and Intermediate Respiratory Unit from the Hospital Clinic in Barcelona in order to characterize it in terms of both material and human resources as well as in terms of protocols used. This unit is considered one of the best in Europe, featuring the latest technology and developing protocols based on the evidence so as to reduce the mortality rate in this location. The medical staff is being constantly updated and researching. On the other hand, physiotherapists who integrate the Clinic Institute of Chest do less research and invest more in treatment of nonintubated patients, choosing techniques such as positioning, mobilization, forced expiration and oral hydration. Regarding noninvasive ventilation protocols, many studies were performed by the medical staff of this Hospital. The physiotherapy staff is responsible for the adaptation of NIV in hipercapnic patients. In conclusion, the limited number and duration of physiotherapists in the unit do not contribute to the implementation of new techniques that require the intervention of two physiotherapists. Key-words: respiratory intensive care unit, respiratory intermediate care unit, NIV, the role of respiratory physiotherapists.
This study aims to describe the Intensive Care Unit and Intermediate Respiratory Unit from the Hospital Clinic in Barcelona in order to characterize it in terms of both material and human resources as well as in terms of protocols used. This unit is considered one of the best in Europe, featuring the latest technology and developing protocols based on the evidence so as to reduce the mortality rate in this location. The medical staff is being constantly updated and researching. On the other hand, physiotherapists who integrate the Clinic Institute of Chest do less research and invest more in treatment of nonintubated patients, choosing techniques such as positioning, mobilization, forced expiration and oral hydration. Regarding noninvasive ventilation protocols, many studies were performed by the medical staff of this Hospital. The physiotherapy staff is responsible for the adaptation of NIV in hipercapnic patients. In conclusion, the limited number and duration of physiotherapists in the unit do not contribute to the implementation of new techniques that require the intervention of two physiotherapists. Key-words: respiratory intensive care unit, respiratory intermediate care unit, NIV, the role of respiratory physiotherapists.
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Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto