Banca de DEFESA: LAYANNE SILVA DE LIMA AMORIM

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LAYANNE SILVA DE LIMA AMORIM
DATE: 29/12/2022
TIME: 09:00
LOCAL: Escola de saúde - UFRN
TITLE:

PATIENT-FAN ASYNCHRONY IDENTIFICATION AND CORRECTION PROTOCOL BY VISUAL

 INSPECTION METHOD FOR PEDIATRIC INTENSIVE CARE UNIT

KEY WORDS:

Protocol, Patient-Ventilator Asynchrony, Pediatric Intensive Care Unit.

PAGES: 128
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Invasive mechanical ventilation is one of the mainstays of treatment for children with acute or acute chronic respiratoryfailure in a pediatric intensive care unit. However, its prolonged use induces inflammatory processes, in addition to the occurrence of patient-ventilator asynchrony, defined as the incompatibility between the ventilatory demands of the patient in relation to what is offered by the mechanical ventilator. This event generates adverse clinical outcomes, in addition to an increased risk of mortality. Faced with this problem, the objective of this study is to build and validate a protocol for the identification and correction of patient-ventilator asynchrony through the method of visual inspection for children hospitalized in a pediatric intensive care unit. It is a research of methodological development, with a quantitative approach, based on Pasquali's Psychometrics model, carried out in four phases. Initially, an integrative literature review will be carried out to construct the domains and items of the protocol. Then, there will be a theoretical analysis of the items by means of content and appearance validity, which will be carried out in two stages: content and appearance analysis by 10 expert judges in invasive ventilatory support; and the semantic analysis of the items, using the brainstorming technique, which will consist of checking the understanding of the domains and items by two groups of three groups of resident physical therapists, nurses and physicians who work in the pediatric intensive care unit of Hospital Universitário Onofre Lopes. Finally, the reliability psychometric property will be evaluated, in which the instrument will be applied to children hospitalized in the aforementioned intensive care unit. Data analysis will be performed using the Content Validity Index (CVI), Kappa coefficient of agreement (k) and Spearman's correlation coefficient. It is expected that the proposed protocol will guide professionals working in the pediatric intensive care unit, so that they are able to identify and correct ventilator-patient asynchronies, in order to improve the quality of care practice in the care of mechanically ventilated children, minimizing the time of invasive ventilatory support and complications, in addition to supporting the implementation of safe conducts.

COMMITTEE MEMBERS:
Presidente - 2474945 - IZAURA LUZIA SILVERIO FREIRE
Interna - 4177365 - JULIANA TEIXEIRA JALES MENESCAL PINTO
Externo à Instituição - RENCIO BENTO FLORENCIO - UNICEUNA