%0 Journal Article
%T Cuidados com o sistema de drenagem tor¨¢cica em adultos internados no Hospital Universit¨¢rio Regional de Maring¨¢, Estado do Paran¨¢, Brasil =Care with the thoracic drainage system in adults at the Universitary Hospital of Maring¨¢, Paran¨¢ State, Brazil
%A Gustavo Nishida
%A Bruno Doneg¨¢ Sarr£¿o
%A Diego Ricardo Colferai
%A Guil¨®n Ot¨¢vio Santos Ten¨®rio
%J Acta Scientiarum : Health Sciences
%D 2011
%I Eduem - Editora da Universidade Estadual de Maring¨¢
%X Avaliou-se, prospectivamente, o manejo dos sistemas de drenagem tor¨¢cica fechada em pacientes adultos no Hospital Universit¨¢rio de Maring¨¢, Estado do Paran¨¢, no per¨ªodo de dez meses. Foram acompanhadas 90 drenagens em 75 pacientes. Predominou a causa traum¨¢tica em pacientes jovens como determinante de indica  o da drenagem pleural (61/90, 68%). A falta do curativo em meso e contrameso, como fixa  o complementar do dreno, foi a ocorr¨ºncia isolada mais comum no manejo, sendo encontrado rotineiramente em 20% (18/90). A presen a de obstru  o (por dobramento, sifonagem, co¨¢gulo ou fibrina) esteve presente em 12% das drenagens (11/90) e complica  es (enfisema subcutaneo, infec  o, deslocamento acidental, pneumot¨®rax na retirada do dreno) em 21% (20/90). O manejo apropriado da drenagem tor¨¢cica reduz a morbidade associada ao m¨¦todo. Estapesquisa ressalta a importancia do treinamento continuado e do estabelecimento de manuais que padronizem condutas para os profissionais da sa¨²de que manejam o sistema de drenagem tor¨¢cica. The handling of adults¡¯ closed thoracic drainage systems at the University Hospital of Maring¨¢, Maring¨¢, Paran¨¢ State, Brazil during a 10-month period was prospectively evaluated. Ninety thoracic drainages in 75 patients were analyzed. Traumatic causes in young patients determined pleural drainage (61/90, 68%). The absence of an omental tag of tape as a complementary tube fixation was the most common, albeit isolated case, occurrence in the procedure. In fact, it has been routinely found in 20% (18/90) of cases. Whereas tube obstruction (due to kinking, siphoning, clotting or fibrin) was detected in 12% (11/90) of drainage cases, drainage complications (subcutaneous emphysema, infection, accidental dislodgement,pneumothorax following chest tube removal) occurred in 21% (20/90) of cases. Adequate handling of tube thoracostomy reduces morbidity related to this procedure. Current research enhances the importance of continuous training and of textbooks that would standardize procedures for health teams whose role involves interventions in the thoracic drainage system.
%K drenagem
%K tubos tor¨¢cicos
%K toracostomia
%K cavidade pleural
%K cirurgia tor¨¢cica
%K drainage
%K chest tubes
%K thoracostomy
%K pleural cavity
%K thoracic surgery
%U http://www.periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/8877