A adesão de medidas neuroprotetoras em uma unidade de terapia intensiva do DF

Abstract

INTRODUCTION: Currently traumatic brain injury (TBI) has high morbidity and mortality in Brazil and in the world, affecting mostly the active age group of the society. Neuroprotection measures through hospital protocols proved to be efficient in minimizing complications. OBJECTIVE: To identify adherence to the protocol for the treatment of severe traumatic brain injury in the Neurotrauma intensive care unit of the IHBDF. METHODS: A prospective study with 21 patients was performed in April / June 2018 using two instruments developed by the authors: one checklist with neuroprotection measures and another with independent variables. The study was carried out in an intensive care unit specialized in the care of patients with traumatic brain injury. RESULTS: The analysis showed predominance in males, the most affected age group is 21 to 40 years, the most prevalent etiology is traffic accidents with only one hematoma in the imaging tests, the most affected population studied until elementary school, the majority is submitted to a surgical procedure. Regarding the neuroprotective measures, there was greater adhesion of orotracheal intubation and mechanical ventilation and lower adhesion of partial pressure of carbon dioxide. CONCLUSION: The research demonstrated that adherence to the neuroprotection protocol in the unit is scarce. The measures that did not show adherence were MAP, TAX and high head, which are part of the unit's nursing care. In this sense, the study demonstrates the importance of valuing and training the nursing team, minimizing the important obstacles of care to the individual hospitalized in a critical unit.