AVALIAÇÃO NO NÍVEL DE CONSCIÊNCIA EM PACIENTES COM TRAUMATISMO CRÂNIO - ENCEFÁLICO.

Koizumi, Maria Sumie

doi:10.1590/0080-6234197701100200100

Resumos

Estudo sobre a avaliação do nível de consciência em 50 pacientes com traumatismo crânio-encefálico, internados em uma Unidade de Terapia Intensiva de Neurocirurgia. Para a avaliação, o paciente foi observado e examinado no próprio leito, e utilizou-se uma escala contendo três índices comportamentais, com escore mínimo de 3, indicando o menor grau do nível de consciência e escore máximo de 15, indicando o estado neurofisiológico normal. O método utilizado demonstrou ser passível de ser usado, pela facilidade em verificar precisão das respostas avaliadas e pelo tempo reduzido para aplicação, o qual foi em média de 5 minutos.

A study regarding the evaluation of conscious level in 50 patients with head-injury, admitted in Neurosurgical Intensive Care Unit. For evaluation, the patient was observed and examined in his own bed, bee utilized a scale with three behaviors tables, a minimum score de 3 pointing the smaller degree of conscious level, and maximum score of 15 pointing the neurophysiologic normal state. The utilized method has demonstrated to be usefull for the precision facilities verified in evaluated answers and for the reduced time of appliance, which was around five minutes as a rule.

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REFERÊNCIAS BIBLIOGRÁFICAS

ABRAMS, B. M. The comatose patient. Emergency Med., 5: 42-46, feb. 1973.
AISSEN, J. Conduta clínica nos traumatismos de crânio. Clínica Geral, 10 (5): 25 - 36, jun. 1976.
BARRAQUER-BORDAS, L. Neurologia fundamental. 2. ed. Barcelona, Ediciones Toray, 1968. p. 552-557.
BORDEAUX, M. P. The intensive care unit and observation of the patient acutely ill with neurologic disease. Heart Lung, 2: 884-887, nov. / dec. 1973.
BRUNNER, L. S.; EMERSON, C.P.; FERGUSON, L. K. ; SUDDARTH, D. S. Enfermaria Medicoquirurgica. 2 ed. México, Nueva Editorial Interamericana, 1971. p. 836-840.
BURRELL, L. O. & BURRELL, Z. L. Intensive nursing care. 2. ed. Saint Louis, Mosby Company, 1973. p. 164-168.
CANNING, M. Care of the unconscious patient. Nurs. Mirror, 139: 61 - 62, aug. 1974.
CARINI, E. & OWENS, G. Neurological and neurosurgical nursing. 6. ed. Saint Louis, Mosby Company, 1974. p. 141-149.
CLARK, K. & GROSSMAN, R. C. Trauma to the nervous system- In: SHIRES, G. T. Care of the trauma patient. New York, MacGraw Hill Book Company, 1966. p. 259-311.
DAVIS, R. W. Post-operative care of the craniotomy patient. Bedside Nurse, 2: 23 + , may/jun. 1969.
DUGAS, B. W. Tratado de enfermaria practica. 2. ed. México, Interamericana, 1974. p. 71-74 e 307.
GARDNER, A. M. Responsiveness as a measure of consciousness. Am. J. Nurs., 68: 1034-1038, may 1968.
GIFFORD, R. R. M. Neurological status sheet for nurses. J. Neurosurg. Nurs., 4: 173-177, dec. 1972.
GIFFORD, R. R. M. & PLAUT, M. R. On describing altered status of consciousness. J. Neurosurg. Nurs., 5: 18-20, Jul. 1973.
GIFFORD, R. R. M. Abdominal respiratory patterns in the comatose patient caused by intracranial dysfunction. J. Neurosurg. Nurs., 7 (1): 57-61. Jul. 1975.
GLASS, S. J. Nursing care of the neurosurgical patient: head injuries. J. Neurosurg. Nurs., 5: 49-55, dec. 1973.
HAFEY, L. W. & KEANE, B. A. Patients with acute insult to the central nervous system: an observation tool. Nurs. Clin. North Am., 8: 743-749, dec. 1973.
HILBERMAN, M. & PETERS, R. M. A data collection system for intensive care. Crit. Care Med., 3 (1): 27-30, jan. / feb. 1975.
HINKHOUSE, A. Craniocerebral trauma. Am. J. Nurs., 73: 1719 -1722, oct. 1973.
HINTERBUCHNER, L. P. Evaluation of the unconscious patient. Med. Clin. North Am., 57: 1363-1372, nov. 1973.
JENNETT, B. & BOND, M. Assessment of outcome after severe brain damage. The Lancet, 1: 480-484, mar. 1975.
JIMM, L. R. Nursing assessment of patients for increased intracranial pressure. J. Neurosurg. Nurs., 6 (1):27-38, Jul. 1974.
JOUVET, M. Coma and other disorders of consciousness. In: HANDBOOK of clinical neurology. Amsterdam, North-Holland Publishing Company, 1969. p. 62-79.
JOUVET, M. & DECHAME, J. Sémiología des troubles de la conscience. Essai de classification. Rev. Lyon Med., 9: 961-968, 1960.
LANGHLAAN, D. G. Neurological assessment. Nurs. Times, 17: 70-72. jan., 1974.
LUESSENHOP, A. Care of the unconscious patient. Nurs. Forum, 4: 6-11, 1965.
KENNEDY, F. B. ; POZEN. T. J.; GABELMAN, E. H.; TUTHILL, J. E.: ZAENTZ, S. D. Stroke intensive care — an appraisal. Am. Heart J., 80 (2): 188-196, aug. 1970.
KORTE, M. L. Intensive care of the neurological patient — metting the challenge. Nurs. Clin. North Am., 7: 335-348, jun. 1972.
PHILLIPS, P. Subarachnoid haemorrhage caused by a ruptured aneurysm. Nurs. Times, 72 (33): 1270 - 1273, aug. 1976.
PLUM, J. B. & POSNER, F. Diagnosis of stupor and coma. 2. ed. Philadelphia, Lippincott Company. 1972.
SABIN, T. D. The differential diagnosis of coma. N. England J. Med., 290: 1062 - 1064, may 1974.
SAN VITO, W. Propedêutica neurológica básica. São Paulo, Sarvier, 1972. p. 215 - 228.
SAVOY, J. A. Immediate evaluation for neurological injury, simplified. AANA J., 44 (4): 390- 396, aug. 1976.
SHEARER, I. Some aspects of severe head injuries. Nurs. Tunes, 62 (48): 1574 - 1576, dec. 1966.
SMITH, D. W.; GERMAIN. C. P. & GIPS, C. D. Enfermeira médico-quirurgica. 3. ed. Mexico, Interamericana, 1973. p. 393-397.
SMITH. D. W.; GERMAIN C. P.; GIPS, C. D. Enfermería medico. P. J. Emergency care. Saint Louis. Mosby Company, 1974. p. 224 -239.
SOUNIS, E. Bioestatística. São Paulo. Mc Graw Hill do Brasil, 1972. p. 114-119.
STORLIE, F. Principles of intensive nursing care. 2. ed. New York, Appleton Century-Crofts, 1972. p. 275-297.
SUBCZINSKY, J. A. Letter: state of consciousness scoring system. J. Neurosurg., 43 (2): 251 -252, aug. 1975.
SWIFT, N. Caring for the neurological patient. Nurs. Care, 7 (6): 17 - 19, jun. 1974.a
SWIFT, N. Head injury: essentials of excellent care. Nurs' 74, 4: 26-33, sep. 1974b
TATE, G. Assessment and direction of nursing care for patients with acute central nervous system insult. Nurs. Clin. North Am., 6: 165-171, mar. 1971.
TEASDALE, G. Acute impairment of brain function. 1 - assessing "conscions level". Nurs. Times, 71 (24): 914-917, jun. 1975.
TEASDALE, G. GALBRATH, S.; CLARK, K. Acute impairment of brain function. 2 - observation and record chart. Nurs. Times, 71 (25): 972 -973, jun. 1975.
TEASDALE, G. & JENNETT, B. Assessment of coma and impaired consciousness — a practical scale. The Lancet, 13: 81-83, jul. 1974.
TEWINKLE, M. B. Observation and care of the patient with a head injury. Part 1 J. Pract. Nurs., 21: 23 - 25, nov. 1971.
TEWINKLE, M. B. Observation and care of the patient with a head injury. Part. 2 J. Pract. Nurs., 21: 18-19, dec. 1971.
TOLOSA, A .P. M. & CANELAS, H. M. Propedêutica neurológica. 2 ed. São Paulo, Sarvier, 1971. p. 350.
TUTHILL, J. E.; POZEN, T. J.; KENNEDY, F. B. A neurologic grading system for acute stroke. Am. Heart J., 78 (1): 53 -57, jul. 1969.
VALENCIUS, J. C. Guidelines for neuro assessment. AORN J., 20: 442 +, sep. 1974.
VIEIRA ROMEIRO. Semiología Médica. 11. ed. Rio de Janeiro. Editora Guanabara Koogan, 1968. p. 218.
WAGNER, M. M. Assessment of patients with multiple injuries. Am. J. Nurs., 72 (10) 1822- 1827, oct. 1972.

Datas de Publicação

Publicação nesta coleção
Ago 1977

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[1] ABRAMS, B. M. The comatose patient. Emergency Med., 5: 42-46, feb. 1973.

[2] AISSEN, J. Conduta clínica nos traumatismos de crânio. Clínica Geral, 10 (5): 25 - 36, jun. 1976.

[3] BARRAQUER-BORDAS, L. Neurologia fundamental. 2. ed. Barcelona, Ediciones Toray, 1968. p. 552-557.

[4] BORDEAUX, M. P. The intensive care unit and observation of the patient acutely ill with neurologic disease. Heart Lung, 2: 884-887, nov. / dec. 1973.

[5] BRUNNER, L. S.; EMERSON, C.P.; FERGUSON, L. K. ; SUDDARTH, D. S. Enfermaria Medicoquirurgica. 2 ed. México, Nueva Editorial Interamericana, 1971. p. 836-840.

[6] BURRELL, L. O. & BURRELL, Z. L. Intensive nursing care. 2. ed. Saint Louis, Mosby Company, 1973. p. 164-168.

[7] CANNING, M. Care of the unconscious patient. Nurs. Mirror, 139: 61 - 62, aug. 1974.

[8] CARINI, E. & OWENS, G. Neurological and neurosurgical nursing. 6. ed. Saint Louis, Mosby Company, 1974. p. 141-149.

[9] CLARK, K. & GROSSMAN, R. C. Trauma to the nervous system- In: SHIRES, G. T. Care of the trauma patient. New York, MacGraw Hill Book Company, 1966. p. 259-311.

[10] DAVIS, R. W. Post-operative care of the craniotomy patient. Bedside Nurse, 2: 23 + , may/jun. 1969.

[11] DUGAS, B. W. Tratado de enfermaria practica. 2. ed. México, Interamericana, 1974. p. 71-74 e 307.

[12] GARDNER, A. M. Responsiveness as a measure of consciousness. Am. J. Nurs., 68: 1034-1038, may 1968.

[13] GIFFORD, R. R. M. Neurological status sheet for nurses. J. Neurosurg. Nurs., 4: 173-177, dec. 1972.

[14] GIFFORD, R. R. M. & PLAUT, M. R. On describing altered status of consciousness. J. Neurosurg. Nurs., 5: 18-20, Jul. 1973.

[15] GIFFORD, R. R. M. Abdominal respiratory patterns in the comatose patient caused by intracranial dysfunction. J. Neurosurg. Nurs., 7 (1): 57-61. Jul. 1975.

[16] GLASS, S. J. Nursing care of the neurosurgical patient: head injuries. J. Neurosurg. Nurs., 5: 49-55, dec. 1973.

[17] HAFEY, L. W. & KEANE, B. A. Patients with acute insult to the central nervous system: an observation tool. Nurs. Clin. North Am., 8: 743-749, dec. 1973.

[18] HILBERMAN, M. & PETERS, R. M. A data collection system for intensive care. Crit. Care Med., 3 (1): 27-30, jan. / feb. 1975.

[19] HINKHOUSE, A. Craniocerebral trauma. Am. J. Nurs., 73: 1719 -1722, oct. 1973.

[20] HINTERBUCHNER, L. P. Evaluation of the unconscious patient. Med. Clin. North Am., 57: 1363-1372, nov. 1973.

[21] JENNETT, B. & BOND, M. Assessment of outcome after severe brain damage. The Lancet, 1: 480-484, mar. 1975.

[22] JIMM, L. R. Nursing assessment of patients for increased intracranial pressure. J. Neurosurg. Nurs., 6 (1):27-38, Jul. 1974.

[23] JOUVET, M. Coma and other disorders of consciousness. In: HANDBOOK of clinical neurology. Amsterdam, North-Holland Publishing Company, 1969. p. 62-79.

[24] JOUVET, M. & DECHAME, J. Sémiología des troubles de la conscience. Essai de classification. Rev. Lyon Med., 9: 961-968, 1960.

[25] LANGHLAAN, D. G. Neurological assessment. Nurs. Times, 17: 70-72. jan., 1974.

[26] LUESSENHOP, A. Care of the unconscious patient. Nurs. Forum, 4: 6-11, 1965.

[27] KENNEDY, F. B. ; POZEN. T. J.; GABELMAN, E. H.; TUTHILL, J. E.: ZAENTZ, S. D. Stroke intensive care — an appraisal. Am. Heart J., 80 (2): 188-196, aug. 1970.

[28] KORTE, M. L. Intensive care of the neurological patient — metting the challenge. Nurs. Clin. North Am., 7: 335-348, jun. 1972.

[29] PHILLIPS, P. Subarachnoid haemorrhage caused by a ruptured aneurysm. Nurs. Times, 72 (33): 1270 - 1273, aug. 1976.

[30] PLUM, J. B. & POSNER, F. Diagnosis of stupor and coma. 2. ed. Philadelphia, Lippincott Company. 1972.

[31] SABIN, T. D. The differential diagnosis of coma. N. England J. Med., 290: 1062 - 1064, may 1974.

[32] SAN VITO, W. Propedêutica neurológica básica. São Paulo, Sarvier, 1972. p. 215 - 228.

[33] SAVOY, J. A. Immediate evaluation for neurological injury, simplified. AANA J., 44 (4): 390- 396, aug. 1976.

[34] SHEARER, I. Some aspects of severe head injuries. Nurs. Tunes, 62 (48): 1574 - 1576, dec. 1966.

[35] SMITH, D. W.; GERMAIN. C. P. & GIPS, C. D. Enfermeira médico-quirurgica. 3. ed. Mexico, Interamericana, 1973. p. 393-397.

[36] SMITH. D. W.; GERMAIN C. P.; GIPS, C. D. Enfermería medico. P. J. Emergency care. Saint Louis. Mosby Company, 1974. p. 224 -239.

[37] SOUNIS, E. Bioestatística. São Paulo. Mc Graw Hill do Brasil, 1972. p. 114-119.

[38] STORLIE, F. Principles of intensive nursing care. 2. ed. New York, Appleton Century-Crofts, 1972. p. 275-297.

[39] SUBCZINSKY, J. A. Letter: state of consciousness scoring system. J. Neurosurg., 43 (2): 251 -252, aug. 1975.

[40] SWIFT, N. Caring for the neurological patient. Nurs. Care, 7 (6): 17 - 19, jun. 1974.a

[41] SWIFT, N. Head injury: essentials of excellent care. Nurs' 74, 4: 26-33, sep. 1974b

[42] TATE, G. Assessment and direction of nursing care for patients with acute central nervous system insult. Nurs. Clin. North Am., 6: 165-171, mar. 1971.

[43] TEASDALE, G. Acute impairment of brain function. 1 - assessing "conscions level". Nurs. Times, 71 (24): 914-917, jun. 1975.

[44] TEASDALE, G. GALBRATH, S.; CLARK, K. Acute impairment of brain function. 2 - observation and record chart. Nurs. Times, 71 (25): 972 -973, jun. 1975.

[45] TEASDALE, G. & JENNETT, B. Assessment of coma and impaired consciousness — a practical scale. The Lancet, 13: 81-83, jul. 1974.

[46] TEWINKLE, M. B. Observation and care of the patient with a head injury. Part 1 J. Pract. Nurs., 21: 23 - 25, nov. 1971.

[47] TEWINKLE, M. B. Observation and care of the patient with a head injury. Part. 2 J. Pract. Nurs., 21: 18-19, dec. 1971.

[48] TOLOSA, A .P. M. & CANELAS, H. M. Propedêutica neurológica. 2 ed. São Paulo, Sarvier, 1971. p. 350.

[49] TUTHILL, J. E.; POZEN, T. J.; KENNEDY, F. B. A neurologic grading system for acute stroke. Am. Heart J., 78 (1): 53 -57, jul. 1969.

[50] VALENCIUS, J. C. Guidelines for neuro assessment. AORN J., 20: 442 +, sep. 1974.

[51] VIEIRA ROMEIRO. Semiología Médica. 11. ed. Rio de Janeiro. Editora Guanabara Koogan, 1968. p. 218.

[52] WAGNER, M. M. Assessment of patients with multiple injuries. Am. J. Nurs., 72 (10) 1822- 1827, oct. 1972.

Brasil

Brasil

AVALIAÇÃO NO NÍVEL DE CONSCIÊNCIA EM PACIENTES COM TRAUMATISMO CRÂNIO - ENCEFÁLICO. ^* * Dissertação de Mestrado apresentada à Escola de Enfermagem da USP, 1977.

Evaluation of conscious level in head-injury patients

Resumos

REFERÊNCIAS BIBLIOGRÁFICAS

Datas de Publicação

Brasil

Brasil

AVALIAÇÃO NO NÍVEL DE CONSCIÊNCIA EM PACIENTES COM TRAUMATISMO CRÂNIO - ENCEFÁLICO. * * Dissertação de Mestrado apresentada à Escola de Enfermagem da USP, 1977.

Evaluation of conscious level in head-injury patients

Resumos

REFERÊNCIAS BIBLIOGRÁFICAS

Datas de Publicação

AVALIAÇÃO NO NÍVEL DE CONSCIÊNCIA EM PACIENTES COM TRAUMATISMO CRÂNIO - ENCEFÁLICO. ^* * Dissertação de Mestrado apresentada à Escola de Enfermagem da USP, 1977.