AUGUSTO SCALABRINI NETO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Clínica Médica, Faculdade de Medicina - Docente
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina
20 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 20
bookPart Introdução à sexta edição(2020) OLIVEIRA, Andréa Remigio de; MENDES, Pedro Vitale; PARK, Marcelo; ZIGAIB, Rogério; SCALABRINI NETO, Augusto; VELASCO, Irineu TadeubookPart Manejo das arritmias cardíacas(2023) DIAS, Roger Daglius; GIUGNI, Fernando Rabioglio; SCALABRINI NETO, Augusto- Acute stress in residents playing different roles during emergency simulations: a preliminary study(2017) DIAS, Roger Daglius; SCALABRINI-NETO, AugustoObjectives: To investigate acute stress response in residents playing nurse and physician roles during emergency simulations. Methods: Sixteen second-year internal medicine residents participated in teams of four (two playing physician roles and two playing nurse roles). Stress markers were assessed in 24 simulations at baseline (T1) and immediately after the scenario (T2), using heart rate, systolic and diastolic blood pressure, salivary a-amylase, salivary cortisol and salivary interleukin-1 beta. The State-Trait Anxiety Inventory was applied at T2. Continuous data were summarized for the median (1st-3rd interquartile ranges), and the MannWhitney U Test was used to compare the groups. Results: The percent variations of the stress markers in the physician and nurse roles, respectively, were the following: heart rate: 70.5% (46.0-136.5) versus 53.0% (29.5-117.0), U=89.00, p=0.35; systolic blood pressure: 3.0% (0.0-10.0) versus 2.0% (-2.0-9.0), U=59.50, p=0.46; diastolic blood pressure: 5.5% (0.0-13.5) versus 0.0% (0.0-11.5), U=91.50, p=0.27; a-amylase: -5.35% (-62.70-73.90) versus 42.3% (12.4-133.8), U=23.00, p=0.08; cortisol: 35.3% (22.2-83.5) versus 42.3% (12.4-133.8), U=64.00, p=0.08); and interleukin-1 beta: 54.4% (21.9-109.3) versus 112.55% (29.7-263.3), U=24.00, p=0.277. For the physician and nurse roles, respectively, the average heart rate was 101.5 (92.0-104.0) versus 91.0 (83.0-99.5) beats per minute, U=96.50, p=0.160; and the state anxiety inventory score was 44.0 (40.0-50.0) versus 42.0 (37.50-48.0) points, U=89.50, p=0.319. Conclusions: Different roles during emergency simulations evoked similar participants' engagement, as indicated by acute stress levels. Role-play strategies can provide high psychological fidelity for simulation-based training, and these results reinforce the potential of role-play methodologies in medical education.
bookPart 0 Citação(ões) na Scopus Expert's corner: Challenges for simulation in Latin America(2014) SCALABRINI-NETO, A.- Acute stress in residents during emergency care: a study of personal and situational factors(2017) DIAS, Roger Daglius; SCALABRINI NETO, AugustoProviding care for simulated emergency patients may induce considerable acute stress in physicians. However, the acute stress provoked in a real-life emergency room (ER) is not well known. Our aim was to assess acute stress responses in residents during real emergency care and investigate the related personal and situational factors. A cross-sectional observational study was carried out at an emergency department of a tertiary teaching hospital. All second-year internal medicine residents were invited to voluntarily participate in this study. Acute stress markers were assessed at baseline (T1), before residents started their ER shift, and immediately after an emergency situation (T2), using heart rate, systolic, and diastolic blood pressure, salivary -amylase activity, salivary interleukin-1 , and the State-Trait Anxiety Inventory (STAI-s and STAI-t). Twenty-four residents were assessed during 40 emergency situations. All stress markers presented a statistically significant increase between T1 and T2. IL-1 presented the highest percent increase (141.0%, p<.001), followed by AA (99.0%, p=.002), HR (81.0%, p<.001), DBP (8.0%, p<.001), and SBP (3.0%, p<.001). In the multivariable analysis, time of residency had a negative correlation with HR during the emergency (adjusted R-square=.168; F=8.69; p=.006), SBP response (adjusted R-square=.210; F=6.19; p=.005) and DBP response (adjusted R-square=.293; F=9.09; p=.001). Trait anxiety (STAI-t) was positively correlated with STAI-s (adjusted R-square=.326; F=19.9; p<.001), and number of procedures performed during emergency care had a positive association with HR response (adjusted R-square=.241; F=5.02; p=.005). In the present study, emergency care provoked substantial acute stress in residents. Resident experience, trait anxiety, and number of emergency procedures were independently associated with acute stress response.
bookPart Insuficiência Cardíaca Crônica(2015) SCALABRINI NETO, Augusto; MAZON, Francisco José Nigro; DIAS, Roger DagliusbookPart Treinamento de habilidades na prática médica(2023) DIAS, Roger Daglius; RODRIGUES, Katharina Reichmann; SCALABRINI NETO, Augusto- Stress levels during emergency care: A comparison between reality and simulated scenarios(2016) DIAS, Roger Daglius; NETO, Augusto ScalabriniPurpose: Medical simulation is fast becoming a standard of health care training throughout undergraduate, postgraduate and continuing medical education. Our aim was to evaluate if simulated scenarios have a high psychological fidelity and induce stress levels similarly to real emergency medical situations. Materials and Methods: Medical residents had their stress levels measured during emergency care (real-life and simulation) in baseline (T1) and immediately post-emergencies (T2). Parameters measuring acute stress were: heart rate, systolic and diastolic blood pressure, salivary alpha-amylase, salivary interleukin-1 beta, and State-Trait Anxiety Inventory score. Results: Twenty-eight internal medicine residents participated in 32 emergency situations (16 real-life and 16 simulated emergencies). In the real-life group, all parameters increased significantly (P < .05) between T1 and T2. In the simulation group, only heart rate and interleukin-1 beta increased significantly after emergencies. The comparison between groups demonstrates that acute stress response (T2 - T1) and State-Trait Anxiety Inventory score (in T2) did not differ between groups. Conclusions: Acute stress response did not differ between both groups. Our results indicate that emergency medicine simulation may create a high psychological fidelity environment similarly to what is observed in a real emergency room.
- Breaking bad news in the emergency department: a comparative analysis among residents, patients and family members' perceptions(2018) TOUTIN-DIAS, Gabriela; DAGLIUS-DIAS, Roger; SCALABRINI-NETO, AugustoObjectiveOur main objective was to assess patient and family members' perception of bad news communication in the emergency department (ED) and compare these with physicians' perceptions.MethodsThis is a cross-sectional study carried out at the ED of a tertiary teaching hospital. To compare physicians' and receivers' (patient and/or family member) perceptions, we created a survey based on the six attributes derived from the SPIKES protocol. The surveys were applied immediately after communication of bad news occurred in the ED. We analyzed agreement among participants using -statistics and the (2)-test to compare proportions.ResultsA total of 73 bad news communication encounters were analyzed. The survey respondents were 73 physicians, 69 family members, and four patients. In general, there is a low level of agreement between physicians' and receivers' perceptions of how breaking bad news transpired. The satisfaction level of receivers, in terms of breaking bad news by doctors, presented a mean of 3.70.6 points. In contrast, the physicians' perception of the communication was worse (2.9 +/- 0.6 points), with P value less than 0.001.ConclusionDoctors and receivers disagree in relation to what transpired throughout bad news communications. Discrepancies were more evident in issues involving emotion, invitation, and privacy. An important agreement between perceptions was found in technical and knowledge-related aspects of the communication.
- The role of pneumonia scores in the emergency room in patients infected by 2009 H1N1 infection(2012) BRANDAO-NETO, Rodrigo Antonio; GOULART, Alessandra Carvalho; SANTANA, Alfredo Nicodemos Cruz; MARTINS, Herlon Saraiva; RIBEIRO, Sabrina Correa Costa; HO, Li Y.; CHIAMOLERA, Murilo; MAGRI, Marcelo M. C.; SCALABRINI-NETO, Augusto; VELASCO, Irineu TadeuDespite the severity of pneumonia in patients with pandemic influenza A infection (H1N1), no validated risk scores associated with H1N1 pneumonia were tested. In this prospective observational study, we analyzed data of consecutive patients in our emergency room, hospitalized because of pneumonia between July and August 2009 in a public hospital in Brazil. The following pneumonia scoring systems were applied: the SMART-COP rule; the Pneumonia Severity Index; and the CURB-65 rule. Of 105 patients with pneumonia, 53 had H1N1 infection. Among them, only 9.5% that had a low risk according to SMART-COP were admitted to ICU, compared with 36.8% of those with the Pneumonia Severity Index score of 1-2 and 49% of those with CURB-65 score of 0-1. The SMART-COP had an accuracy of 83% to predict ICU admission. The SMART-COP rule presented the best performance to indicate ICU admission in patients with H1N1 pneumonia. European Journal of Emergency Medicine 19: 200-202 (C) 2012 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.