IVETE ZOBOLI
Índice h a partir de 2011
2
Projetos de Pesquisa
Unidades Organizacionais
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina
12 resultados
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bookPart Cuidados paliativos pediátricos(2018) BARBOSA, Sílvia Maria de Macedo; ZOBOLI, Ivete; POLASTRINI, Rita Tiziana Verardo- Severe irritability in a critically ill preterm infant: a case of delirium at the neonatal intensive care unit(2023) MORAES, Lucas Hirano Arruda; MAROPO, Vanessa Lisbethe Bezerra; ZOBOLI, Ivete; FALCÃO, Mário Cícero; CARVALHO, Werther Brunow deAbstract Delirium is a common disorder in intensive care units, being associated with greater morbidity and mortality. However, in neonatal intensive care units, delirium is rarely diagnosed, due to the low familiarity of the neonatologist with the subject and the difficulties in the applicability of diagnostic questionnaires. This case report aimed to assess the presence of this disorder in this group of patients and identify the difficulties encountered in the diagnosis and treatment. We report the case of a premature newborn with necrotizing enterocolitis during hospitalization and underwent three surgical approaches. The newborn exhibited intense irritability, having received high doses of fentanyl, dexmedetomidine, clonidine, ketamine, phenytoin, and methadone, without the control of the symptoms. A diagnosis of delirium was then made and treatment with quetiapine was started, with a complete reversal of the symptoms. This is the first case reported in Brazil and the first describing the withdrawal of the quetiapine.
bookPart Cuidados paliativos pediátricos(2023) ZOBOLI, Ivete; MARçOLA, Ligia; BELFIORE, Marina Raimondi; POLASTRINI, Rita Tiziana Verardo; BARBOSA, Silvia Maria de MacedobookPart Cuidados paliativos e controle de sintomas(2020) POLASTRINI, Rita Tiziana Verardo; BARBOSA, Silvia Maria de Macedo; ZOBOLI, IvetebookPart Dor em criança(2019) NORDON, David Gonçalves; FERREIRA, Esther Angélica Luiz; ZOBOLI, Ivete; BARBOSA, Silvia Maria de Macedo- ANÁLISE DOS ÓBITOS E CUIDADOS PALIATIVOS EM UMA UNIDADE DE TERAPIA INTENSIVA NEONATAL(2017) MARÇOLA, Ligia; BARBOSA, Silvia Maria Macedo de; ZOBOLI, Ivete; POLASTRINI, Rita Tiziana Verardo; CECCON, Maria Esther JurfestABSTRACT Objective: To characterize cases of children admitted to the Neonatal Intensive Care Unit of a tertiary university hospital who died in the period ranging from January 01, 2012 to July 31, 2014, and who required palliative care and/or were subjected to it. Methods: A retrospective descriptive study was carried out by reviewing the medical records of these patients to collect data and to perform descriptive statistical analysis. Results: During the study period, 49 children died after at least 48 hours from the time of admission. Of those, 18% children were extremely premature infants and 77% children had malformations. Although necessary for all of the patients in this study, palliative care was provided for only 20% of patients who died. Among the 12 babies who were not resuscitated, 33% of babies were not in palliative care. The Pain and Palliative Care Unit of the institution followed only four neonates in palliative care. These patients were using many invasive devices, had high therapeutic investment, and also altered pain scale scores. Conclusions: This study exhibited a large proportion of newborn infants with serious diseases and health conditions. In a few cases the patients received palliative care, but most of them were not even discussed under palliative point of view. We hope that this study will call attention to the need to propose protocols and implement training for the best treatment of these children.
bookPart Cuidados paliativos: apoio diagnóstico e terapêutico(2023) ZOBOLI, Ivete; BARBOZA, Gaby Cecilia Yupanqui Guerra- BREAKING BAD NEWS IN A NEONATAL INTENSIVE CARE: THE PARENT’S EVALUATION(2020) MARÇOLA, Ligia; ZOBOLI, Ivete; POLASTRINI, Rita Tiziana Verardo; BARBOSA, Silvia Maria Macedo deABSTRACT Objective: To describe the reports of parents of newborns (NB) with congenital malformations hospitalized in a Neonatal Intensive Care Unit (NICU) who received bad news, in order to identify the issues related to the perception of bad news given adequately or inadequately. Methods: A cross-sectional study was conducted from January to October 2018, in which parents of newborns with congenital malformations hospitalized in NICUs were interviewed at visiting hours, according to inclusion criteria. The questionnaire had semi-structured questions related to reception of bad news. Analysis of the data was descriptive. Results: 28 mothers and two fathers were interviewed and 16 (53.3%) reported having had at least one bad news in the NICU. Of those, 10 (62.5%) considered appropriate the way in which the news was given. The justifications were: sincerity of the professional, delicacy to give the news, giving hope to the family, use of appropriate words and demonstration of caring about the newborn. Six participants (37.5%) considered inadequate the way of breaking bad news. The reasons were: unpreparedness and lack of knowledge about the child’s case, use of difficult language, haste or anxiety and discouragement of family hope. Most of the news was given by a professional alone, often by a medical resident. Conclusions: The communication of bad news was considered adequate by the parents, although this perception was not unanimous. This study, therefore, indicates that it is necessary to improve the communication of bad news in this NICU. Training professionals can assist in this process.
bookPart Cuidados paliativos no departamento de emergência(2018) BARBOSA, Sílvia Maria de Macedo; ZOBOLI, IvetebookPart Cuidados paliativos perinatais(2023) ZOBOLI, Ivete; MARçOLA, Ligia; BELFIORE, Marina Raimondi; POLASTRINI, Rita Tiziana Verardo; BARBOSA, Silvia Maria de Macedo