Avaliação de tecnologia em saúde e desenvolvimento de inovação tecnológica para avaliação e monitoramento respiratório
Introduction: Health Technology Assessment (HTA) is defined as a set of research methods responsible for the continuous process of systematic assessment of the outcomes generated by the use of technology provided, in order to generate scientific evidence for clinical and political decisions. The...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/32252 |
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| Resumo: | Introduction: Health Technology Assessment (HTA) is defined as a set of
research methods responsible for the continuous process of systematic
assessment of the outcomes generated by the use of technology provided, in
order to generate scientific evidence for clinical and political decisions. The
treatment of patients with respiratory failure can be done through the use of
mechanical ventilation (MV), and the transition process to return to spontaneous
breathing is a point that needs new technologies seeking to ensure better
conditions for the assessment and prediction of positive outcomes. Current
assessment methods allow analysis of momentary indices that are unable to
identify the evolution of the behavior of respiratory variables. Objectives: to
develop technological innovation in the scope of respiratory assessment and
monitoring, in addition to the development of evidence on the subject with
systematic review. Results: scientific evidence on evaluation and respiratory
monitoring of patients with neuromuscular disease weaning from MV was
evidenced: (1) systematic review protocol entitled “Weaning from mechanical
ventilation in people with neuromuscular disease: protocol for a systematic
review; (2) submission of a scientific article entitled “Weaning from mechanical
ventilation in people with neuromuscular diseases: systematic review”; in
addition to (3) development and filing of an innovation patent entitled “Device
for respiratory assessment and monitoring”. Conclusion: the device presented
in the thesis, of an innovative character, allows continuous and detailed
analysis of variables such as pressure, flow and volume, being able to identify
early changes in the breathing pattern. Such a device will contribute to clinical
applications in hospital, outpatient and home environments of patients on MV.
The evidence from scientific evidence clarified the lack of an adequate protocol
for assessing weaning conditions in patients with neuromuscular disease. |
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