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Dettagli Bibliografici
Autore principale:	Daniel de Carli
Natura:	Artículo científico
Lingua:	pt
Pubblicazione:	Faculdade de Medicina de Jundiaí 2017
Soggetti:	Medicina anestesia partículas Corpos estranhos filtros microporos infusões parenterais
Accesso online:	https://www.redalyc.org/articulo.oa?id=243252261004
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Sommario:

Pesquisa de Corpos Estranhos Retidos em Filtros de Partículas de Equipos de Soros Utilizados em pacientes Submetidos a Anestesias Ambulatoriais Daniel de Carli José Fernando Amaral Meletti Reinaldo Vargas Bastos Miranda Rafael Mendes Correa Campos Victor Torres Pacheco Fábio Mendes Azarias Medicina anestesia partículas Corpos estranhos filtros microporos infusões parenterais Equipos de infusão parenteral estão entre os materiais hospitalares mais utilizados. Dentre as complicações relacionadas a sua utilização destacamos a contaminação parenteral por corpos estranhos. A perfuração de injetores de equipos de soro, frascos de soro, ou medicações pode desprender um pequeno fragmento capaz de causar múltiplas lesões ao paciente (obstrutivas, inflamatórias, ou infecciosas). Objetivando avaliar a prevalência de corpos estranhos retidos nestes equipos, realizou-se um estudo observacional onde foram pesquisados 164 equipos descartados após procedimentos cirúrgicos. Para cada equipo registrou-se o tipo e a duração da cirurgia, a quantidade de frascos de soro, de ampolas e de frascos de medicamentos utilizados. Quando identificados, os corpos estranhos foram fotografados e investigados. Nas cirurgias em que não se constatou a presença de corpos estranhos prevaleceu um tempo médio de 52,35 minutos, utilizou-se uma média de 1,84 frascos de soro e 7,31 frascos ou ampolas de medicação. Em 6,71% das câmaras foram encontrados 17 corpos estranhos, sendo 41,18% de vidro, 23,53% de linha, 17,65% de borracha e 17,65% sem identificação da origem. Nestas cirurgias o tempo médio foi de90,91 minutos, utilizou-se em média 2,91 frascos de soro e 11,09 frascos ou ampolas de medicação (p<0,01). Conclui-se que os corpos estranhos retidos nos filtros de partículas foram mais frequentes nas cirurgias com maior tempo cirúrgico e maior utilização de ampolas e frascos. 2017 artículo científico 0100-2929 https://www.redalyc.org/articulo.oa?id=243252261004 pt http://www.redalyc.org/revista.oa?id=2432 Perspectivas Médicas application/pdf Faculdade de Medicina de Jundiaí Perspectivas Médicas (Brasil) Num.2 Vol.28

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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