Bruno Matos

Bruno Matos has 15 years experience and specializes in Cardiothoracic nursing.

Latest Activity

1. post-op cabg care

   Bruno Matos replied to jetty's topic in CCU

   In our cabg's we just have a left atrium cath and a CVP cath, that we pull out in the morning after surgery. Almost of our patients stay at ICU just for 20 - 24 hours . We only put SG if we have a non linear pos op like dependency of vasoactive dru...

2. post-op cabg care

   Bruno Matos replied to jetty's topic in CCU

   You always have a Swan Ganz catheter on your CABG patients ?

3. post-op cabg care

   Bruno Matos replied to jetty's topic in CCU

   In my unit we use the following to know how much IV fluids we can give (cc/h): Required basic fluid = BSA x 1000 / 24 (post op day 0) ; post op day 1 : RBF = BSA x 1500 / 24 ... We have to pay attention to the other parameters like: Left ventricular...

4. Blood Pressure secondary to Temp. Pacing

   Bruno Matos replied to aithug316's topic in Cardiac

   Hi there! First of all - what kind of generators do you usually use? Single chamber or sequential pacing? Remember - if you have a ventricular pace you lose about 30% of CO (you lose the atrial systole) in a patient with poor ventricular function .....

5. Persistent SVT

   Bruno Matos posted a topic in PICU

   Someone have experience in management of recurrent SVT (more than 12 episodes/d) in a baby (1 month old) who underwent cardiac surgery ? Those episodes ceases with Adenosine bolus and actually the baby has amiodarone (cont) and propranolol Iv (q6h)....

6. Digitalis.....tell me how you give it.....

   Bruno Matos replied to llgRN's topic in Cardiac

   We use to confirm all the preparation of the drug (total amount, dilutions, etc...) with 2 persons. And always be careful with the hipokalaemia, correct it before administration!! Side efects have much more probability to occur in presence of that.

7. Incompatibility table (IV's drugs)

   Bruno Matos replied to Bruno Matos's topic in CCU

   I will love that!!! :chuckle Bruno.

8. Nitric Oxide

   Bruno Matos posted a topic in NICU

   Occasionally we use NO to ventilate our babies with PPH (in the post op of cardiac surgery). We don't have any protocol to manage these situations (like determination of metahaemoglobin ... ) We don't have also any devices to evaluate the contaminat...

9. Norwood procedure

   Bruno Matos replied to Bruno Matos's topic in PICU

   I'm very happy with this thread. Nowadays we use the RV-PA shunt. The post op it's much easier. The follow up more stable until the Glenn's shunt. Actually we have 3 kids with the 3 stages completed, the oldest is 12. Best regards.

10. T piece

    Bruno Matos replied to Bruno Matos's topic in CCU

    We use cpap to, but in some cases, we need to know if the patient can be without any "help" pressure. And so, we put him with t piece no more than 15-30 min. Usually we do like this: VC - SIMV+PS (reducing progressively the RR and PS) - CPAP and som...

11. T piece

    Bruno Matos posted a topic in CCU

    During the weaning period we usually use the t piece trial. In your protocol, how many liters of oxygen do you use at this stage, it depends of the PaO2 before ? Thanks for your help!

12. G C S application

    Bruno Matos posted a topic in MICU

    How do you evaluate the verbal response in the patients under mechanic ventilation. It´s a major doubt in my unit. Happy new year!

13. Cvvhd

    Bruno Matos replied to dv8rn's topic in MICU

    :chair: In my unit (CT surgery), we use PRISMA (CVVHDF) a lot of times. Usually those patients have inotropic support, are haemodynamic unstable, ventilated... We make the initial setup, the priming and all additional settings. The ratio it´s 1:1.

14. Pulse oximetry vs. arterial saturation

    Bruno Matos posted a topic in PICU

    How can we explain the difference between the values of the pulse oximetry and the arterial saturation in the same child at the same moment? A lot of times we have a pulse oximetry of 85% with 98% on ABG. Thanks for your help.

15. Incompatibility table (IV's drugs)

    Bruno Matos posted a topic in CCU

    Our ICU table it's a little bit old ... Someone knows where I cand find a really actualized table? Thank you for your help.