2025-03-312025-03-312023-12-01NASCIMENTO, Felipe Azevedo Alberto. Neuroproteção do recém-nascido prematuro: cuidados com o resíduo do parto e suporte ventilatório ao prematuro em hospital de referência do Médio Xingu. Orientadora: Bruna Grazielle Carvalho Jacomel. 2023. 51 f. Trabalho de Conclusão de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Campus Universitário de Altamira, Universidade Federal do Pará, Altamira, 2023. Disponível em: https://bdm.ufpa.br/jspui/handle/prefix/7932. Acesso em:.https://bdm.ufpa.br/jspui/handle/prefix/7932Prematurity is birth before 37 weeks of gestational age, affecting 1 in every 10 births worldwide, with many of the premature newborns (PTNB) who survive facing a life with developmental problems. To ensure survival, PTNBs need the neonatal intensive care unit (NICU), where they receive care. This environment is different from the intrauterine environment, as there are stressors, causing neurodevelopment problems. Furthermore, the underdeveloped skin of the PTNB subjects it to instability, infections and water loss, making it necessary to preserve the vernix caseosa, a protective biofilm that’s the residue of birth. Furthermore, ventilatory support demands sensitivity, as premature babies often need supplemental oxygen and there are adequate parameters for oxygen saturation (SatO2) to reduce complications and procedures such as endotracheal aspiration that are stressors, factors that harm neurodevelopment. Therefore, neuroprotective measures must be adopted in the NICU to guarantee better neurological outcomes. Therefore, this theme must be in evidence in the Xingu Region, an area located in Pará, a state with the 4th highest neonatal mortality rate in Brazil, where only one NICU is a reference for a population of approximately 400,000 inhabitants, resulting in overload and the need for improvement. Thus, it’s needed to evaluate care practices with birth skin residue and ventilatory support in the care of PTNBs from the perspective of neuroprotection in the NICU of the Public Regional Hospital of Transamazônica. To this end, a Field, Analytical and Prospective study was carried out, with a quantitative-qualitative approach, among members of the NICU of the reference hospital, using a semi-structured questionnaire, qualitative analysis according to Bardin's Theory and quantitative analysis using BioEstat software version 5.0, Microsoft Office Excel 2020 and Microsoft Office Word 2020. In this way, members of the NICU multidisciplinary team were interviewed, of which 43, 36 were interviewed and 7 were excluded from the research because they were in the acclimatization period or vacations. Regarding the composition of the team, 55.56% are nursing technicians, 25% are nurses, 8.33% are doctors, among others. Regarding the time of care for premature babies, there was a higher prevalence of care between 5 and 10 years. Regarding training on neuroprotection, 80.5% said they had never received any training. Furthermore, regarding the conduct regarding birth skin residue, the majority (61.1%) responded that it should not be removed at birth. Furthermore, regarding endotracheal aspiration, 66.66% responded that it can be performed routinely. Furthermore, regarding the target SatO2 parameters, 4 interviewees cited the range of 91-95% and the others cited others. Regarding the SatO2 alarm limits, 66.66% were unable to answer. So, the NICU team employs practices regarding the residue of birth skin residue that can be harmful from the perspective of neuroprotection. Furthermore, there’s a lack of knowledge about SatO2 target values and alarm limits, exposing premature babies to the risk of neurodevelopmental problems. Therefore, the team must adopt practices that standardize care for the birth skin residue and ventilatory support for premature babies to promote neuroprotection and better neurological outcomes for premature babies admitted to the reference unit.Acesso AbertoRecém-Nascido PrematuroUnidades de Terapia Intensiva NeonatalPeleSuporte Ventilatório InterativoInfant PrematureIntensive Care UnitsNeonatal SkinInteractive VentilatoryCNPQ::CIENCIAS DA SAUDETrabalho de Curso - Graduação - Monografia