O Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC UFTM) foi inaugurado em 1982 na cidade de Uberaba - MG e é, atualmente, o único hospital público do Triângulo Mineiro que oferece atendimento terceirizado de alta complexidade. Os critérios técnicos exigidos em normas rígidas para esses ambientes hospitalares dificultam o processo de humanização hospitalar como forma de atender os usuários satisfatoriamente e proporcionar espaços apropriados para o exercício dos profissionais da saúde e para auxiliar na cura dos pacientes. Sendo assim, o objetivo deste trabalho é propor diretrizes projetuais com a finalidade de melhorar o desempenho térmico e lumínico das alas de clínicas médica (CM) e cirúrgica (CC) do HC da UFTM. Para isso, a metodologia proposta consiste, inicialmente, num levantamento de dados dos aspectos projetuais e construtivos das alas estudadas. Posteriormente, foi feito um levantamento bioclimático de Uberaba dos últimos 10 anos junto a uma caracterização do edifício através dos cálculos das propriedades térmicas dos materiais e do uso das estratégias passivas no projeto. Para verificar a eficiência destas estratégias realizaram-se as análises dos métodos de Mahoney e Givoni. Além disso, o desempenho térmico e lumínico das alas de CM e CC foi analisado através das medições das temperaturas internas e externas, da umidade relativa do ar e dos níveis de iluminância. Depois, foram comparados com as recomendações de Mahoney e Givoni e à norma de iluminação NBR 8995-1. Os resultados encontrados indicaram que das estratégias passivas, a ventilação é a mais favorecida pela implantação do edifício, mas o resfriamento evaporativo e a alta inércia térmica não estão presentes. Além disso, os cálculos das 2 propriedades térmicas dos fechamentos verticais e horizontais e as medições das variáveis ambientais não apresentaram índices ideais de conforto e sim, altas transmitâncias, baixas inércias térmicas e, consequentemente, altas temperaturas no interior das alas, gerando um grande desconforto térmico praticamente o tempo todo. Além disso, os níveis de iluminância encontrados não estão adequados às normativas e, aliados a ambientes sem identidade visual desfavorecem ainda mais a percepção que os usuários/pacientes têm dos mesmos. Promover espaços ajardinados, melhorar o desempenho dos fechamentos através da utilização de isolantes térmicos e rever a concepção visual e os níveis mínimos de iluminação do HC são possibilidades eficientes e utilizadas em diversos hospitais para melhorar o conforto térmico e visual dos pacientes durante suas internações e assegurar qualidade no desempenho das tarefas dos funcionários. / In 1982, the teaching hospital (Hospital de Clínicas - HC) of the Triângulo Mineiro Federal University (UFTM) was opened in Uberaba, in Minas Gerais state in Brazil. Currently, it is the only public hospital in the Triângulo Mineiro area to offer third party high complexity services. Technical requirements in strict regulations for hospital environments make it harder to humanize them and satisfactorily assist users, provide health professionals with adequate working spaces and help the healing process. Therefore, this document aims to propose design guidelines to improve thermal and lighting performance in the medical clinic (clínica médica CM) and surgery clinic (clínica cirúrgica - CC) wings of the HC of UFTM. In order to achieve this, there was initially some data collection regarding design and building aspects related to the aforementioned hospital wings. Afterwards, it was necessary to gather data on the bioclimatic profile of Uberaba for the last ten years and relate it to the building using an estimate of the thermal properties of its materials and of the use of passive strategies in its design. To verify how effective the plans were, analyses based on Mahoney and Givonis methods were carried out. Furthermore, measurement of internal and external temperatures, of relative humidity and of illuminance levels were used to analyze thermal and visual performance of CM and CC wings. Then, the results were compared to Mahoney and Givonis recommendations and to lighting regulation NBR 8995-1. These results showed that regarding passive strategies, ventilation benefits the most from the building orientation, while evaporative cooling and high thermal inertia are absent. Moreover, thermal property figures of the vertical and the horizontal openings and measurements of environmental variables did 4 not present ideal comfort ratings, but high transmittance, low thermal inertia and, consequently, high temperatures inside the wings creating great thermal discomfort almost all the time. In addition, illuminance levels registered did not comply with regulations and, while associated with a lack of visual identity in rooms, caused users/patients to negatively perceive those rooms. Fostering green areas, improving insulation by using thermal insulation materials and revising the visual concept and the minimum illuminance levels in the HC are effective possibilities used in several hospitals to improve patients thermal and visual comfort while under treatment and to ensure quality to staff performance.

Bakgrund: Sömn är ett grundläggande behov som bidrar till fysisk och psykisk återhämtning. Miljömässiga och emotionella faktorer, som ofta återfinns i sjukhusmiljö, kan bidra till negativ inverkan på sömnen. Påverkad sömn kan leda till komplikationer vilket är ett problem då patienter är i större behov av sömn relaterat till ohälsa. Sjuksköterskan har en betydande roll i att främja sömnen för patienter. Syfte: Att beskriva omvårdnadsåtgärder vid sömnbesvär hos vuxna patienter på vårdavdelning i sjukhusmiljö. Metod: En litteraturstudie baserad på 15 vetenskapliga artiklar. Resultat: Tre huvudkategorier och tolv subkategorier av omvårdnadsåtgärder framkom. Huvudkategorierna var miljöanpassning, avslappning samt sömnfrämjande rutiner. Slutsats: Sömn är betydelsefullt, framförallt för patienter. Flertalet omvårdnadsåtgärder kan tillämpas för att främja sömn. / Background: Sleep is essential to humans regarding physical and psychological recovery. Environmental and emotional factors can disrupt sleep and these factors are common in hospital environment. Disrupted sleep can result in complications to the patient which is a problem because patients are in greater need of sleep due to their illness. Nurses have an important role to enhance the patients’ sleep. Aim: To describe nursing interventions on sleep disruption among adult inpatients. Method: A Literature review based on 15 science articles. Results: Three major categories and twelve subcategories of nursing interventions were identified. The major categories were; adjustment of the environment, relaxation and sleep promoting routines. Conclusion: Sleep is essential, especially to patients. Several nursing interventions could be applied to enhance sleep.

Clinical learning is regarded as a vital component in nursing programmes and students need to work in various clinical environments. In the emergency nursing programme presented at a tertiary nursing education institution, the pre-hospital environment is used as a clinical learning environment in which students rotate for approximately eight weeks. The clinical experience that they gain may assist in them developing the necessary knowledge and skills. It also assists in theory-practice correlation. The purpose of this study was to evaluate the value of the pre-hospital environment utilised as part of the clinical learning component of the emergency nursing programme. A qualitative approach was utilised since the researcher wanted to study a particular phenomenon, namely the pre-hospital learning environment. Therefore, the research design was a descriptive design whereby the researcher could describe the real life situation in the pre-hospital learning environment as experienced by the emergency nurse students. The target population for the study was emergency nurses who had already obtained their qualification as a registered emergency nurse, as well as emergency nurse students that had completed their rotational period in the pre-hospital learning environment. For the purpose of this study the identified sample consisted of students enrolled for the emergency nursing programme at a tertiary nursing education institution in Gauteng. The sample was adequate to provide the researcher with sufficient in-depth data and was also representative of the accessible population. The final sample size was 45 emergency nurse students who had completed the pre-hospital rotational period between 2008 and 2011. Data collection was done by means of Appreciative Inquiry, a method used that not only focuses on the positive, but which is also a stimulating way of looking at organisational change. Stories (narratives) were shared by the emergency nurse students pertaining to their real life experiences. Initially stories were shared in writing on an Appreciative Inquiry interview schedule. For the purpose of data saturation, individual Appreciative interviews were conducted by an independent interviewer, utilising the Appreciative Inquiry interview schedule as a guide. Data analysis was conducted by the interviewer, supervisors and an independent data analyser to ensure trustworthiness. Four themes were identified, namely clinical exposure, competencies, team work and future recommendations. From the data analysis and the four themes recommendations could be made with regard to programme refinement. Copyright / Dissertation (MCur)--University of Pretoria, 2013. / Nursing Science / unrestricted

Bakgrund: Sömn är ett grundläggande behov och är väsentlig för människors hälsa. Under sömnen återhämtar sig kroppen. Brist på sömn försämrar läkningsprocessen hos patienter. Trots sömnens betydelse har patienter upplevt olika sömnstörande faktorer på sjukhus.   Syfte: Syftet med den här litteraturöversikten var att belysa patienters upplevelser av sömn inom slutenvården.  Metod:  En litteraturöversikt med deskriptiv design. Det som inkluderades var elva stycken artiklar med kvalitativ metod eller multimetod där endast den kvalitativa ansatsen analyserades och redovisades i resultatet. Artiklarna kvalitetsanalyserades med granskningsmallar och resultaten kategoriserades in i olika huvud- och subkategorier. Resultat: I resultatet redovisades fyra huvudkategorier med tretton subkategorier. I vårdmiljön uppkom det att ljud, ljus, temperatur och brist på bekvämlighet påverkade sömnen och gjorde det svårare att sova. Vissa fann trygghet i omgivningens ljud och renlighet främjade sömnen. Olika psykiska och fysiska faktorer som smärta, sjukdom, oro, tankar och hotad integritet försvårade insomningen och en sammanhängande sömnen. Omvårdnaden från personal, kontroller och administrering av läkemedel störde den sammanhängande sömnen, ju mer vården anpassades efter patienten desto tryggare kände sig patienterna och hade lättare för att somna. Patienterna upplevde att bemötande och information från vårdpersonal kunde påverka sömnen både positivt och negativt beroende på om de upplevde det som ett bra eller dåligt bemötande och om de kände sig välinformerade eller inte.  Slutsats: Patienterna upplevde att sjukhus har flera faktorer som påverkar sömnkvaliteten negativt. Individanpassad omvårdnad bidrar till trygghet vilket ger en god sömn. Vidare behövs det mer forskning om sömnfrämjande omvårdnadsåtgärder som kan användas kliniskt på olika avdelningar. / Background: Sleep is a basic need and is essential for human health. During sleep, the body recovers. Lack of sleep impairs the healing process for patients. Still patients have experienced various factors in hospitals that disturbs their sleep.  Purpose: The aim of this literature review was to describe patients experiences of sleep in a hospital.  Method: A literature review with descriptive design. The eleven articles that were included had a qualitative method or a multi-method where only the qualitative parts were analyzed and reported in the results. The articles were quality reviewed and the results were categorized into various main- and sub categories.  Result: The results consisted of four main categories with thirteen subcategories. In the health facility environment it emerged that noise, light, temperature, poor cleanliness and comfort affected sleep and made it more difficult to fall  asleep. Some patients found the sounds in the surroundings to provide a sense of security. Various mental and physical factors such as pain, illness, anxiety, thoughts and lack of integrity made it difficult to fall asleep and also the continuity of sleep were disrupted. Nursing from healthcare workers, controls and administration of drugs disturbed the sleep. The patients felt safer and had an easier time to fall asleep when the care was adapted to their personal needs. The patients found that treatment and information from healthcare workers could affect sleep both positively and negatively depending on whether they experienced it as a good or a bad treatment and whether they felt well informed or not.  Conclusion: The patients experienced that hospitals have several factors that negatively affect the sleep quality. Individualized care provides a sense of security which helps with sleep. More research is needed on care that improves the sleep quality for patients in different wards.

Bakgrund För människan är sömn ett grundläggande behov och därmed en förutsättning för överlevnad samt för upplevelsen av välbefinnande. Sömn spelar en viktig roll i olika livssituationer och påverkar både mental och fysisk hälsa såväl som immunförsvaret. Sömn och sömnmönster kan störas av fysiska faktorer som ljus, ljud och annat i den omkringliggande miljön, men likväl av faktorer relaterade till hälsa, som smärta och ångest.  Syfte  Syftet var att beskriva vuxna patienters upplevelse av sömnkvalitet i sjukhusmiljö. Metod  Denna studie genomfördes i form av en icke systematisk litteraturöversikt där 15 originalartiklar som publicerats mellan åren 2010 och 2020 inkluderades. I databaserna CINAHL Complete och PubMed skedde artikelsökningar i november 2020 och alla artiklar kvalitetsgranskades utifrån Sophiahemmets högskolas bedömningsunderlag för vetenskapliga artiklar. Resultat Resultatet av genomförd litteraturöversikt indikerade att det fanns stora svårigheter att upprätthålla god sömnkvalitet hos patienter som var inlagda på sjukhus. Faktorer som upplevdes som sömnstörande grundade sig i aspekter kring sjukhusmiljön, vårdrutiner samt individuella faktorer. I sjukhusmiljön inbegreps hur patienters sömnkvalitet påverkades av sjukhussängar, ljud, ljus och omvårdnadsrutiner. Vårdrutiner som exempelvis blodprovstagningar och kontroller av vitalparametrar upplevdes som sömnstörande. Vidare framkom ytterligare individuella faktorer såsom smärta, oro och rädsla vilket påverkade sömnkvaliteten hos en del patienter. Slutsats I litteraturöversikten studerades vuxna patienters upplevelse av sömn i sjukhusmiljö. Gemensamt för flertalet studier var att patienter upplevde bristande sömnkvalite under sjukhusvistelsen. Hos vissa patienter var sömnkvaliteten bättre i sjukhusmiljö medan ett antal patienter som inkluderades inte upplevde någon skillnad i upplevelsen av sömnkvaliten i sjukhusmiljö jämförelsevis med sömnkvaliten i hemmet. / Background For a human being, sleep is a basic need and thus a requirement for well-being and survival. Sleep plays an important role in various life dimensions, such as mental and physical health as well as immune function. Sleep / sleep patterns can be disturbed by both physical factors such as light, sound and everything else in the physical environment as well as abstract factors related to health such as pain and anxiety. Inpatients have repeatedly during their hospital stay reported impaired or (and) poor sleep quality and its negative impact on life and health, where various factors that affect sleep are highlighted.  Aim The aim of this study was to describe adult patients' experiences of sleep quality in a hospital environment. Method This study was conducted in the form of a non-systematic literature review where 15 original articles published between the years 2010 and 2020 were included. In the databases CINAHL Complete and PubMed, article searches took place in November 2020 and all articles were quality checked based on Sophiahemmet University's assessment basis for scientific articles. Results The results show that there is an undeniable difficulty in maintaining good sleep quality in hospitalized patients. Factors that were perceived to be sleep-disturbing varied from hospital environment and included hospital beds, sound, light, nursing routines. Some factors are such that can be remedied, such as light levels. Nursing routine related factors, blood samples for instance were also disturbing factors. Furthermore, individual factors such as pain, anxiety and fear also emerged in some patients as sleep disturbing. Conclusions In this literature review study, adult patients' experiences of sleep in a hospital setting were presented. Common to several studies was that some patients/participants experienced poor sleep quality during the hospital stay. According to some patients however, the quality of sleep was better in a hospital environment, while a number of patients who were included in different studies experienced no difference in sleep quality in a hospital environment in comparison with the quality of sleep at home.

no / Pseudomonas aeruginosa is a versatile pathogen associated with a broad spectrum of infections in humans. In healthcare settings the bacterium is an important cause of infection in vulnerable individuals including those with burns or neutropenia or receiving intensive care. In these groups morbidity and mortality attributable to P. aeruginosa infection can be high. Management of infections is difficult as P. aeruginosa is inherently resistant to many antimicrobials. Furthermore, treatment is being rendered increasingly problematic due to the emergence and spread of resistance to the few agents that remain as therapeutic options. A notable recent development is the acquisition of carbapenemases by some strains of P. aeruginosa. Given these challenges, it would seem reasonable to identify strategies that would prevent acquisition of the bacterium by hospitalised patients. Environmental reservoirs of P. aeruginosa are readily identifiable, and there are numerous reports of outbreaks that have been attributed to an environmental source; however, the role of such sources in sporadic pseudomonal infection is less well understood. Nevertheless there is emerging evidence from prospective studies to suggest that environmental sources, especially water, may have significance in the epidemiology of sporadic P. aeruginosa infections in hospital settings, including intensive care units. A better understanding of the role of environmental reservoirs in pseudomonal infection will permit the development of new strategies and refinement of existing approaches to interrupt transmission from these sources to patients. / None

Bakgrund   Sjukhusmiljöer karaktäriseras ofta som kalla och opersonliga, med begränsat utrymme för mellanmänskliga möten. En av sjuksköterskans kärnkompetenser är personcentrerad vård där konst kan användas som främjande redskap i mötet med patienten. Inom ramen för mötet mellan patient och vårdgivare spelar konsten en betydelsefull roll, där den fungerar som ett stöd i kommunikationen, vilket i sin tur främjar en hälsofrämjande interaktion. Mot bakgrund av detta finns det ett behov av att utforska patienters upplevelser av konst i vårdmiljön för att skapa en djupare förståelse för konstens betydelse och dess potential att förbättra vårdmiljön, patientmötet och patienters välbefinnande inom hälso- och sjukvården.  Syfte Syftet var att belysa patientens upplevelse av konst i vårdmiljön. Metod En icke-systematisk litteraturöversikt, baserad på 15 vetenskapliga originalartiklar med en kvalitativ och kvantitativ ansats. För att samla in relevanta artiklar, utfördes sökningar i databaserna PubMed och CINAHL med olika kombinationer av söktermer. Därefter genomgick samtliga inkluderade artiklar en kvalitetsgranskning enligt Sophiahemmet Högskolas bedömningsunderlag för vetenskaplig klassificering och kvalitet. Resultatet sammanställdes och analyserades med en integrerad dataanalys. Resultat I sammanställningen av resultatet identifierades fyra kategorier: Skapar emotionellt välbefinnande som ger stöd, Främjar samtal och interaktioner och Uppmuntrar till reflektion och ger distraktion samt Främjar känsla av hopp och kontroll. Resultaten påvisade konstens signifikanta roll inom vården, inte enbart som en estetisk komponent utan även som en betydelsefull resurs som främjar patienternas välbefinnande. Den bidrar till ökad möjlighet till kommunikation, uppmuntrar reflektion, ger distraktion, samt skapar en känsla av hopp och kontroll. Slutsats Denna litteraturöversikt visar att integreringen av konst i vårdmiljön är en värdefull insats med potential att förbättra patienternas totala upplevelse av vården och deras övergripande hälsa och välbefinnande. Detta understryker vikten av att fortsätta forska inom området och främja användningen av konst inom vården för att skapa en mer stödjande och givande vårdmiljö. / Background Hospital environments are often characterized as cold and impersonal, with limited space for interpersonal interactions. One of the core competencies of nursing is person-centered care, where art can be used as a facilitating tool in patient encounters. Within the context of the interaction between patients and healthcare providers, art plays a significant role, serving as support in communication, thereby promoting health-improving interactions. Against this backdrop, there is a need to explore patients' experiences of art in healthcare settings, in order to gain a deeper understanding of the significance of art and its potential to improve the healthcare environment, patient encounters, and patients' well-being within the healthcare sector. Aim The aim was to highlight the patient's experience of art in the healthcare environment. Method A non-systematic literature review, based on 15 scientific original articles with both qualitative and quantitative approaches. To collect relevant articles, a search was conducted in the PubMed and CINAHL databases using various combinations of search terms. Subsequently, all included articles underwent a quality assessment following the evaluation criteria outlined by Sophiahemmet University for scientific classification and quality. The results were compiled and analyzed through an integrated data analysis process. Results In the results summary, four distinct categories emerged: Creates emotional well-being that provides support, Promotes conversations and interactions, Encourages reflection and provides distraction, and Fosters a sense of hope and control. These findings underscored the significant role of art in healthcare, not only as an aesthetic component, but also as a valuable resource that enhances the well-being of patients. It contributes to increased opportunities for communication, encourages reflection, provides distraction, and fosters a sense of hope and control. Conclusions This literature review demonstrates that the integration of art in the healthcare environment is a valuable initiative with the potential to enhance patients' overall healthcare experience and their overall health and well-being. This underscores the importance of continuing to research and promote the use of art in healthcare to create a more supportive and rewarding healthcare environment.

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Introdução: Parada Cardiorrespiratória (PCR) é uma emergência médica, quando ocorrer fora do ambiente hospitalar, o imediato atendimento à vítima é vital. A imediata Reanimação Cardiopulmonar (RCP), no ambiente extra-hospitalar é muito importante. A denominação aeroespacial reúne ambiente aéreo (cabine de aeronaves pressurizadas, altitude) e, espacial (ambiente com microgravidade, flutuação). No ambiente aéreo, importa a condição hipobárica e a hipóxia resultante. Quanto ao ambiente espacial, importa a condição de microgravidade e a incapacidade de exercer força e peso, como na superfície terrestre. Estes, e outros aspectos da RCP aeroespacial, são abordados no presente estudo. Objetivos: Ambiente aéreo: avaliar a qualidade do ar expirado, por um socorrista, durante RCP, em ambiente hipobárico, e, avaliar a suplementação de oxigênio para o socorrista, como forma de correção da mistura gasosa expirada, na altitude. Ambiente espacial: avaliar a eficácia de uma nova posição para RCP, por um só indivíduo, sem auxílio, na microgravidade. Materiais e Métodos: Utilizou-se uma câmara hipobárica, para a simulação da altitude, no ambiente aéreo. A RCP foi avaliada ao nível do mar e na altitude de 8.000 pés. Vôos parabólicos foram utilizados para a simulação de microgravidade. Um manequim foi o modelo de PCR em ambos os ambientes. No ambiente aéreo, avaliou-se a oferta de oxigênio expirada (boca-a-boca), pelo socorrista à vítima. Em microgravidade foi avaliada a efetividade da posição estudada, abraço da vítima com as pernas e o uso das mesmas, como apoio para a RCP, através da profundidade (mm), e freqüência (por minuto), das compressões torácicas e, da ventilação (volume de ar em mililitros). Resultados: Pressão de oxigênio cai de +108,3 mmHg (nível do mar), para +72,3 mmHg (8.000 pés). Com suplementação o valor é +108,0 mmHg. RCP em microgravidade: + 41,3 mm, + 80,2 /min, (sem ventilação). Massagem + ventilação (+ 44,0 mm, + 68,3 /min, + 491,0 ml de ar). Conclusões: Existe importante redução na oferta de oxigênio, à vítima de PCR, em altitude de 8.000 pés. Suplementação de oxigênio ao socorrista, 4 litros/minuto, por óculos nasal, pode corrigir esta redução. A posição proposta, para o ambiente espacial, deve ser considerada com uma possibilidade de RCP na microgravidade. / Introduction: Cardiac arrest (CA) is a medical emergency, and when occurring outside the hospital environment, immediate victim’s assistance is vital. Cardiopulmonary Resuscitation (CPR) at the extra-hospital environment is very important. Aerospace denomination joins an aerial environment (pressurized airplane cabins, altitude), and space (microgravity environment, floating). Within the aerial environment, hypobaric condition and resulting hypoxia do matter. Considering the space environment, microgravity condition and the inability to exert force and weight such as at the surface level, are important. Those and other aspects of aerospace CPR are approached in this present study. Objectives: Aerial environment: To evaluate the quality of exhaled air from the practitioner, during CPR within a hypobaric environment, and to assess supplemental oxygen offer to the practitioner as a form of correcting the exhaled gas mixture at altitude. Space environment: To assess the efficacy of a new CPR position, for a sole, unassisted individual at microgravity. Material and Methods: A hypobaric chamber for aerial environment altitude simulation was employed. CPR was assessed at sea level and at the altitude of 8,000 feet. Parabolic flights were employed for microgravity simulation. A CPR manikin was the model for both environments. At the aerial environment, exhaled (mouth-to-mouth) oxygen offer by the practitioner to the victim was assessed. In microgravity, the effectiveness of the studied position, which consisted of securing the victim with the legs and using them for CPR restraint, was evaluated by depth (millimeters), and frequency (per minute) of chest compressions, and ventilation (air volume in milliliters). Results: Oxygen pressure falls from ± 108.3 mmHg (at sea level) to ± 72.3 mmHg (8,000 feet). With supplementation, the value is ± 108.0 mmHg. CPR in microgravity: ± 41.3 mm, ± 80.2/minute (without ventilation). Massage + ventilation (± 44.0 mm, ± 68.3/minute, ± 491.0 ml of air). Conclusions: There is an important reduction of oxygen offer to the CPR victim at the altitude of 8,000 feet. Oxygen supplementation to the medic assistant at 4 liters/minute through nasal cannulae may correct such reduction. The proposed position for the spatial environment should be considered as a possibility for CPR at microgravity.

Introdução: Parada Cardiorrespiratória (PCR) é uma emergência médica, quando ocorrer fora do ambiente hospitalar, o imediato atendimento à vítima é vital. A imediata Reanimação Cardiopulmonar (RCP), no ambiente extra-hospitalar é muito importante. A denominação aeroespacial reúne ambiente aéreo (cabine de aeronaves pressurizadas, altitude) e, espacial (ambiente com microgravidade, flutuação). No ambiente aéreo, importa a condição hipobárica e a hipóxia resultante. Quanto ao ambiente espacial, importa a condição de microgravidade e a incapacidade de exercer força e peso, como na superfície terrestre. Estes, e outros aspectos da RCP aeroespacial, são abordados no presente estudo. Objetivos: Ambiente aéreo: avaliar a qualidade do ar expirado, por um socorrista, durante RCP, em ambiente hipobárico, e, avaliar a suplementação de oxigênio para o socorrista, como forma de correção da mistura gasosa expirada, na altitude. Ambiente espacial: avaliar a eficácia de uma nova posição para RCP, por um só indivíduo, sem auxílio, na microgravidade. Materiais e Métodos: Utilizou-se uma câmara hipobárica, para a simulação da altitude, no ambiente aéreo. A RCP foi avaliada ao nível do mar e na altitude de 8.000 pés. Vôos parabólicos foram utilizados para a simulação de microgravidade. Um manequim foi o modelo de PCR em ambos os ambientes. No ambiente aéreo, avaliou-se a oferta de oxigênio expirada (boca-a-boca), pelo socorrista à vítima. Em microgravidade foi avaliada a efetividade da posição estudada, abraço da vítima com as pernas e o uso das mesmas, como apoio para a RCP, através da profundidade (mm), e freqüência (por minuto), das compressões torácicas e, da ventilação (volume de ar em mililitros). Resultados: Pressão de oxigênio cai de +108,3 mmHg (nível do mar), para +72,3 mmHg (8.000 pés). Com suplementação o valor é +108,0 mmHg. RCP em microgravidade: + 41,3 mm, + 80,2 /min, (sem ventilação). Massagem + ventilação (+ 44,0 mm, + 68,3 /min, + 491,0 ml de ar). Conclusões: Existe importante redução na oferta de oxigênio, à vítima de PCR, em altitude de 8.000 pés. Suplementação de oxigênio ao socorrista, 4 litros/minuto, por óculos nasal, pode corrigir esta redução. A posição proposta, para o ambiente espacial, deve ser considerada com uma possibilidade de RCP na microgravidade. / Introduction: Cardiac arrest (CA) is a medical emergency, and when occurring outside the hospital environment, immediate victim’s assistance is vital. Cardiopulmonary Resuscitation (CPR) at the extra-hospital environment is very important. Aerospace denomination joins an aerial environment (pressurized airplane cabins, altitude), and space (microgravity environment, floating). Within the aerial environment, hypobaric condition and resulting hypoxia do matter. Considering the space environment, microgravity condition and the inability to exert force and weight such as at the surface level, are important. Those and other aspects of aerospace CPR are approached in this present study. Objectives: Aerial environment: To evaluate the quality of exhaled air from the practitioner, during CPR within a hypobaric environment, and to assess supplemental oxygen offer to the practitioner as a form of correcting the exhaled gas mixture at altitude. Space environment: To assess the efficacy of a new CPR position, for a sole, unassisted individual at microgravity. Material and Methods: A hypobaric chamber for aerial environment altitude simulation was employed. CPR was assessed at sea level and at the altitude of 8,000 feet. Parabolic flights were employed for microgravity simulation. A CPR manikin was the model for both environments. At the aerial environment, exhaled (mouth-to-mouth) oxygen offer by the practitioner to the victim was assessed. In microgravity, the effectiveness of the studied position, which consisted of securing the victim with the legs and using them for CPR restraint, was evaluated by depth (millimeters), and frequency (per minute) of chest compressions, and ventilation (air volume in milliliters). Results: Oxygen pressure falls from ± 108.3 mmHg (at sea level) to ± 72.3 mmHg (8,000 feet). With supplementation, the value is ± 108.0 mmHg. CPR in microgravity: ± 41.3 mm, ± 80.2/minute (without ventilation). Massage + ventilation (± 44.0 mm, ± 68.3/minute, ± 491.0 ml of air). Conclusions: There is an important reduction of oxygen offer to the CPR victim at the altitude of 8,000 feet. Oxygen supplementation to the medic assistant at 4 liters/minute through nasal cannulae may correct such reduction. The proposed position for the spatial environment should be considered as a possibility for CPR at microgravity.