Efectividad de los sistemas de retorno de sangre en pacientes de cuidados intensivos: una revisión de alcance

IF 1.1 Q3 NURSING
M. Raurell-Torredà PhD, MSN, RN , S. Arias-Rivera PhDc, MSN, RN , M.E. Rodríguez-Delgado RN, MsC , C. Campos-Asensio BPharm, MLS , R.J. Fernández-Castillo PhDc, MSN, RN
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引用次数: 0

Abstract

Background

Anemia associated with blood extraction for diagnostic purposes is a highly prevalent entity in intensive care units (ICU) for adults. The evidence recommends its prevention through different strategies, among which we can find the use of closed blood sampling systems (CBSS). Different experimental studies support the use of these devices.

Objective

To identify knowledge gaps regarding the effectiveness of CBSS in ICU patients.

Methods

Scoping review with search in PubMed, CINAHL, Embase, Cochrane Library and Joanna Briggs Institute databases, between September 2021 and September 2022. No time, language, or other limits were applied to ensure the recovery of all relevant studies. Gray literature sources: DART-Europe, OpenGrey and Google Scholar. Two researchers independently reviewed titles and abstracts and assessed full texts against the inclusion criteria. The following data was extracted for each study: design and sample, inclusion and exclusion criteria, variables, type of CBSS, results and conclusions.

Results

18 articles were included in the final review, 11 clinical trials (RCTs) published between 1992 and 2014. Three systematic reviews were found, but they only analyzed the effect of CBSS in reducing blood loss, hemoglobin stabilization, and the need for transfusion. Five of the RCTs analyzed the risk of infection, one catheter complications, and two alterations in blood pressure readings.

Conclusions

The use of CBSS is recommended to reduce blood loss in ICUs. However, there are discrepancies about their ability to prevent anemia and/or the need for blood transfusion. Its use does not increase catheter-related infection rates or alter the measurement of mean arterial pressure.

重症监护患者血液回流系统的有效性:范围界定审查
背景成人重症监护病房(ICU)中因诊断目的抽血而引起的贫血非常普遍。有证据建议通过不同的策略预防贫血,其中包括使用封闭式血液采样系统(CBSS)。方法在 2021 年 9 月至 2022 年 9 月期间在 PubMed、CINAHL、Embase、Cochrane Library 和 Joanna Briggs Institute 数据库中进行范围界定综述检索。没有时间、语言或其他限制,以确保检索到所有相关研究。灰色文献来源:DART-Europe, OpenGrey 和 Google Scholar。两名研究人员独立审阅标题和摘要,并根据纳入标准评估全文。每项研究均提取了以下数据:设计和样本、纳入和排除标准、变量、CBSS 类型、结果和结论。结果 最终综述纳入了 18 篇文章,其中 11 篇为 1992 年至 2014 年间发表的临床试验(RCT)。其中发现了三篇系统综述,但它们只分析了CBSS在减少失血、稳定血红蛋白和输血需求方面的效果。其中五项研究分析了感染风险,一项分析了导管并发症,两项分析了血压读数的变化。结论 建议在重症监护室使用 CBSS 以减少失血,但其预防贫血和/或输血需求的能力存在差异。使用 CBSS 不会增加导管相关感染率,也不会改变平均动脉压的测量值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
23.10%
发文量
48
期刊介绍: Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.
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