Enfermeria intensiva最新文献

{"title":"Drug interactions in a coronary care unit: Adversity or therapeutic success?","authors":"J.T.S.B. Gomes RN ,&nbsp;M.C.C.P. Castro MD ,&nbsp;L.L. Pereira ,&nbsp;M.N. Melo ,&nbsp;S.R. Secoli PhD, RN ,&nbsp;D.D. Trevisan PhD, RN","doi":"10.1016/j.enfie.2023.10.005","DOIUrl":"10.1016/j.enfie.2023.10.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyze the prevalence and factors associated with potential clinically significant drug interactions (pDDIs) in a coronary care unit and to describe clinical management for reducing the occurrence of pDDIs.</div></div><div><h3>Methods</h3><div>A cross-sectional and analytical study was conducted on 120 patients aged<!--> <!-->≥<!--> <!-->18 years and who had used two or more medications who were admitted to coronary care unit at a high-complexity hospital in Campinas, São Paulo, Brazil. Participants were recruited consecutively from May 2018 to April 2019. Data were obtained from medical records. The Micromedex tool was used for the analysis of pDDIs. Descriptive statistics and a generalized linear model with Poisson distribution were used to assess the relations between independent variables and exposure to pDDIs.</div></div><div><h3>Results</h3><div>The prevalence of patients exposed to pDDIs of major severity was 81.6%. 73.8% had the increased risk of bleeding as the clinical impact and involved the co-administration of drugs related to antiplatelet therapy and anticoagulation. Having had a myocardial infarction (<em>P</em> <!-->=<!--> <!-->.007), using a greater number of medications (<em>P</em> <!-->=<!--> <!-->.009), and consuming a greater number of medications that act on the blood and hematopoietic organs (<em>P</em> <!-->=<!--> <!-->.006) increased the likelihood of greater potential drug interactions.</div></div><div><h3>Conclusion</h3><div>The prevalence of major severity pDDI was high. Having suffered a myocardial infarction, using polypharmacy and receiving medications that act on the blood/hematopoietic organs increased the likelihood of this clinical outcome. However, the most combinations showed synergistic effects that improved cardiocirculatory performance, highlighting the need for therapeutic success, with this contributing to the restoration of patients’ health and improvement in their quality of life.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 255-263"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood-sparing techniques prevalence in adult intensive care units: A multicentre survey study","authors":"M. Raurell-Torredà ,&nbsp;R.-J. Fernández-Castillo ,&nbsp;M.-E. Rodríguez-Delgado ,&nbsp;Á. Cobos-Vargas ,&nbsp;D.-M. Achury-Saldaña ,&nbsp;E. Cavallo ,&nbsp;A. Muriel-García ,&nbsp;S. Arias-Rivera","doi":"10.1016/j.enfie.2024.07.002","DOIUrl":"10.1016/j.enfie.2024.07.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Anaemia is a common condition in patients admitted to intensive care units (ICUs). It is also well known that a significant amount of the carbon dioxide produced by health services is likely attributable to blood donation, testing, and the manufacture, storage, and distribution of blood components. To mitigate this, prevention strategies such as blood-sparing techniques are available. There is a lack of knowledge regarding the use of such techniques in ICUs in Spain and Latin America, healthcare systems with very different health expenditures per capita. The aim is to assess the degree of implementation of blood-sparing techniques in these regions.</div></div><div><h3>Methods</h3><div>Cross-sectional online multicentre survey. 251 ICUs in Spain and 53 in Latin America (20 in Argentina, 20 in Colombia, 13 in Ecuador) participated. A 20-item survey on the use of point-of-care, small-volume tubes (SVT), and closed-blood sampling devices (CBSD) was validated. Effect sizes were calculated using Phi (φ) or Cramer’s V (V).</div></div><div><h3>Results</h3><div>A response rate of 77% was obtained for Spain and 96% for Latin America. In Spain, the majority of ICUs were affiliated with public hospitals (88.1%, 171/194) while in Latin America, most were associated with private hospitals (56.9%, 29/51). Regarding the use of point-of-care testing, 67.5% of Spanish ICUs, compared to 35.3% of Latin Americans, reported frequent use (<em>V</em> <!-->=<!--> <!-->0.343). In 91.7% of Spanish ICUs and 58.9% of Latin Americans, SVTs were rarely or never used (<em>V</em> <!-->=<!--> <!-->0.380). The use of CBSD was significantly lower in Spain for both arterial and central venous catheters (<em>V</em> <!-->=<!--> <!-->0.336). Private hospitals used more CBSD in arterial catheter than public ones (27% vs 8.3%, <em>V</em> <!-->=<!--> <!-->0.278).</div></div><div><h3>Conclusion</h3><div>Point-of-care testing can be improved in Latin America, while the use of CBSD and small-volume tubes can be enhanced in Spain. Private hospitals tend to implement blood-sparing techniques more effectively than public hospitals.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 340-351"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The roles and responsibilities of advanced practice nurses in intensive care units: A scoping review","authors":"F. Jafari Pour MSc, RN ,&nbsp;R. Watson PhD, RN ,&nbsp;E. Jafaripour MSc ,&nbsp;R. Jafarian BSc","doi":"10.1016/j.enfie.2024.06.002","DOIUrl":"10.1016/j.enfie.2024.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Since the intensive care units are one of the most sensitive hospital settings and critically ill patients undergo various stressful factors that put their lives in danger, a more advanced level of nursing practice is imperative to accommodate these issues and provide optimal care of patients.</div></div><div><h3>Objectives</h3><div>To review the literature describing the roles and activities performed by advanced practice nurses in intensive care units.</div></div><div><h3>Review methods</h3><div><span><span>We conducted a scoping review to search published articles using Scopus, PubMed, </span>CINAHL (EBSCOhost), Science Direct, MEDLINE (EBSCOhost) and </span>Cochrane Library during a 10-year period from 2013 to 2023.</div></div><div><h3>Results</h3><div>We identified 729 records, from which eleven articles were included in the review. We included six reviews and five original articles or research papers. With regard to the target area of our review, we used the information provided by these studies and categorized the contents related to the roles of advanced practice nurses in intensive care units into five sections, including direct practice, education and counseling, research, collaboration, and leadership.</div></div><div><h3>Conclusion</h3><div>Advanced practice nurses are essential members of critical care team by playing various roles in practice, education, research, collaboration, and leadership, and therefore, they can increase patients’ access to critical care and improve healthcare outcomes. The advancement of technology and complexity of care in intensive care units have led to the role expansion of these nurses which results in task-shifting between doctors and nurses. Therefore, it is considered essential for nursing and medical professionals to reach an agreement to establish standardized roles for advanced practice nurses.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages e31-e40"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of burnout and moral distress in intensive care nurses: An integrative literature review","authors":"V. Salas-Bergüés MSc, RN ,&nbsp;M. Pereira-Sánchez PhD, MSc, RN ,&nbsp;J. Martín-Martín PhD, MSc, RN ,&nbsp;M. Olano-Lizarraga PhD, MSc, RN","doi":"10.1016/j.enfie.2024.02.002","DOIUrl":"10.1016/j.enfie.2024.02.002","url":null,"abstract":"<div><h3>Aims</h3><div>To describe, through an integrative literature review, the factors contributing to the development of burnout and moral distress in nursing professionals working in intensive care units and to identify the assessment tools used most frequently to assess burnout and moral distress.</div></div><div><h3>Methods</h3><div>An integrative literature review was carried out. PubMed, CINAHL, PsycINFO, SciELO, Dialnet, Web of Science, Scopus, and Cochrane databases were reviewed from January 2012 to February 2023. Additionally, <em>snowball</em> sampling was used. The results were analysed by using integrative synthesis, as proposed by Whittemore et al., the Critical Appraisal Skills Programme for literature reviews, the Strengthening the Reporting of Observational Studies in Epidemiology guidelines for quantitative observational studies, and the Joanna Briggs Institute checklist for qualitative research were used to evaluate evidence quality.</div></div><div><h3>Results</h3><div>Forty-one articles were selected for review: 36 were cross-sectional descriptive articles, and five were literature reviews. The articles were grouped into five-factor categories: 1) personal factors, 2) organisational factors, 3) labour relations factors, 4) end-of-life care factors, and 5) factors related to coronavirus disease 2019 (COVID-19). The Maslach Burnout Inventory-Human Services Survey and the Moral Distress Survey-Revised instruments were the most commonly used to measure burnout and moral distress.</div></div><div><h3>Conclusions</h3><div>This review highlights the multiple personal, organisational, relational, situational, and end-of-life factors promoting burnout and moral distress among critical care nurses. Interventions in these areas are necessary to achieve nurses’ job satisfaction and retention while improving nurses’ quality of care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 376-409"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of an assessment system for the allocation of human resources in the intrahospital transport of the patient admitted to an intensive care unit","authors":"M. Vila-Vidal RN,&nbsp;A. Estruga-Asbert RN,&nbsp;R. Jam-Gatell RN, MSc, PhD","doi":"10.1016/j.enfie.2024.02.001","DOIUrl":"10.1016/j.enfie.2024.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Currently, in intensive care units (ICUs), the in-hospital transport (HIT) of patients is carried out without a unified criterion of personnel necessary for it.</div></div><div><h3>Objective</h3><div>To evaluate the concordance of the Patient Assessment<span> System for Transport-ICU (PAST-ICU) with the medical criteria (CM) to determine the Human Resources (HR) and identify Adverse Effects (AE).</span></div></div><div><h3>Methods</h3><div>Descriptive, cross-sectional and prospective study of the IHT of patients admitted to an area of adult medical-surgical critical patients. The PAST-ICU instrument was created to recommend the HR of HIT. Through the assessment of clinical parameters, the Past-ICU indicates whether the HIT should be performed with (1) a stretcher-bearer (2) Stretcher-bearer/nurse or (3) stretcher-bearer/nurse/doctor. AE were recorded during the hospital transfer. Prior to the IHT, the nurse performed the PAST-ICU and the result was contrasted with the Medical Criteria (MC) responsible for the patient, the latter prevailing.</div></div><div><h3>Study period</h3><div>Phase 1: pilot test 2013–2014. Phase 2: 2015–2021.</div></div><div><h3>Variables</h3><div>Reason and duration HIT, PAST-ICU sheet, checklist, AE.</div></div><div><h3>Results</h3><div>Phase 1: 458 IHT were analyzed. The concordance index between the PAST-ICU and the MC was 84,9% (389 IHT). The Cohen Kappa of 58,5% and p &lt; 0,001. There were a total of 16 AE. Phase 2: 3423 IHT. The Concordance index of 87,2% (2984 TIH). The Cohen Kappa of 63%and the P &lt; 0,001. Registered 49 AE.</div></div><div><h3>Conclusion</h3><div>The PAST-ICU could be a useful, safe and reliable tool to adapt the necessary HR. There was good concordance between the PAST-ICU vs the MC to determine the HR in the HIT. The percentage of AE was low.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 308-318"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interevaluator reliability of a tool for measuring body height in adult intensive care patients","authors":"H.A. Payán-Salcedo ,&nbsp;J.L. Estela-Zape ,&nbsp;L.P. Chanchi-Quintero ,&nbsp;E.C. Wilches-Luna","doi":"10.1016/j.enfie.2024.01.001","DOIUrl":"10.1016/j.enfie.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><div>The calculation of body height in the intensive care unit<span><span> is essential for obtaining the ideal body weight, which is used to program the </span>tidal volume<span><span> and establish objective and effective pulmonary ventilation. The objective of the study was to determine the </span>interrater reliability<span> of a tool for measuring body height in adult patients in an intensive care unit (ICU) in southwestern Colombia.</span></span></span></div></div><div><h3>Methods</h3><div><span>This cross-sectional observational study was conducted between January and May 2021, following the recommendations of the COSMIN protocol. Two physiotherapists in the roles of observer/evaluator measured the heights of 106 patients upon admission to the ICU with a previously designed. The sample size was calculated based on Pearson's </span>correlation coefficient. For interrater reliability, the intraclass correlation coefficient (ICC) was used, and Bland–Altman analysis was used to assess concordance. The 95% confidence interval was established, and a P value &lt;0.05 indicated statistical significance.</div></div><div><h3>Results</h3><div>A total of 106 individuals with a mean age of 59.3 years were included; the mean body height was 158.5 cm for women. The interrater reliability of the measurement of height was excellent (global ICC of 0.99, <em>P</em> = 0.000), and an almost perfect positive correlation was obtained between the raters for both women and men (<em>R</em> = 0.99).</div></div><div><h3>Conclusions</h3><div>Excellent interrater/interobserver reliability was obtained for the measurement of body height in the ICU. This research highlights the importance of protocolizing the measurement of height in critical patients with valid and reliable instruments.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 299-307"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional interventions and factors that improve end-of-life care in intensive care units: An integratory review","authors":"S.M. Hernández-Zambrano PhD ,&nbsp;A.J. Carrillo-Algarra MSN ,&nbsp;O.E. Manotas-Solano RN ,&nbsp;S.E. Ibáñez-Gamboa RN ,&nbsp;L.M. Mejia-Mendez RN ,&nbsp;O.H. Martínez-Montoya RN ,&nbsp;M. Fernández-Alcántara PhD ,&nbsp;C. Hueso-Montoro PhD","doi":"10.1016/j.enfie.2023.08.009","DOIUrl":"10.1016/j.enfie.2023.08.009","url":null,"abstract":"<div><h3>Introduction</h3><div><span>The changes in health dynamics, caused by the SARS-COVD-2 pandemic and its consequences, generated a greater need to integrate palliative care in the </span>ICU to promote a dignified death.</div></div><div><h3>Objective</h3><div>Identify interprofessional interventions and factors that improve the care of patients at the end of life.</div></div><div><h3>Methodology</h3><div><span>Integrative review, including experimental, quasi-experimental, observational, analytical, and descriptive studies with correlation of variables, published from 2010 to 2021, identified in COCHRANE, </span>CINAHL, CUIDEN, LILACS, SCIELO, Dialnet, PsychInfo, PubMed, PROQUES, PSYCHOLOGY, JOURNALS, SCIENCEDIRECT, with MeSH/DECS terms: “Critical Care”, “IntensiveCare” “Life support care”, “Palliative care”, “Life Quality”, “Right to die”. 36,271 were identified, after excluding duplicate title, abstract, year of publication, design, theme, methodological quality, objectives, and content, 31 studies were found.</div></div><div><h3>Results</h3><div><span><span>It included 31 articles, 16.7% experimental, 3.3% quasi-experimental, 80% observational, analytical, and descriptive with correlation of variables, 38% published in the United States, 38%, and 19% in Brazil. The pooled sample was 24,779 participants. 32.2% of the studies had level of evidence 1 recommendation (c), and 25.8% level of evidence 2 recommendation (c). This paper synthesises evidence to promote Interprofessional Collaborative Practice in the </span>ICU, improve end-of-life care, and interventions to achieve established therapeutic goals, implement effective care policies, plans, and programmes for critically ill patients and their families; factors that affect </span>palliative care and improve with training and continuing education for health personnel.</div></div><div><h3>Conclusion</h3><div>There are interventions to manage physical and emotional symptoms, training strategies and emotional support aimed at health personnel and family members to improve the quality of death and reduce stays in the ICU. The interdisciplinary team requires training on palliative and end-of-life care to improve care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 352-367"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incident reporting. The weakest link in the Patient Safety Systems","authors":"A. Cobos-Vargas ,&nbsp;A. Bueno-Cavanillas","doi":"10.1016/j.enfie.2024.10.001","DOIUrl":"10.1016/j.enfie.2024.10.001","url":null,"abstract":"","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 251-254"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender perspective in the implementation of hygiene in cardiology intensive care","authors":"S. Pérez-Ortega RN, MSc, PhD ,&nbsp;M. Parellada-Vendrell RN, MSc, PhD ,&nbsp;E. Querol RN, MSc ,&nbsp;J. Prats RN, MSc ,&nbsp;M. Venturas RN, PhD ,&nbsp;A. Zabalegui RN, PhD, FEANS","doi":"10.1016/j.enfie.2023.12.004","DOIUrl":"10.1016/j.enfie.2023.12.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Hygiene in critical patients is an essential daily care, provided under safe conditions, to promote comfort and maintain the integrity of skin and mucous membranes, however, it can generate feelings of dependence and vulnerability in patients.</div><div><span>The aim of this post hoc study is to know the differences in satisfaction and lived experience regarding bed hygiene in an </span>intensive care unit<span> according to biological sex and gender perspective.</span></div></div><div><h3>Methods</h3><div>Observational, descriptive and prospective study in which an ad hoc questionnaire was administered to 148 conscious and oriented patients of legal age. The questionnaire was completed 24−48 hours after admission to the unit, once the initial bed hygiene had been performed.</div></div><div><h3>Results</h3><div>Males experienced conformism (51%), embarrassment (31%) and relief (9%); Women felt conformism (35.4%), embarrassment (18.8%) and relief (29.2%) (p &lt; 0.05). Women experienced a feeling of cleanliness in 89.1% compared to 56.1% of men (p &lt; 0.05).</div><div>Men were offered to wash their genitals in 72.9% compared to 35.7% of women (p &lt; 0.05).</div><div>34.3% of men would prefer a family member to assist them during hygiene (62.9% by their wives), compared to 27.1% of women who would prefer a family member (84.6% by their daughters).</div></div><div><h3>Conclusion</h3><div>Women tolerate bed hygiene better than men and appreciate more the feeling of cleanliness.</div><div>Women are identified as caregivers, both professionally and in the family, and patients prefer them to collaborate in the performance of hygiene, being wives preferred by men and daughters preferred by women.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 278-286"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140141309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-guided puncture vs conventional technique for arterial blood gas analysis sampling in adults: A systematic review","authors":"P. Romo-Miguel RN ,&nbsp;S. Ballesteros-Peña RN, MPH, PhD","doi":"10.1016/j.enfie.2023.10.003","DOIUrl":"10.1016/j.enfie.2023.10.003","url":null,"abstract":"<div><h3>Aim</h3><div>To compare the efficacy of conventional puncture versus ultrasound-guided puncture for arterial blood gas sampling in adults.</div></div><div><h3>Method</h3><div>A search protocol was developed and applied to three databases (Medline, Cochrane, and Dialnet). Clinical trials published between January 2013 and January 2023, in Spanish or English, were considered. Outcomes in terms of first-attempt success, number of attempts until success, time taken, self-reported iatrogenic pain, and patient or professional experience were collected. The risk of bias for each included study was assessed.</div></div><div><h3>Results</h3><div>Five randomized clinical trials were selected, with sample sizes ranging from 50 to 238 adult patients treated in emergency settings. Three out of four studies showed higher first-attempt success rates when using ultrasound, and 2 out of 4 studies reported a decrease in iatrogenic pain. Discrepant findings were observed among the studies in terms of time taken and the number of attempts required for success.</div></div><div><h3>Conclusions</h3><div>Although current evidence is limited and the findings are heterogeneous, ultrasound-guided arterial puncture may have advantages over conventional puncture in terms of first-attempt success and in reducing iatrogenic pain.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 4","pages":"Pages 368-375"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}