Enfermeria intensiva最新文献

{"title":"Predictive validity of the Clinical Frailty Scale-España on the increase in dependency after hospital discharge","authors":"S. Arias-Rivera PhDc, MsN, RN ,&nbsp;M.M. Sánchez-Sánchez MsN, RN ,&nbsp;E. Romero de-San-Pío MsN, RN ,&nbsp;Y.G. Santana-Padilla PhD, RN ,&nbsp;M. Juncos-Gozalo RN ,&nbsp;G. Via-Clavero PhD, RN ,&nbsp;M.N. Moro-Tejedor PhD, RN ,&nbsp;M. Raurell-Torredà PhD, RN ,&nbsp;C. Andreu-Vázquez PhD, MsC, MvD ,&nbsp;Grupo Fragil-Es-UCI","doi":"10.1016/j.enfie.2023.07.007","DOIUrl":"10.1016/j.enfie.2023.07.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The frailty present at hospital admission and the stressors to which patients are subjected during their stay may increase dependency at hospital discharge.</p></div><div><h3>Objectives</h3><p>To assess the predictive validity of the Clinical Frailty Scale-España (CFS-Es) on increased dependency at 3 and 12 months (m) after hospital discharge.</p></div><div><h3>Methodology</h3><p>Multicentre cohort study in 2020–2022. Including patients with &gt;48 h stay in intensive care units (ICU) and non-COVID-19. Variables: pre-admission frailty (CFS-Es). Sex, age, days of stay (ICU and hospital), dependency on admission and at 3 m and 12 m after discharge (Barthel index), muscle weakness (Medical Research Council Scale sum score &lt;48), hospital readmissions. Statistics: descriptive and multivariate analysis.</p></div><div><h3>Results</h3><p>254 cases were included. Thirty-nine per cent were women and the median [Q1–Q3] age was 67 [56–77] years. SAPS 3 on admission (median [Q1–Q3]): 62 [51–71] points.</p><p>Frail patients on admission (CFS-Es 5–9): 58 (23%). Dependency on admission (n = 254) vs. 3 m after hospital discharge (n = 171) vs. 12 m after hospital discharge (n = 118): 1) Barthel 90–100: 82% vs. 68% vs. 65%. 2) Barthel 60–85: 15% vs. 15% vs. 20%. 3) Barthel 0–55: 3% vs. 17% vs. 15%.</p><p>In the multivariate analysis, adjusted for the variables recorded, we observed that frail patients on admission (CFS-Es 5–9) are 2.8 times (95%CI: 1.03–7.58; p = 0.043) more likely to increase dependency (Barthel 90–100 to &lt;90 or Barthel 85–60 to &lt;60) at 3 m post-discharge (with respect to admission) and 3.5 times (95%CI: 1.18–10.30; p = 0.024) more likely to increase dependency at 12 m post-discharge. Furthermore, for each additional CFS-Es point there is a 1.6-fold (95%CI: 1.01–2.23; p = 0.016) greater chance of increased dependency in the 12 m following discharge.</p></div><div><h3>Conclusions</h3><p>CFS-Es at admission can predict increased dependency at 3 m and 12 m after hospital discharge.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 79-88"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984023000605/pdfft?md5=9bf349d0db51f5716b09920be6dca75d&pid=1-s2.0-S2529984023000605-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435624","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":"Nursing care in the postoperative period after Glenn surgery. A case report","authors":"Ester Álvaro-Sánchez RN","doi":"10.1016/j.enfie.2023.08.004","DOIUrl":"10.1016/j.enfie.2023.08.004","url":null,"abstract":"<div><p>Glenn surgery is used as a palliative procedure in children with Hypoplastic Left Heart Syndrome (HLHS) and its objective is to partially redirect the systemic venous return.</p><p>An individualized care plan is presented for a 7-month-old infant, admitted to the Pediatric Intensive Care Unit<span> (PICU), after undergoing Glenn procedure. And is shown her evolution during admission.</span></p><p>Marjorie Gordon's 11 functional health patterns are used for the nursing assessment, highlighting among the altered patterns, the nutritional-metabolic and the activity-exercise, due to their implication in hemodynamic changes derived from the surgery.</p><p><span>Due to their association with the most common postoperative complications in this type of surgery, 8 diagnoses were prioritised according to NANDA-I taxonomy: risk for infection, excess fluid volume, risk for shock, risk for bleeding, risk for decreased cardiac output, impaired gas exchange, ineffective </span>airway clearance<span> and risk for ineffective cerebral tissue perfusion.</span></p><p>In each of them, expected patient outcomes and nursing interventions, were selected using the NOC and NIC taxonomies, respectively.</p><p>Outcome criteria scores showed a favourable evolution after 7 days from admission, only 3 of the diagnoses selected at the beginning remain active.</p><p><span>The development and reassessment of the nursing care plan<span> has made it possible to make an effective monitoring of patient’s postoperative evolution and to standardize nursing care, ensuring safe and </span></span>quality health care.</p><p>The lack of similar case reports in available bibliography has prevented us from comparing actions, therefore it has been necessary to disclose these scientific articles to guarantee best evidence-based practice.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 146-158"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10176973","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":"Usage of immersive virtual reality as a relaxation method in an intensive care unit","authors":"L. Martí-Hereu MSN ,&nbsp;G. Navarra-Ventura MSN ,&nbsp;A.M. Navas-Pérez PhD ,&nbsp;S. Férnandez-Gonzalo MSN ,&nbsp;F. Pérez-López PhD ,&nbsp;C. de Haro-López PhD ,&nbsp;G. Gomà-Fernández MSN","doi":"10.1016/j.enfie.2023.08.005","DOIUrl":"10.1016/j.enfie.2023.08.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The usage of immersive virtual reality (iVR) in the context of an intensive care unit<span> (ICU) is scarce. Our objective was to assess the feasibility of the usage of iVR in critical patients with or without mechanical ventilation (MV) and to determine the anxiety degree before and after each session.</span></p></div><div><h3>Methods</h3><p>Analytical, descriptive, prospective, and cross-sectional research. Pilot test with 20 patients from a polyvalent ICU of a tertiary hospital. Adult patients were included, either connected or not to MV, watchful and calmed (RASS −1/+1) and without delirium (negative CAM-ICU).</p><p>Oculus Go (Facebook Technologies, LLC) iVR glasses were the model used. The relaxation strategy consisted in the visualization of an experience of 15 min with scenes related to nature and fantasy, relaxing music with a plot. The sessions were individual, with the patient monitored in a fowler position or seated. The anxiety degree before and after each session was evaluated following a reduced version of the Spanish “Cuestionario de Ansiedad Estado-Rasgo (STAI-e)” and they were analysed using T samples coupled (statistical significance when p-value was &lt;0.05).</p></div><div><h3>Results</h3><p>Incorporation of 20 patients with an average age of 63.9 years old (60% men). A total of 34 sessions of iVR were conducted. 32% patients mechanically ventilated, 32% high-flow oxygen therapy, 36% other breathing supports. 80% of the sessions were completed without serious side effects. A significant decrease in the anxiety degree was observed after each iVR session: first session mean change −2.68 (SD = 2.75), p = 0.000; second session mean change −1.86 (SD = 1.57), p = 0.021; third session mean change −1.67 (SD = 1.63), p = 0.054.</p></div><div><h3>Conclusion</h3><p>The usage of iVR in the context of an ICU is feasible, even with patients mechanically ventilated. iVR reduces the anxiety degree in the critic patient, which suggests that “digital therapies” can be effective to improve the emotional state during their stay in the ICU.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 107-113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476908","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":"Cognitive predictors and decision-making in the experience of coronary syndrome symptoms","authors":"C.Y. Bernal-Cárdenas RN, MSc, PhD ,&nbsp;V.M. Céspedes-Cuevas RN, MSc, PhD ,&nbsp;J. Rojas-Reyes RN, MSc, PhD","doi":"10.1016/j.enfie.2023.06.003","DOIUrl":"10.1016/j.enfie.2023.06.003","url":null,"abstract":"<div><h3>Objective</h3><p><span>To determine the predictive value of Cognitive Assessment, Symptom Severity, Personal Control and Self-Efficacy on decision making in the experience of </span>Acute Coronary Syndrome symptoms.</p></div><div><h3>Method</h3><p><span>Quantitative study of cross-sectional analytical design, a probabilistic sampling was carried out for 256 participants diagnosed with coronary syndrome in three health institutions. The effects between the independent variables Cognitive Assessment, Symptom Severity, Personal Control, Self-Efficacy and the dependent Decision-Making were analyzed. Using </span>inferential statistics<span>, a Generalized Linear Regression Model was carried out, which allowed establishing the causal relationships between the variables.</span></p></div><div><h3>Results</h3><p>Two predictive models were obtained between decision making and cognitive evaluation, in which personal control, severity of symptoms, sex and context were significant. Self-efficacy was not reported as a predictor variable. The values ​​of the independent variables showed a behavior directly proportional to the Decision Making score.</p></div><div><h3>Conclusion</h3><p>A verification of the conceptual model for the management of symptoms was carried out.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 124-132"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514084","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":"Modifications in family centered developmental care and in neonatal intensive care during the COVID-19 pandemic in a hospital in Spain: A qualitative study","authors":"M.B. Martin-Caballero RN, MSc ,&nbsp;O. Arrogante RN, MSc, PhD ,&nbsp;P. Martín-Casas PT, MSc, PhD ,&nbsp;R. Ortiz-Gutiérrez PT, MSc, PhD","doi":"10.1016/j.enfie.2023.08.003","DOIUrl":"10.1016/j.enfie.2023.08.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Family centered developmental care (FCDC) are a philosophy of care in the neonatal care units (NICU), based on the control of sensory stimulation the adequate position and of newborn and the family involvement of cares. Nursing staff are the main providers of this care. Sanitary measure to control of the COVID-19, such as the use of masks, isolation of positive cases and capacity limit, conditioned the implementation of FCDC.</p></div><div><h3>Objectives</h3><p>To understand the meaning of the experience of the nursing staff of a neonatal intensive care unit (NICU) on the implementation of the FCDC, under the sanitary measures imposed for the containment of COVID-19.</p></div><div><h3>Methods</h3><p>A qualitative study was conducted from the descriptive phenomenological paradigm in which NICU nurses were recruited. The qualitative data collection was carried out through open-ended and semi-structured interviews. These were analyzed respectively through a preliminary narrative analysis and a thematic analysis of the informant nurses’ narratives and discourses.</p></div><div><h3>Results</h3><p>Three open-ended and 7 semi-structured interviews were conducted from which three main topics emerged: 1) changes in the FCDC derived from the sanitary restrictions implemented for the containment of COVID-19; 2) changes in interpersonal relationships in the context of a pandemic, and 3) transition to normality.</p></div><div><h3>Conclusions</h3><p>The nurses of NICU perceived changes in the implementation of the FCDC due to the containment of COVID-19, that modified the relationship with the parents of NB, accelerating their training as caregivers, and involved the implementation of new measures such as video calls.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 97-106"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984023000460/pdfft?md5=4b5d14451ee2f886af8e9f601d05feb0&pid=1-s2.0-S2529984023000460-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137283","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":"Appropriateness of behavioural scales in the monitoring of pain in the critically ill patient unable to self-report","authors":"G. Robleda-Font ,&nbsp;C. López-López ,&nbsp;I. Latorre-Marco ,&nbsp;J. Pozas-Peña ,&nbsp;D. Alonso-Crespo ,&nbsp;O. Vallés-Fructuoso ,&nbsp;A. Castanera-Duro","doi":"10.1016/j.enfie.2023.12.002","DOIUrl":"10.1016/j.enfie.2023.12.002","url":null,"abstract":"<div><p>Appropriateness is a dimension of quality that evaluates the effective use of technologies, resources or interventions in specific situations or populations, assessing whether our interventions do more benefit than harm.</p><p>The evidence regarding pain monitoring in the critically ill patient points to the periodic assessment of pain using appropriate tools, with the aim of improving pain management and more efficient use of analgesics in the intensive care unit. The first step would be to assess the patient's ability to communicate or self-report and, based on this, to select the most appropriate pain assessment tool. In patients who are unable to self-report, behavioural pain assessment tools are recommended.</p><p>When we talk about the suitability of behavioural scales for pain monitoring in critically ill patients unable to self-report, we refer to their use with a clear clinical benefit, i.e. using the right tool for pain assessment to be effective, efficient and consistent with bioethical principles.</p><p>To our knowledge, there are no published data on the suitability of pain assessment tools in unable to self-report critically ill patients, so, in the framework of continuous quality improvement in pain care, new research should incorporate this approach by integrating the best scientific evidence with current clinical practice.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages e17-e22"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308393","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":"Designing and implementing an Advanced Nurse Practice in Critical Care programme from a university perspective within Northern Ireland","authors":"N. Devlin RN, MSc, SFHEA ,&nbsp;M. Brown RGN, RNLD, PhD, PFHEA ,&nbsp;K. McCutcheon RN, DNP, PFHEA ,&nbsp;L. Creighton RN, MSc","doi":"10.1016/j.enfie.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.enfie.2024.05.001","url":null,"abstract":"<div><p>The number of advanced practice roles in healthcare is increasing in response to several factors such as changes in medical education, economic pressures, workforce shortages and the increasing complexity of health needs of the population. The Advanced Critical Care Practitioner Curriculum, developed by the Faculty of Intensive Care Medicine in the UK (United Kingdom), enables the development and delivery of a structured education programme which can contribute to addressing these challenges. This article outlines how one university designed and implemented this programme, the first of its kind in Northern Ireland.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages e1-e7"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984024000193/pdfft?md5=95d0d4cf1b8b5bb88704f168f8037ffd&pid=1-s2.0-S2529984024000193-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141073318","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":"Adaptation and validation of the Turkish version of the alarm fatigue assessment questionnaire","authors":"Öznur Erbay-Dallı RN, MSc, PhD ,&nbsp;Kübra Bağcı-Derinpınar RN, MSc","doi":"10.1016/j.enfie.2023.09.001","DOIUrl":"10.1016/j.enfie.2023.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>Alarm fatigue may endanger the safety of patients by negatively affecting nurses' concentration and ability to provide effective care. Identifying alarm fatigue and taking appropriate measures are critical in preventing medical errors and for nurses to work with high motivation. This study aimed to test the psychometric properties of the Turkish version of the 23-item Alarm Fatigue Assessment Questionnaire (AFAQ).</p></div><div><h3>Method</h3><p><span>The study was conducted between February 2022 and April 2022 and included nurses with at least one year of clinical or intensive care<span> experience. The data were collected via a web-based questionnaire. During the adaptation of AFAQ, language, content, and construct validity were evaluated; reliability was examined by </span></span>internal consistency analysis.</p></div><div><h3>Results</h3><p><span>The item and scale content validity index of AFAQ were found to be high (&gt;0.80). The Kaiser–Meyer–Olkin measure of sampling adequacy indicated an adequate sampling (0.85); Bartlett's test of sphericity χ</span>² was 1935.074, p<!--> <!-->&lt;<!--> <span>0.001. Exploratory factor analysis<span> (EFA) showed that the 21-item scale had a five-factor structure, explaining 51.606% of the total variance, and the factor loadings of the items were &gt;0.30 (0.422−0.803). Confirmatory factor analysis (CFA) showed that the five-factor model had a good fit index (χ</span></span>²/df<!--> <!-->=<!--> <!-->1.855, SRMR<!--> <!-->=<!--> <!-->0.039, RMSEA<!--> <!-->=<!--> <!-->0.048, CFI<!--> <!-->=<!--> <!-->0.915, and TLI<!--> <!-->=<!--> <!-->0.908) and appropriate factor loadings (&gt;0.30). The internal consistency of AFAQ (Cronbach's alpha coefficient) was 0.85, and the corrected item-total correlations were between 0.32−0.55.</p></div><div><h3>Conclusion</h3><p>The results indicated that the Turkish version of the Alarm Fatigue Assessment Questionnaire was sufficiently valid and reliable to measure alarm fatigue in nurses.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 114-123"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170890","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":"Severity classification and influencing variables of the Postintensive Care Syndrome","authors":"M.A. Narváez-Martínez ,&nbsp;Á.M. Henao-Castaño","doi":"10.1016/j.enfie.2023.07.005","DOIUrl":"10.1016/j.enfie.2023.07.005","url":null,"abstract":"<div><h3>Objective</h3><p>The study aims to characterise Postintensive Care Syndrome by classifying the severity of the disease and identifying the variables of influence in two highly complex intensive care units for adults in Colombia.</p></div><div><h3>Methods</h3><p>A descriptive, cross-sectional, prospective study was carried out to characterise survivors of critical illness<span> using the Healthy Aging<span> Brain Care –Monitor in a sample of 135 patients. Postintensive Care Syndrome severity was classified using Gaussian Mixture Models for clustering, and the most influencing variables were identified through ordinal logistic regression.</span></span></p></div><div><h3>Results</h3><p>Clustering based on Gaussian Mixture Models allowed the classification of Postintensive Care Syndrome severity into mild, moderate, and severe classes, with an Akaike Information Criterion of 308 and an area under the curve<span> of 0.80, which indicates a good fit; Thus, the mild class was characterised by a score on the HABC-M Total scale ≤9; the moderate class for a HABC-M Total score ≥10 and ≤42 and the severe class for a HABC-M Total score ≥43. Regarding the most influencing variables, the probability of belonging to the moderate or severe classes was related to male sex (91%), APACHE II score (22.5%), age (13%), intensive care units days of stay (10.6%), the use of sedation, analgesia<span> and neuromuscular blockers.</span></span></p></div><div><h3>Conclusion</h3><p>Intensive care units survivors were characterised using the Healthy Aging Brain Care–Monitor scale, which made it possible to classify Postintensive Care Syndrome through Gaussian Mixture Models clustering into mild, moderate, and severe and to identify variables that had the major influence on the presentation of Postintensive Care Syndrome.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 89-96"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9894524","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":"Effectiveness of closed blood sampling systems in intensive care patients: a scoping review","authors":"M. Raurell-Torredà PhD, MSN, RN ,&nbsp;S. Arias-Rivera PhDc, MSN, RN ,&nbsp;M.E. Rodríguez-Delgado RN, MsC ,&nbsp;C. Campos-Asensio BPharm, MLS ,&nbsp;R.-J. Fernández-Castillo PhDc, MSN, RN","doi":"10.1016/j.enfie.2023.05.001","DOIUrl":"10.1016/j.enfie.2023.05.001","url":null,"abstract":"<div><h3>Background</h3><p><span>Anemia associated with blood extraction for diagnostic purposes is a highly prevalent entity in </span>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.</p></div><div><h3>Objective</h3><p>To identify knowledge gaps regarding the effectiveness of CBSS in ICU patients.</p></div><div><h3>Methods</h3><p>Scoping review with search in PubMed, CINAHL<span><span>, Embase, </span>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.</span></p></div><div><h3>Results</h3><p>18 articles were included in the final review, 11 clinical trials (RCTs) published between 1992 and 2014. Three systematic reviews<span><span> 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 </span>catheter complications, and two alterations in blood pressure readings.</span></p></div><div><h3>Conclusions</h3><p><span>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 </span>mean arterial pressure.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 133-145"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761060","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}