在重症监护病房使用动脉导管的不良事件:范围审查
P M Mariano-Gomes1, A Ouverney-Braz1, G Oroski-Paes1
1Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
动脉导管对于重症监测至关重要,它们带来肢体缺血和感染等风险. 从插入到取出时保持警,包括适当的护理,至关重要,以尽量减少对患者的伤害.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 侵袭性程序 侵袭性程序
背景情况:
- 动脉线对于重症监护室的血液动力学监测至关重要.
- 尽管它们很重要,但动脉导管是具有固有的风险的侵入性手术.
研究的目的:
- 为了全面识别和综合与动脉导管在全球重症患者使用相关的不良事件.
- 确定现有科学文献中最频繁报告的并发症.
主要方法:
- 根据JBI方法和PRISMA-ScR指南进行了范围审查.
- 在包括MEDLINE,EMBASE,CINAHL和Web of Science在内的主要数据库中进行了搜索.
- 数据提取的重点是研究关键病情的动脉导管患者的研究报告的不良事件.
主要成果:
- 该审查从最初的491个中确定了38篇相关文章.
- 报告的关键不良事件包括四肢缺血,血栓,出血,意外切除,不正确的输液连接,伪动脉瘤和血液感染.
- 这些并发症在导管的整个生命周期中出现,从插入到取出.
结论:
- 患者在动脉导管使用的所有阶段都面临不良事件的风险.
- 影响风险的因素包括输液溶液,固定方法,敷料和预防感染的护理协议.
- 强调细致的护理对于减轻这些风险至关重要.
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