Enfermeria Intensiva最新文献

{"title":"LA COMUNICACIÓN 360° EN LAS UNIDADES DE CUIDADOS INTENSIVOS: RETOS Y OPORTUNIDADES DE LAS ENFERMERAS","authors":"Mónica Vázquez-Calatayud , Hildegart González-Luis","doi":"10.1016/j.enfi.2023.04.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.04.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 2","pages":"Pages 57-59"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806939","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":"¿LAS ENFERMERAS ESTÁN PREPARADAS PARA EJERCER EL LIDERAZGO CLÍNICO EN LAS UNIDADES DE CUIDADOS INTENSIVOS?","authors":"Mónica Vázquez-Calatayud PhD , Raquel García-García MSc","doi":"10.1016/j.enfi.2023.01.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.01.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 1-3"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794660","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":"Minimizar el volumen de descarte para la extracción de muestras sanguíneas en los pacientes críticos: ¿es factible?","authors":"F.J. Castro-Olmo RN ,&nbsp;P. Morales-Fernández RN ,&nbsp;M.J. Alcaide-Martín PhD ,&nbsp;B. Fernández-Puntero PhD ,&nbsp;M. Quintana-Díaz PhD ,&nbsp;V. Aceña-Gil Msc","doi":"10.1016/j.enfi.2022.06.004","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Drawing blood samples through a central venous catheter is a customary practice in intensive care units. It is indicated to discard a volume of waste blood to avoid interference in the results.</p></div><div><h3>Aim</h3><p>To determine whether a lower discard volume for obtaining blood samples from temporary central venous catheters placed into the internal jugular, femoral or subclavian vein offers valid results.</p></div><div><h3>Method</h3><p>A quasi-experimental prospective cross-sectional study for which 65 patients of over 18 years of age in intensive care units, who had been fitted with a triple lumen central venous catheter, were recruited over a period of 8 months. Two consecutive blood samples were extracted with tubes for biochemistry, coagulation and haemogram from each patient from the distal lumen. The first sample was obtained with a discarded waste of 1.5<!--> <!-->ml from a total extracted volume of 10.2<!--> <!-->ml, similar to the usual waste in our ambit (10<!--> <!-->ml). Subsequently the second sample was obtained. The paired t-test was used to analyse the data. The Bland-Altman plot and intraclass correlation coefficient were used to measure the agreement between methods. The reference change value was established as the admissible limit of variation between the pairs of samples.</p></div><div><h3>Results</h3><p>A total of 65 sample pairs were drawn (intervention-control). The paired t-test found statistically significant differences with a significance level of α<!--> <!-->=<!--> <!-->0.05 for chlorine (−0.536; 0.012); prothrombin time (−0.092; 0.019) and prothrombin activity (0.284; 1.375). The intraclass correlation coefficient was greater than 0.9 in all the variables and the limit determined for the reference change value was not surpassed by any value.</p></div><div><h3>Conclusions</h3><p>The results show the reliability of the blood samples drawn with a discard volume of 1.5<!--> <!-->ml.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 19-26"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794663","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":"«Gestión de enfermeras/os especializados en la aeroevacuación de pacientes críticos altamente infecciosos, durante la pandemia por COVID-19. Revisión Sistemática»","authors":"V. Leiva-Miranda RN ,&nbsp;B. Arriagada-Tirado RN ,&nbsp;J.C. San Martín-Díaz RN ,&nbsp;L. Carmona-Schonffeldt RN ,&nbsp;B. Fuentes-Trujillo RN ,&nbsp;G. La Rosa-Araya MD ,&nbsp;C. Fau-Fuentes MD ,&nbsp;V. Nasabun-Flores RN","doi":"10.1016/j.enfi.2021.11.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2021.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Aeromedical evacuation missions to transport highly infectious critical COVID-19 patients involve multiple factors, therefore planning is essential in their preparation. The management of specialist nurses is cross-cutting, as they participate in the planning, organisation and implementation of aero-evacuation protocols, delivery of care and operational safety procedures throughout the operation, with an integrated aeromedical crew working as a team alongside the air crew.</p></div><div><h3>Objective</h3><p>To study the management of nurses specialised in the aero-evacuation of highly infectious critical patients during the COVID-19 pandemic.</p></div><div><h3>Design</h3><p>Through a systematic search of the biomedical literature, this study was conducted according to the standards of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. The literature search included articles published from 2019 to August 2020 and meta-search engines, yielding a total of 142 articles, and a triangulation of information was performed. A total of 11 articles were eventually included in the review, and the validity of each article was determined according to the guidelines of the Joanna Briggs Institute level of evidence.</p></div><div><h3>Results and discussion</h3><p>The systematic review identified 11 studies that use different methodological considerations for conducting an aeromedical evacuation and covering key aspects for a successful operation.</p></div><div><h3>Conclusion</h3><p>The management of specialist nurses has a direct impact on the aeromedical evacuation of the critical patient. It covers planning, organisation, and operational safety, applied in the instruction, training, execution and strict monitoring of the work of the aeromedical crew as a solid team. This contributes to the success of the aero-evacuation mission and the infectious patient's high likelihood of survival during the COVID-19 pandemic.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 27-42"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794664","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":"Intervenciones para el eczema de manos","authors":"M.T. González-Gil RN, MsC, PhD ,&nbsp;M.M. Sánchez Sánchez RN, MsC","doi":"10.1016/j.enfi.2022.11.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.11.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 53-55"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794666","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":"Fatiga por compasión y ansiedad en enfermeras de cuidados críticos y emergencias. Entre eficiencia y humanidad","authors":"E. Arimon-Pagès (RN, MSc, PhD) ,&nbsp;P. Fernández-Ortega (RN, MSc, PhD) ,&nbsp;J. Torres-Puig-Gros (MD, MSc, PhD) ,&nbsp;J. Canela-Soler (MD, MSc, PhD)","doi":"10.1016/j.enfi.2022.02.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.02.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the emotional impact of permanent proximity to trauma and death in the Emergency and ICU's nurses establishing prevalence of Compassionate Fatigue (burnout and secondary traumatic stress) and anxiety. Analyze its relationship with sociodemographic, training, workplace and psychological variables.</p></div><div><h3>Methods</h3><p>Descriptive, cross-sectional and multicentre study. The validated ProQOL v.IV and STAI scales and an ad-hoc questionnaire with the variables of the second objective were used in 710 nurses from nine highly complex hospitals in Catalonia (Spain).</p></div><div><h3>Results</h3><p>In both units, the prevalence of professionals affected with high scores of burnout was higher than 20%, on secondary traumatic stress was 30%, and 12% on anxiety. Each subscale was significantly associated with the intention to leave units and the career. 97% of participants stated that they needed to be trained in emotional management.</p></div><div><h3>Conclusion</h3><p>The prevalence of burnout and secondary traumatic stress were higher in our study than those offered in the reference literature in emergency and ICU nurses. The prevalence of each construct was individually related to the desire to leave work units and career. This fact, together with the participants’ desire to be better trained in emotional management exposes the need to establish educational plans, as well as institutional measures to prevent and support nurses for Compassion Fatigue.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 4-11"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794661","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":"Impacto de la movilización en pacientes portadores de soporte circulatorio mecánico de corta duración tipo Levitronix® CentriMag como puente a trasplante cardíaco","authors":"A. Chicano-Corrales RN ,&nbsp;J. Bañeras-Rius MD, PhD ,&nbsp;F. de Frutos MD ,&nbsp;J.C. Sánchez-Salado MD ,&nbsp;A. Ariza-Solé MD, PhD ,&nbsp;A. Blasco-Lucas MD, PhD ,&nbsp;F. Sbraga MD ,&nbsp;C. Díez-López MD ,&nbsp;E. Calvo-Barriuso RN ,&nbsp;J. Castillo García RN, MsU, PhD ,&nbsp;C.S. Molina-Mazón RN, MSN ,&nbsp;A. López-López RN ,&nbsp;I. Tinoco-Amorós RN ,&nbsp;A. Abellán-García RN ,&nbsp;J. González-Costello MD","doi":"10.1016/j.enfi.2022.03.003","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.03.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Despite the benefits of mobilization in the critical patient, the evidence in patients with Levitronix® CentriMag as a bridge to heart transplantation (HT) is almost absent. The objective of this study is to analyze the impact of mobility on these patients.</p></div><div><h3>Methods</h3><p>Retrospective observational study of patients who received a HT with Levitronix® CentriMag admitted between 2010 and 2019 to “Hospital Universitario de Bellvitge” (Barcelona). Degree of mobility and nutritional status were assessed at the time of HT. Outcomes including infections, length of hospital admission and mortality were evaluated.</p></div><div><h3>Results</h3><p>27 patients were included and divided in two groups according to degree of mobility (22 with low mobility and 5 with high mobility). 90-day survival after HT was 63.6% in patients with low mobility and 80% in high mobility group; no statistically significant differences were observed. No differences were observed regarding ICU discharge after HT at 30 days. Nevertheless, lower albumin levels were observed in low mobility group (24.5 g/L (IQR: 23-30) vs. 33 g/L (IQR: 26-36); p = 0.029). Invasive mechanical ventilation (IMV) post HT was longer in patients with low mobility (p = 0.014). There were no significant differences in appearance of pressure ulcers, or post-HT infections among mobility groups.</p></div><div><h3>Conclusions</h3><p>Patients with high mobility had a shorter time of IMV and a better nutritional status. No complications were observed associated to mobility. No differences were observed between the degree of mobility and 90-day mortality, ICU stay or post-HT adverse events.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 12-18"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794662","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":"Valve in valve mitral: a propósito de un caso","authors":"M. Parellada-Vendrell RN, MSc ,&nbsp;M. Prat-Masana RN ,&nbsp;S. Pérez-Ortega RN, Ph candidate","doi":"10.1016/j.enfi.2021.07.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2021.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Mitral valve-in-valve implantation is a new therapeutic tool in the field of structural interventional cardiology for patients with bioprosthetic dysfunction due to severe mitral valve regurgitation and high surgical risk. The objective was to develop an individualised nursing care plan for a patient undergoing this procedure; the first case in our centre.</p></div><div><h3>Case description</h3><p>A 75-year-old woman, independent for activities of daily living, with a history of chronic renal failure and biological mitral valve replacement due to rheumatic valve disease. She was admitted to the acute cardiac care unit for severe symptomatic mitral valve regurgitations secondary to mitral bioprosthesis dysfunction. Heart surgery was ruled out due to comorbidities and high surgical risk, and the patient underwent percutaneous mitral valve-in-valve implantation. The implantation was successful.</p></div><div><h3>Assessment</h3><p>The nursing assessment followed Marjory Gordon's conceptual model identifying the following impaired patterns: pattern<!--> <!-->2: bilateral malleolar oedema without pitting; pattern<!--> <!-->3: urinary catheter and intravenous diuretic use; pattern<!--> <!-->4: dyspnoea on moderate exertion, dry nocturnal cough, orthopnoea and respiratory disturbances, and activity intolerance; pattern<!--> <!-->5: need for pharmacological assistance for a good night's rest.</p></div><div><h3>Diagnoses</h3><p>The following nursing diagnoses were established using the NANDA taxonomy: Excess fluid volume; Ineffective breathing pattern; Activity intolerance and problem collaborating; Hypotension and anaemia secondary to deep thigh haematoma.</p></div><div><h3>Planning</h3><p>The following objectives were set based on the NOC taxonomy: Fluid balance; Respiratory status: ventilation; Cardiopulmonary status, and the following NIC interventions: Hypervolaemia management; Respiratory monitoring and oxygen therapy; Vital sign monitoring and heart care.</p></div><div><h3>Discussion</h3><p>Nursing interventions aimed at monitoring haemodynamic status, fluid restriction together with the efficacy of diuretic treatment achieved a negative water balance which contributed to fluid depletion improving respiratory symptoms, enabling implantation under better conditions.</p></div><div><h3>Conclusions</h3><p>Technological progress in the health sciences, and in the field of acute cardiology in particular, directly calls for training, revision and updating of critical care nursing. Given this dynamic and continually evolving process, the specialist intensive care nurse, the inclusion of the cardiovascular nurse specialist in multidisciplinary teams such as the heart team, and expanding the consultation of the haemodynamic nurse are urgently required to ensure optimal nursing care, safety, and care quality.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 1","pages":"Pages 43-52"},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49794665","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":"La disfagia en cuidados intensivos, un problema real: análisis de factores de riesgo","authors":"L.P. Armas-Navarro, Y. G. Santana-Padilla, L. Mendoza-Segura, M. Ramos-Diaz, B. Santana-López, J.A. Alcaraz-Jiménez, J. Rico-Rodríguez, L. Santana-Cabrera","doi":"10.1016/j.enfi.2022.08.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.08.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54301932","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 effect of oral care using honey as an additional topical agent on oral health status of intubated patients in the intensive care unit","authors":"D.T. Anggraeni MN ,&nbsp;A.T. Hayati DMD ,&nbsp;A. Nur’aeni MN","doi":"10.1016/j.enfi.2021.12.003","DOIUrl":"10.1016/j.enfi.2021.12.003","url":null,"abstract":"<div><h3>Background</h3><p>Patients using endotracheal tubes are at high risk of oral health status dysfunction due to impaired natural airway defence, oral flora composition changes and protective substances of the teeth, medication causing xerostomia. Oral care has not been enough to manage oral mucosal dryness, so an additional topical agent is needed to protect oral mucosa to maintain oral health. Honey is one of the recommended topical agents.</p></div><div><h3>Objective</h3><p>This study aims to identify the effect of oral care with honey as topical agents on the oral health status of patients using endotracheal tube in the Intensive Care Unit.</p></div><div><h3>Methods</h3><p>This was an experimental study with a randomized pretest and posttest design. The sample was adult intubated patients, consisting of 36 patients. The data were analysed using the parametric test, and dependent and independent <em>t</em>-test.</p></div><div><h3>Results</h3><p>The oral health score in the control group was found to be pre &amp; post mean score11.94 and 13.28 (<em>p</em> <!-->=<!--> <!-->.004) respectively, while in the intervention group 11.89 and 8.33 (<em>p</em> <!-->&lt;<!--> <!-->.001). Mean differences in both groups were 4.95 (<em>p</em> <!-->&lt;<!--> <!-->.001) and the BOAS subscale differences were seen on the lips, gums &amp; mucosa, and tongue (<em>p</em> <!-->&lt;<!--> <!-->.05).</p></div><div><h3>Conclusion</h3><p>Oral care with honey as a topical agent can improve the oral health status of intubated patients on the lips, gum, mucosa, and tongue subscale. Therefore, honey as an additional topical agent can be a moisturizer to maintain the oral mucosa for intubated patients in the Intensive Care Unit. Furthermore, good mucosal health will help prevent the infection and colonization of microorganisms.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"33 4","pages":"Pages 225-232"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43092426","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}