Nursing clinical practice in mechanical circulatory support: search for evidence

Authors

  • Daniela de Araújo Gian Grossi Enfermeira. Especialista em Enfermagem em Cuidados Intensivos com Ênfase em Cardiologia Clínica e Cirúrgica pela Universidade Cruzeiro do Sul (UNICSUL). E-mail: danielagiangrossi@gmail.com Instituito Dante Pazzanese de Cardiologia.
  • Marcel Ricardo Chiarini de Oliveira Enfermeiro. Especialista em Enfermagem em Cuidados Críticos/Cardiologia pela Universidade do Vale do Paraíba (UNIVAP).
  • Ana Lucia Gargione Galvão de Sant’Anna Enfermeira. Mestre em Engenharia Biomédica pela UNIVAP. Docente do Curso de Especialização em Enfermagem em Cuidados Intensivos com Ênfase em Cardiologia Clínica e Cirúrgica da UNICSUL.
  • Regimar Carla Machado Enfermeira. Doutora em Ciências pelo Programa de Pós-graduação em Cirurgia Cardiovascular da Universidade Federal de São Paulo (UNIFESP). Docente do Departamento de Enfermagem da Universidade Federal de São Carlos (UFSCAR).

DOI:

https://doi.org/10.5327/Z1414-4425201600010009

Keywords:

Nursing. Heart failure. Heart-assist devices. Assisted circulation

Abstract

Objective: To analyze the scientific literature regarding the clinical practice of nurses in patients using mechanical circulatory support. Method: Integrative literature review was conducted from the databases of SciELO, Cochrane Library, PubMed, and LILACS, from April to August 2014. Results: Although there is a progress in the research on this topic, there are only few studies, of which eight articles were selected. Three articles point out the need of the nurses to detain knowledge about mechanical circulatory support for an effective and good service. Two articles approached the nursing care in patients using device. Three studies reported complications because of the use of intra-aortic balloon pump and showed that complications can be minimized through training and periodic clinical assessment of the nurse. Conclusion: There are only few articles that focused on nursing care; therefore, there is a need to further explore this theme to subsidize the practice based on scientific evidence.

References

McMurray JJV, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2012;33(14):1787-847.

Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, et al. 2009 Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation. 2009;119(14):391-479.

Brasil. Ministério da Saúde. DATASUS. Informações de Saúde. Morbidade hospitalar do SUS [Internet]. Brasília: Ministério da Saúde;

[acesso em 2012 abr 29]. Disponível em: http://tabnet.datasus. gov.br/cgi/deftohtm.exe?sih/cnv/niuf.def

Ertl G, Ruschitzka F. The year in cardiology 2013: heart failure. Eur Heart J. 2014;35(7):470-3.

Anderson KM. Discharge clinical characteristics and 60-day readmission in patients hospitalized with heart failure. J Cardiovasc Nurs. 2014;29(3):232-41.

Gallagher R. Self management, symptom monitoring and associated factors in people with heart failure living in the community. Eur J Cardiovasc Nurs. 2010;9(3):153-60.

He XW, Song ZZ. Evaluation of left ventricular function, rotation, twist and untwist in patients with hypertrophic cardiomyopathy. Exp Clin Cardiol. 2013;18(1):e47-9.

Rose EA, Gelijns AC, Moskowitz AJ, Heitjan DF, Stevenson LW, Dembitsky W, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-43.

D’Alessandro C, Aubert S, Golmard JL, Praschker BL, Luyt CE, Pavie A, et al. Extra-corporeal membrane oxygenation temporary support for early graft failure after cardiac transplantation. Eur J Cardiothorac Surg. 2010;37(2):343-9.

Ballew CC, Surrat JF, Collins TL, Shah N. Gastrointestinal bleeding in patients with ventricular assist devices: what every cardiac nurse should know. Prog Transplant. 2013;23(3):229-34.

John R, Long JW, Massey HT, Griffith BP, Sun BC, Tector AJ, et al. Outcomes of a multicenter trial of the Levitronix CentriMag ventricular assist system for short-term circulatory support. J Thorac Cardiovasc Surg. 2011;141(4):932-9.

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64.

Ursi ES, Galvão CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Rev Latino-am Enfermagem. 2006;14(1):124-31.

Phillips B, Ball C, Sackett D et al. Oxford Centre for Evidence-based Medicine – Levels of Eviidence (March, 2009) [acesso em 2015 abr 19]. Disponível em: http://www.cebm.net/oxford-centre-evidencebased-medicine-levels-evidence-march-2009/.

O’Shea G, Teuteberg JJ, Severyn DA. Monitoring patients with continuousflow ventricular assist devices outside of the intensive care unit: novel challenges to bedside nursing. Prog Transplant. 2013;23(1):39-46.

Casida JM, Pastor J. Practice pattern and professional issues of nurse practitioners in mechanical circulatory support programs in the United States: a survey report. Prog Transplant. 2012;22(3):229-36.

Assis RBS, Azzolin K, Boaz M, Rabelo ER. Complicações do balão intra-aórtico em uma coorte de pacientes hospitalizados: implicações para a assistência de enfermagem. Rev Latino-am Enfermagem. 2009;17(5):658-63.

Casida JM, Ilacqua J. A survey of nurses in the mechanical circulatory support programs in the United States. Heart Lung. 2011;40(4):e103-11.

Machado RC, Guerra GM, Branco JNR. Validação de protocolo para assistência a pacientes com balão intra-aórtico. Acta Paul Enferm. 2012;25(No. Esp 1):13-9.

Tremper RS. Intra-aortic baloon pump therapy: a primer for perioperative nurses. AORN J. 2006;84(1):34-44.

O’Shea G. Ventricular assist devices: what intensive care unit nurses need to know about postoperative management. AACN Adv Crit Care. 2012;23(1):69-83.

Lopes MVO, Silva VM, Araujo TL. Validação de diagnósticos de enfermagem: desafios e alternativas. Rev Bras Enferm. 2013;66(5):649-55.

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Published

2016-06-08

How to Cite

Gian Grossi, D. de A., de Oliveira, M. R. C., Galvão de Sant’Anna, A. L. G., & Machado, R. C. (2016). Nursing clinical practice in mechanical circulatory support: search for evidence. Revista SOBECC, 21(1), 59–65. https://doi.org/10.5327/Z1414-4425201600010009

Issue

Vol. 21 No. 1 (2016)

Section

REVIEW ARTICLES

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