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Performance of the nursing team in extracorporeal cardiopulmonary resuscitation ; Atuação do time de enfermeiros na ressuscitação cardiopulmonar extracorpórea

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  • معلومة اضافية
    • بيانات النشر:
      Universidade Federal de Pernambuco / Programa de Pós-graduação em Enfermagem
    • الموضوع:
      2018
    • Collection:
      Portal de Periódicos - UFPE (Universidade Federal de Pernambuco)
    • الموضوع:
    • الموضوع:
      Atualidade
    • نبذة مختصرة :
      Objective: to present the work of a team of specialist nurses in the care of patients submitted to ECMO-VA after cardiac arrest. Method: this is a qualitative, descriptive, retrospective study, in the modality of the case study, carried out in a philanthropic hospital. The sample was composed by an 18-year-old girl, who analyzed the medical record and the result was presented in the form of a report. Results: it is emphasized that the establishment of a well-structured team with a nurse's role in the integral care contributed to the evolution of the clinical picture of the patient after cardiorespiratory arrest results in their recovery and hospital discharge. It is reported that the team worked continuously from cannulation until its withdrawal, to the care of the patient in ECMO. Conclusion: it should be noted that the team's performance was indispensable for specialized care and a favorable outcome in patient care throughout their period of circulatory support. Descriptors: Extracorporeal Membrane Oxygenation; Nursing Care; Heart Arrest; Cardiopulmonary Resuscitation; Patient Outcome Assessment; Case Reports.RESUMOObjetivo: apresentar a atuação de um time de enfermeiros especialistas na assistência ao paciente submetido à ECMO-VA pós-parada cardíaca. Método: trata-se de estudo qualitativo, descritivo, retrospectivo, na modalidade do estudo de caso, realizado em um hospital filantrópico. Compôs-se a amostra por uma jovem de 18 anos, em que se analisou o prontuário médico e o resultado se apresentou em forma de relato. Resultados: ressalta-se que o estabelecimento de um time bem estruturado, com atuação do enfermeiro na assistência integral contribuíram para evolução do quadro clínico do paciente pós parada cardiorrespiratória resulta em sua recuperação e alta hospitalar. Informa-se que time atuou de forma contínua desde a canulação até a sua retirada, para o cuidado da paciente em ECMO. Conclusão: salienta-se que a atuação do time foi indispensável para um cuidado especializado e um desfecho favorável ...
    • File Description:
      application/pdf
    • Relation:
      https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/236980/30527; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/236980/30528; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/236980/25774; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/236980/25775; Abrams D, Combes A, Brodie D. Extracorporeal Membrane Oxygenation in cardiopulmonary disease in adults. J Am Coll Cardiol. 2014 July;63(25 Pt A):2769-78. Doi:10.1016/j.jacc.2014.03.046 2. The Extracorporeal Life Support Organization. International summary: registry report. [Internet]. Ann Arbor: ELSO; 2018 [cited 2018 Jan 23]. Available from: https://www.elso.org/Registry/Statistics/InternationalSummary.aspx 3. Rihal CS, Naidu SS, Givertz MM, Szeto WY, Burke JA, Kapur NK, et al. Clinical Expert Consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care: endorsed by the American Heart Assocation, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion. J Am Coll Cardiol [Internet]. 2015 May [cited 2017 Jan 10]; 65(19):e7-e26. Doi:10.1016/j.jacc.2015.03.036 4. Bréchot N, Luyt CE, Schmidt M, Leprince P, Trouillet JL, Léger P, et al. Venoarterial extracorporeal membrane oxygenation support for refractory cardiovascular dysfunction during severe bacterial septic shock. Crit Care Med. 2013 July;41(7):1616–26. Doi:10.1097/CCM.0b013e31828a2370 5. Ahn C, Kim W, Cho Y, Choi KS, Jang BH, Lim TH. Efficacy of extracorporeal cardiopulmonary resuscitation compared to conventional cardiopulmonary resuscitation for adult cardiac arrest patients: a systematic review and meta-analysis. Sci Rep. 2016 Sept; 6:34208. Doi:10.1038/srep34208 6. 6.Takayama H, Truby L, Koekort M, Uriel N, Colombo P, Mancini DN, et al. Clinical outcome of mechanical circulatory support for refractory cardiogenic shock in the current era. J Heart Lung Transplant. 2013 Jan; 32(1):106-11. Doi:10.1016/j.healun.2012.10.005 7. Upp Junior JR, Bush PE, Zwischemberger JB. Complications of neonatal extracorporeal membrane oxygenation. J Thorac Cardiovasc Surg. 1994 Mar;107(3):838-48. Doi:10.1177/026765919400900402 8. Na SJ, Chung CR, Choi HJ, Cho YH, Sung K, Yang JH, et al. The effect of multidisciplinary extracorporeal membrane oxygenation team on clinical outcomes in patients with severe acute respiratory failure. Ann Intensive Care. 2018 Feb; 8(1):31. Doi:10.1186/s13613-018-0375-9. 9. Chen YS, Chao A, Yu HY, Ko WJ, Chen RJ, Huang SC, et al. Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation. J Am Coll Cardiol. 2003 Jan; 41(2)197-203. PMID: 12535808 10. Yam N, McMullan DM. Extracorporeal cardiopulmonar resuscitation. Ann Transl Med. 2017 Feb; 5(4):72. Doi:10.21037/atm.2017.01.11 11. Pappalardo F, Montisci A. What is extracorporeal cardiopulmonary resuscitation? J Thorac Dis. 2017 June; 9(6):1415-9. Doi:10.21037/jtd.2017.05.33 12. Lee SH, Shin DS, Kim JR, Kim H. Factors associated with mortality risk in critical care patients treated with veno-arterial extracorporeal membrane oxygenation. Heart Lung. 2017 May/June;46 (3):137-42. Doi:10.1016/j.hrtlng.2017.02.003 13. Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: checklists - translating evidence into practice. Crit Care. 2009 Dec; 13(6):210. Doi:10.1186/cc7792 14. Murphy DA, Hockings LE, Andrews RK, Aubron C, Gardiner EE, Pellegrino VA. Extracorporeal membrane oxygenation-hemostatic complications. Transfus Med Rev. 2015 Apr; 29(2):90-101. Doi:10.1016/j.tmrv.2014.12.001 15. Oliver WC. Anticoagulation and coagulation management for ECMO. Semin Cardiothorac Vasc Anesth. 2009 Sept; 13(3):154-75. Doi:10.1177/1089253209347384 16. Romano TG, Mendes PV, Park M, Costa ELV. Suporte respiratório extracorpóreo em pacientes adultos. J Bras Pneumol. 2017 Jan/Feb; 43(1):60-70. Doi: http://dx.doi.org/10.1590/s1806-37562016000000299 17. The Extracorporeal Life Support Organization. ELSO Anticoagulation Guideline [Internet]. Ann Arbor: ELSO; 2014 [cited 2017 Jan 23]. Available from: https://www.elso.org/Portals/0/Files/elsoanticoagulationguideline8-2014-table-contents.pdf 18. Makdisi G, Makdisi T, Wang IW. Use of distal perfusion in peripheral extracorporeal membrane oxygenation. Ann Trans Med. 2017 Mar;5(5):103. Doi:10.21037/atm.2017.03.01 19. Chung M, Shiloh AL, Carlese A. Monitoring of the adult patient on veno arterial extracorporeal membrane oxygenation. Scientific World Journal. 2014 Apr; 2014:393-403. Doi:10.1155/2014/393258 20. Dirnberger D, Fiser R, Chris Harvey C, Lunz D, Bacchetta M, Frenckner B, et al. 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    • الرقم المعرف:
      10.5205/1981-8963-v12i11a236980p3147-3153-2018
    • Rights:
      Direitos autorais 2019 Revista de Enfermagem UFPE on line ; https://creativecommons.org/licenses/by/4.0
    • الرقم المعرف:
      edsbas.A5B30675