Eventos Adversos Relacionados À Sonda Enteral: Revisão Integrativa

Abstract

<p>Objetivo: conhecer os eventos adversos relacionados à inserção, manutenção e remoção de sonda enteral descritos na literatura. Método: trata-se de uma revisão integrativa de literatura. A estratégia PICO foi utilizada para formulação da questão norteadora. Foram selecionados artigos das bases PubMed, Embase e Scopus, publicados entre junho de 2009 e junho de 2019, nas línguas portuguesa, espanhola e inglesa. Resultados: foram incluídos 45 estudos, categorizados em eventos adversos relacionados à inserção da sonda enteral (n=22) que promoveram danos como epistaxe por lesão até a inserção de sonda no átrio direito; eventos relativos à manutenção da sonda e/ou administração de dieta (n=14), como a infusão de dieta em sítio pulmonar; e aqueles ocorridos na remoção (n=9), como emaranhado na ponta distal. Conclusão: diferentes eventos adversos descritos na literatura podem ocorrer na inserção, manutenção, administração de dieta e remoção da sonda enteral.</p><p>Descritores: Intubação Gastrointestinal. Cuidados de Enfermagem. Nutrição Enteral. Segurança do Paciente. Potencial Evento Adverso na Assistência à Saúde.</p>

Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study

“…In addition, it is worth emphasizing that patients in these situations ranged from favorable evolution, despite requiring additional treatments, to clinical conditions that progressed to death. These findings are a way of alerting care teams, students, and caregivers about the risks of complications from this procedure (16) .…”

“…In a literature review, the most frequent reports of adverse incidents and events were related to the insertion of the enteral tube into the bronchial tree, lung, and brain; esophageal, gastric, and intestinal perforation; administration of diet in the respiratory site as many sectors only use clinical confirmations of device positioning, such as auscultation and pH assessment, not using radiological confirmation, considered the gold standard; among other occurrences associated with the removal of the device (16) .…”

“…Considering what was listed above, the lack of studies addressing the issue in Brazil, as shown in integrative reviews (16)(17)(18) , and that the disciplines based on Nursing Fundamentals are essential in the Nursing curriculum, as they provide students with their first contact with the practice for the development of required skills and abilities (19) , and at this moment, it is expected that the students develop certain expectations, which can end up generating stressful factors and negative feelings since they are facing the unknown (20) , it is necessary to adopt, as early as possible, within the bases of student education, methods that bring them closer to the reality they will find in practice scenarios, thus providing repetitive training and achieving the necessary skills, without compromising the safety of those involved in this process.…”