Riesgo de úlceras por presión (UPP) en pacientes internados en las unidades de cuidados intensivos

Campos, Michelle Mayumi Yoshimura de; Souza, Mariana Fernandes Cremasco de; Whitaker, Iveth Yamaguchi

doi:10.15649/cuidarte.1196

Cited by 3 publications

(1 citation statement)

References 23 publications

(35 reference statements)

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“…Endotracheal tubes were the second most cited cause of PIs associated with respiratory devices and were referred to in 11 articles, of which 7 discussed PIs caused by the tube itself (Coyer et al, 2014(Coyer et al, , 2021Erbay Dallı et al, 2022;Martel & Orgill, 2020;Mehta et al, 2019;Nedergaard et al, 2018;Rashvand et al, 2020) and 4 analysed the injuries that resulted from use of holders to attach it (Kuniavsky et al, 2020;Landsperger et al, 2019;Sleiwah et al, 2020;Yoshimura de Campos et al, 2021).…”

Section: Pubmedmentioning

confidence: 99%

Respiratory device‐related pressure injuries in hospitalised adults: An integrative review

Faria

Azevedo

Oliveira

et al. 2023

Journal of Clinical Nursing

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ObjectiveTo identify the main ventilatory support medical devices related to the occurrence of pressure injuries in hospitalised adults, as well as the most frequent anatomical localisations of these injuries.MethodsThe Integrative review was registered at Open Science Framework as per DOI 10.17605/OSF.IO/P3NTZ. Two independent reviewers, in May 2022, searched the databases: PubMed, Embase, Cochrane Database of Systematic Reviews, LILACS and CINAHL; no language or publication year restriction. The review question was: What are the ventilatory support medical devices that cause PIs in hospitalised adults more often? The terms for searching the database were: “adult,” “noninvasive ventilation,” “artificial respiration.” and “pressure injury,” and their synonyms. This review followed the PRISMA checklist.ResultsThe final sample was 21 articles. Oxygen nasal catheters caused up to 40.7% of the pressure injuries by ventilatory support devices identified, all in the ears. Noninvasive mechanical ventilation oronasal masks presented an incidence of pressure injuries of 63.3%. The nasal bridge was the site most affected by this mask. The Set of Holders for Insight® endotracheal tubes was the device that caused the most pressure injuries, with an incidence of 75%, affecting lip commissure. Tracheostomy cannula accounted for 18.2% of the pressure injuries related to ventilatory support devices; all lesions were in the neck.ConclusionThe ventilatory support devices causing pressure injuries and the most affected sites were, respectively, nasal catheters, ears; masks, nasal bridge; endotracheal tubes, lip commissures; tracheostomy cannulas, neck.Relevance for clinical practiceKnowing which respiratory devices cause pressure injuries more often in hospitalised adults and which anatomical localisations are more likely to be affected is fundamental for adopting preventive measures and reducing the occurrence of this problem.No patient or public contributionNo patient or public contribution because of the review.

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Section: Pubmedmentioning

confidence: 99%

Respiratory device‐related pressure injuries in hospitalised adults: An integrative review

Faria

Azevedo

Oliveira

et al. 2023

Journal of Clinical Nursing

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Interventions in the Face of Pressure Injury Prevention in Patients Hospitalized in Intensive Care Units (Icu)

Maria Coutinho Dias,

Maria da Silva,

Fabiola Acíoly da Silva

et al. 2023

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Identify and understand nursing interventions in the face of pressure injury prevention in patients hospitalized in Intensive Care Units (ICU). Identifying extrinsic/intrinsic factors, scientific knowledge about risk factors, classification, diagnosis and nursing care in the face of pressure injury prevention in patients hospitalized in the Intensive Care Unit (ICU). Identify the nursing interventions in the face of pressure injury prevention in hospitalized patients. Descriptive study of the integrative review type of the literature. Research source: LILACS, BENF, MEDLINE. After applying the inclusion and exclusion criteria, the study sample consisted of 18 articles, filtered between the years of 2017 to 2022, where these studies address the intervention of nursing in the prevention of pressure injury in patients hospitalized in the Intensive Care Unit (ICU). This article showed that nursing interventions are of fundamental importance, and it should be emphasized the constant need to seek technical-scientific knowledge about pressure injury and consequent preparation and execution of treatment plan in order to contribute to the prevention of the emergence of LPP in hospitalized patients in ICU, thus promoting shorter hospital stay and better quality of life in the face of reduced complications resulting from the emergence of a LPP.

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Aspectos Que Permeiam a Injúria Renal Aguda Em Unidades De Terapia Intensiva

Da Silva,

Santana

2024

Rev. Contemp.

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A Unidade de Terapia Intensiva (UTI) oferece cuidados complexos a pacientes graves, requerendo monitoramento constante e suporte especializado. Os rins desempenham papel vital na purificação do sangue e na regulação de diversos processos. A Injúria Renal Aguda (IRA), com impacto sistêmico, aumenta a morbimortalidade, destacando a importância do manejo eficaz para melhorar resultados clínicos em pacientes críticos. Este estudo teve como objetivo descrever os aspectos que permeiam a IRA em UTIs. Trata-se de uma revisão integrativa de literatura dos últimos 5 anos, após triagem, 18 trabalhos foram selecionados para essa pesquisa. De acordo com a revisão, encontrou-se que os pacientes mais acometidos são do sexo masculino com idade acima de 50 anos. A hipertensão arterial sistêmica e a diabetes mellitus são as comorbidades mais prevalentes nos pacientes que desenvolveram a IRA. Fatores como a ventilação mecânica invasiva associada à elevada pressão expiratória final positiva e a oxigenação por membrana extracorpórea podem contribuir na evolução da IRA. Na UTI a evolução da IRA ocorre de forma acelerada, sendo diagnosticada em um estágio mais avançado. E fatores agravantes como a inadequação nutricional e o desenvolvimento de lesão por pressão nesses pacientes, aumentam o tempo de internamento e o risco de morbimortalidade. Concluindo, fatores intrínsecos ao paciente e à terapia na UTI aumentam o risco de IRA. Compreender o perfil dos pacientes facilita um atendimento multiprofissional eficaz, agiliza o diagnóstico e permite a otimização terapêutica para reduzir os impactos na morbimortalidade associados à IRA na UTI.

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Riesgo de úlceras por presión (UPP) en pacientes internados en las unidades de cuidados intensivos

Cited by 3 publications

References 23 publications

Respiratory device‐related pressure injuries in hospitalised adults: An integrative review

Respiratory device‐related pressure injuries in hospitalised adults: An integrative review

Interventions in the Face of Pressure Injury Prevention in Patients Hospitalized in Intensive Care Units (Icu)

Aspectos Que Permeiam a Injúria Renal Aguda Em Unidades De Terapia Intensiva

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