Zalecenie Grupy Roboczej do spraw Praktyki w Pielęgniarstwie Anestezjologicznym i Intensywnej Opieki PTPAiIO w sprawie pielęgnowania oka u pacjenta nieprzytomnego wentylowanego mechanicznie w Oddziale Intensywnej Terapii

Mędrzycka‐Dąbrowska, Wioletta; Czyż-Szypenbejl, Katarzyna; Kwiecień-Jaguś, Katarzyna; Lewandowska, Katarzyna; Ozga, Dorota

doi:10.15374/pwaiio2018012

Cited by 3 publications

(4 citation statements)

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“…In Polish literature, there are few articles on eye complications and eye care for ICU patients. In 2018, the Working Group for the Practices of the Polish Society of Anesthetic and Intensive Care Nurses developed and published eye care recommendations for ICU patients [20]. However, there are no studies on the implementation of these recommendations in practice, risk factors for eye complications, and the effectiveness of various methods of eye care among critically ill patients.…”

Section: Discussionmentioning

confidence: 99%

“…Recommendations based on research results indicate that the suction of secretions from the respiratory tract can be performed using the closed method as well as the open method, with the simultaneous covering of the eyes and placing the ventilator tubes on the side of the bed [4,5,31]. This was also reflected in the recommendations of the Polish Society of Anesthetic and Intensive Care Nurses [20].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, some studies have shown that strictly adhering to these protocols contribute to the reduction of eye complications [5,7]. In Poland, in 2018, recommendations were developed based on the Evidence-Based Practice (EBP) guidelines [4,19] by the Working Group for the Practices of the Polish Society of Anesthetic and Intensive Care Nurses [20]. However, the practical application of these orders is far from optimal.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit

Płaszewska‐Żywko

Sega

Bukowa

et al. 2021

IJERPH

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In critically ill patients, normal eye protection mechanisms, such as tear production, blinking, and keeping the eye closed, are impaired. In addition, many other factors related to patients’ severe condition and treatment contribute to ocular surface disease. Reducing risk factors and proper eye care can have a significant impact on incidences of eye complications and patient quality of life after discharge from the intensive care unit (ICU). The aim of the study was to determine risk factors for ocular complication, especially those related to nursing care. The study was conducted in the ICU of a university hospital. Methods for estimating and analyzing medical records were used. The patient’s evaluation sheet covering 12 categories of risk factors for eye complications was worked out. The study group included 76 patients (34 patients with injuries and 42 without injuries). The Shapiro–Wilk test, the Spearman’s rank correlation test, the Mann–Whitney U test and the Friedman’s ANOVA test were used. The level of significance was set at α = 0.05. The most important risk factors for eye complications in the study group were: lagophthalmos (p < 0.001), sedation (p < 0.01), use of some cardiological drugs and antibiotics (p < 0.01), mechanical ventilation (p < 0.05), use of an open suctioning system (p < 0.01), presence of injuries (p < 0.01) including craniofacial trauma (p < 0.001), high level of care intensity (p < 0.01), failure to follow eye care protocol (p < 0.001), length of hospitalization at the ICU (p < 0.001), and the frequency of ophthalmological consultations (p < 0.001). There was no correlation between the incidence of these complications and the age and gender of the patients. The exposure of critically ill patients to eye complications was high. It is necessary to disseminate protocols and guidelines for eye care in ICU patients to reduce the risk factors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit

Płaszewska‐Żywko

Sega

Bukowa

et al. 2021

IJERPH

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“…In the proposed SOP, nurses that play an integral role in the ECMO team, including monitoring of the ECMO device and patient hemodynamic within ECMO [10,28], as well as e ciently responding to ECMO emergencies following speci c infection control related to COVID-19, which can lead to a signi cant physical and mental stress [8]. Ongoing training including appropriate use of PPE, daily management of ECMO and readiness for ECMO emergencies helps less experienced clinicians in preventing burnout and improves preparedness for any upcoming pandemic [10].…”

Section: Speci C Care Related To Ecmomentioning

confidence: 99%

Managing Patients on Extracorporeal Membrane Oxygenation Support During The COVID-19 Pandemic – A Proposal for A Nursing Standard Operating Procedure

Puślecki

Dąbrowski

Baumgart

et al. 2020

Preprint

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Background: Extracorporeal membrane oxygenation (ECMO) therapy is proven to be efficient in a selected critically ill patient population and is showing promising results in refractory hypoxemia in the novel coronavirus disease (COVID-19). However, it necessitates specialized clinicians and advanced technological resources. While COVID-19 is an ongoing global emergency, there is no evidence-based practice in preparedness. This article proposes an innovative and optimized nursing care protocol, the Standard Operating Procedure (SOP), that increase safety, and prevents overuse of personal protective equipment (PPE) without interfering with therapy during ECMO in COVID-19 patients. Methods: A high-fidelity simulation scenario was developed. It included practicing safe and proper PPE donning and doffing during work organization, ECMO cannulation and ECMO-related procedures, and routine daily nursing care and management of patients on ECMO over nine hours. Results: Results were collected in three parts – proposal of nursing standardized operating procedures. They provide including work organization, work load references, competences and infrastructural conditions. Additionally, the cannulation equipment checklist proposal and daily routine nursing algorithm with other procedures during extracorporeal support were created.Conclusions: High-fidelity medical simulation can play an important role in staff training, improvement in previously gained proficiency, and development of optimal SOP for nursing care and management during ECMO in patients with COVID-19. Optimal SOPs may further guide multidisciplinary teams including intensive care units and interventional departments.

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Managing patients on extracorporeal membrane oxygenation support during the COVID-19 pandemic – a proposal for a nursing standard operating procedure

et al. 2021

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Background Extracorporeal membrane oxygenation (ECMO) is effective in a selected critically ill patient population with promising results in refractory hypoxemia related to the novel coronavirus disease (COVID-19). However, it requires specialized clinicians and resources in advanced technology. Moreover, the COVID-19 remains an ongoing global emergency, and there is no evidence-based practice in preparedness. This article proposes an innovative and optimized nursing care protocol, the Standard Operating Procedure (SOP), that regulates safety and efficiency in using personal protective equipment (PPE) during ECMO-relevant procedures while providing ECMO therapy for patients with COVID-19. Methods After performing a narrative literature search, we developed a high-fidelity translational simulation scenario. It included practicing appropriate donning and doffing PPE during work organization, ECMO-related procedures, and routine daily nursing care and management of ECMO over nine hours. In addition, we held supplementary constructive debrief meetings to consult international expert in the field. Results A proposal for nursing standardized operating procedures was created, divided into categories. They included work organization, workload references, competences, infrastructural conditions, cannulation equipment, daily routine nursing care, and procedures during ECMO. Conclusions High-fidelity medical simulation can play an important role in staff training, improvement in previously gained proficiency, and development of optimal SOP for nursing care and management during ECMO in patients with COVID-19. Optimal SOPs may further guide multidisciplinary teams, including intensive care units and interventional departments.

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Zalecenie Grupy Roboczej do spraw Praktyki w Pielęgniarstwie Anestezjologicznym i Intensywnej Opieki PTPAiIO w sprawie pielęgnowania oka u pacjenta nieprzytomnego wentylowanego mechanicznie w Oddziale Intensywnej Terapii

Cited by 3 publications

References 0 publications

Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit

Risk Factors of Eye Complications in Patients Treated in the Intensive Care Unit

Managing Patients on Extracorporeal Membrane Oxygenation Support During The COVID-19 Pandemic – A Proposal for A Nursing Standard Operating Procedure

Managing patients on extracorporeal membrane oxygenation support during the COVID-19 pandemic – a proposal for a nursing standard operating procedure

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