Desafios da assistência de enfermagem no tratamento da COVID-19 em pacientes com uso da ECMO
DOI:
10.24276/rrecien2022.12.39.87-97Palavras-chave:
Oxigenação por Membrana Extracorpórea ECMO, COVID-19, Assistência de EnfermagemResumo
Descrever os principais desafios da assistência de enfermagem no tratamento da COVID-19 em pacientes com a terapia de circulação extracorpórea com oxigenador de membrana Ecmo. O Método utilizado foi de revisão integrativa da literatura. As buscas foram realizadas nas bases Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature e Scopus, usando descritores, resultando após análise dos critérios de inclusão e exclusão em 17 estudos. Os resultados indicaram que há um desprovimento de recursos hospitalares e profissionais capacitados para o uso da terapia ECMO em pacientes com COVID-19. O estudo concluiu que além da escassez de publicações sobre a referida temática, sendo fundamental aumentar a capacidade de instituições que ofereçam a terapia ECMO. É essencial investir em treinamentos e capacitar as equipes de enfermagem fornecendo um tratamento seguro e com qualidade na prestação de serviço.
Descritores: Oxigenação por Membrana Extracorpórea ECMO, COVID-19, Assistência de Enfermagem.
Challenges of nursing care in the treatment of COVID-19 in patients using ECMO
Abstract: To describe the main challenges of nursing care in the treatment of COVID-19 in patients on cardiopulmonary bypass therapy with Ecmo membrane oxygenator. The method used was an integrative literature review. Searches were performed in Latin American and Caribbean Health Sciences Literature, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature and Scopus, using descriptors, resulting after analysis of the inclusion and exclusion criteria in 17 studies. The results indicated that there is a lack of hospital resources and trained professionals for the use of ECMO therapy in patients with COVID-19. The study concluded that besides the scarcity of publications on the subject, it is essential to increase the capacity of institutions that offer ECMO therapy. It is essential to invest in training and capacitate the nursing teams providing a safe treatment and with quality service delivery.
Descriptors: Extracorporeal Membrane Oxygenation, ECMO, COVID-19, Nursing Assistance.
Retos de los cuidados de enfermería en el tratamiento del COVID-19 en pacientes que usan ECMO
Resumen: Describir los principales retos de los cuidados de enfermería en el tratamiento de la COVID-19 en pacientes en terapia de bypass cardiopulmonar con oxigenador de membrana Ecmo. El método utilizado fue una revisión bibliográfica integradora. Las búsquedas se realizaron en Latin American and Caribbean Literature on Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature y Scopus, utilizando descriptores, resultando tras el análisis de los criterios de inclusión y exclusión en 17 estudios. Los resultados indicaron que hay una falta de recursos hospitalarios y de profesionales formados para el uso de la terapia ECMO en pacientes con COVID-19. El estudio concluye que, además de la escasez de publicaciones sobre el tema, es esencial aumentar la capacidad de las instituciones que ofrecen la terapia ECMO. Es fundamental invertir en la formación y capacitación de los equipos de enfermería para que ofrezcan un tratamiento seguro y con una prestación de servicios de calidad.
Descriptores: Oxigenación por Membrana Extracorpórea, ECMO, COVID-19, Cuidados de Enfermería.
Downloads
Referências
Smereka J, Mateusz S, Kurt R, Krzysztof JF, Milosz J, Jerzy RL, et al Extracorporeal membrane oxygenation in COVID-19. Cardiology Journal. 2020; 27(2):216-217.
Organização Mundial de Saúde (OMS). Histórico da pandemia de COVID-19. Brasil: OMS, 2019. Disponível em: (https://www.paho.org/pt/COVID19/historico-da-pandemia-COVID-19). Acesso em: 23 de outubro de 2021.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395:497-506.
Romano, TG, Mendes PV, Park M, et al. Suporte respiratório extracorpóreo em pacientes adultos. Jornal Brasileiro de Pneumologia. 2017; 43:60-70.
Asber SR, Shanahan KP, Lussier L, Didomenico D, Davis M, Eaton J, et al. Nursing Management of Patients Requiring Acute Mechanical Circulatory Support Devices. Crit Care Nurse. 2020; 40(1):e1-e11.
ELSO Guidelines for Cardiopulmonary Extracorporeal Life Support Extracorporeal Life Support Organization, Version 1.4 August 2017 Ann Arbor, MI, USA.
Davies A, Jones D, Bailey M, Beca J, Bellomo R, Blackwell N, et al. Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA. 2009; 302:1888-1895.
Zochios V, Brodie D, Charlesworth M, Parhar KK. Delivering extracorporeal membrane oxygenation for patients with COVID-19: what, who, when and how? Anaesthesia. 2020; 75(8):997-1001.
Lima J, Qadri SK, Toh T, Lin CB, Mok YH, Lee JH. Extracorporeal Membrane Oxygenation for Severe Respiratory Failure During Respiratory Epidemics and Pandemics: A Narrative Review. Annals of the Academy of Medicine, Singapore. 2020; 49(4):199-214.
Doll N, Kiaii B, Borger M, Bucerius J, Krämer K, Schmitt DV, et al. Five-year results of 219 consecutive patients treated with extracorporeal membrane oxygenation for refractory postoperative cardiogenic shock. Ann Thorac Surg. 2004; 77(1):151-7.
Wells CL, Forrester J, Vogel J, Rector R, Tabatabai A, Herr D. Safety and feasibility of early physical therapy for patients on extracorporeal membrane oxygenator: University of Maryland medical center experience. Crit Care Med. 2018; 46(1):53-59.
Freitas RC, Rabello Filho R, Timenetsky KT, Moreira FT, Vilanova LCS, Bravim BA, et al. Oxigenação por membrana extracorpórea: revisão da literatura. Rev Bras Ter Intensiva. 2019; 31(3).
Costa CMB, Hora MP, Araújo EO, Pedreira LC. Cuidado de enfermagem a uma paciente em uso da ECMO. Rev Baiana Enferm. 2011; 25(2).
Melnikov S, Furmanov A, Gololobov A, Atrash M, Broyer C, Gelkop M, Recommendations From the Professional Advisory Committee on Nursing Practice in the Care of ECMO-Supported Patients. Crit Care Nurse. 2021; 41(3):e1-e8.
Ercole FF, Melo LS, Alcoforado CLGC. Revisão integrativa versus revisão sistemática. Rev Mineira Enferm. 2014; 18(1):9-12.
Nursing of Patients Critically Ill with Coronavirus Disease Treated with Extracorporeal Membrane Oxygenatio COVID-19: ICU delirium management during SARS-CoV-2 pandemic. Crit Care. 2020; 24(1):176.
Kotfis K, Williams RS, Wilson JE, Dabrowski W, Pun BT, Ely EW. COVID-19: ICU delirium management during SARS-CoV-2 pandemic. Crit Care. 2020; 24(1):176.
Tu Z, Xia Q, Xu M, Lu Y. Nursing of Patients Critically Ill With Coronavirus Disease Treated With Extracorporeal Membrane Oxygenation. J Emerg Nurs. 2020; 46(6):862-868.e2.
Nie Q, Ye A, Wei S. Nursing Management of Severe COVID-19 Patients Undergoing Extracorporeal Membrane Oxygenation Combined with Prone Position Ventilation. Heart Surg Forum. 2020; 23(4):E422-E425.
Umeda A, Sugiki Y. Nursing care for patients with COVID-19 on extracorporeal membrane oxygenation (ECMO) support. Glob Health Med. 2020; 2(2):127-130.
Lang CN, Zotzmann V, Schmid B, Berchtold-Herz M, Utzolino S, Biever P, et al. Intensive Care Resources and 60-Day Survival of Critically-Ill COVID-19 Patients. Cureus. 2021; 13(2):e13210.
Peig NNA, Djen E, Garalza M, Given C, Henderson J, O'Connor T. Nursing Management of a Patient With COVID-19 Receiving ECMO: A Case Report. Crit Care Nurse. 2021; e1-e10.
Wang YP, Chuang PY, Gone SI, Tseng CY. Experience Caring for a Severe COVID-19 Patient With ARDS in the Intensive Care Unit. Hu Li Za Zhi. 2020; 67(6):104-110.
Mark A, Crumley JP, Rudolph KL, Doerschug K, Krupp A. Maintaining Mobility in a Patient Who Is Pregnant and Has COVID-19 Requiring Extracorporeal Membrane Oxygenation: A Case Report. Phys Ther. 2021; 101(1).
Peeler A, Gleason, KT, Cho SM, Davidson PM. Extracorporeal Membrane Oxygenation in Acute Respiratory Distress Syndrome: How Do We Expand Capacity in the COVID-19 Era? Heart Lung Circ. 2021; 30(5):623-625.
Odish MF, Yi C, Chicotka S, Bradley G, Golts E, Madani M, Owens RL, Pollema T. Implementation and Outcomes of a Mobile Extracorporeal Membrane Oxygenation Program in the United States During the Coronavirus Disease 2019 Pandemic.J Cardiothorac Vasc Anesth. 2021; 35(10):2869-2874.
Dave S, Shah A, Galvagno S, George K, Menne AR, Haase DJ, et al. A Dedicated Veno-Venous Extracorporeal Membrane Oxygenation Unit during a Respiratory Pandemic: Lessons Learned from COVID-19 Part I: System Planning and Care Teams. Membranes (Basel). 2021; 2-11(4):258.
Sen A, Blakeman S, DeValeria PA, Peworski D, Lanza LA, Downey FX, et al. Practical Considerations for and Outcomes of Interfacility ECMO Transfer of Patients With COVID-19 During a Pandemic: Mayo Clinic Experience. Mayo Clin Proc Innov Qual Outcomes. 2021; 5(2):525-531.
Hamamoto M, Unoki T, Tamoto M, et al. Survey on the actual number ofnurses required for critical patients with COVID-19 in Japanese intensive care units: Preliminary report. Jpn J Nurs Sci. 2021; 18:e12424.
Murugappan KR, Walsh DP, Mittel A, Sontag D, Shaefi S. Veno-venous extracorporeal membrane oxygenation allocation in the COVID-19 pandemic. J Crit Care. 2021; 61:221-226.
Publicado
- Visualizações 0
- pdf downloads: 0
