The nurse in front of oxygenation by Extracorporeal Membrane (ECMO)
DOI:
https://doi.org/10.33448/rsd-v11i3.26490Keywords:
Extracorporeal Membrane Oxygenation; Critical Care Nursing; Critical care.Abstract
Objective: To identify how the practice of critical nursing care is given to patients undergoing cardiopulmonary bypass. Methodology: This is a literature review, following the guidelines recommended by the Preferred Reporting Items Systematic Reviews and Meta-Analyses (PRISMA) and organized in the following steps: elaboration of the review protocol; data collection with the inclusion of publications that brought contributions and answers relevant to the research question; extraction of information contained in the study; analysis and interpretation of data; and, finally, presentation and discussion of the review. Results and discussion: Initially, 137 articles were selected in the databases and after a thorough selection, 12 articles remained to compose the results. Descriptive, retrospective and cohort studies are part of this sample. After analyzing the data, it was observed that only half of the ICUs had professionals with experience in ECMO and only 46% of nurses were able to independently care for patients on VV-ECMO. This shows us that the number of experienced and trained intensive care nurses is low, which causes an overload of these professionals. Along with experience, continuing and standardized education is necessary to increase the number of professionals who can handle this highly complex therapy. Conclusion: According to the studies analyzed, we found that ECMO is considered a technique increasingly present in the care of the person in a critical situation in need of mechanical cardiopulmonary support in situations of severe respiratory failure, heart failure or both.
References
Romano, T. G., Mendes, P. V., Park, M., & Costa, E. L. V. (2017). Suporte respiratório extracorpóreo em pacientes adultos. Jornal Brasileiro de Pneumologia,43 (1), 60-70.
Zapol, W. M., Snider, M. T., Hill, J. D., Fallat, R. J., Bartlett R. H., Edmunds, L. H. ... Miller Jr, R. G. (1979). Extracorporeal membrane oxygenation in severe acute respiratory failure. A randomized prospective study. Journal American Medical Association, 242(20), 2193-6.
Combes, A., Hajage, D., Capellier, G., Demoule, A., Lavoué., S., Guervilly, C. ... ECMONet. (2018). Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. N Engl J Med, 378(21), 1965-75.
ECMO for COVID-19: Updated 2021 Guidelines from the Extracorporeal Life Support Organization (ELSO). ASAIO Journal Publish Ahead of Print. 2021. Available on: https://www.elso.org/Resources/Guidelines.aspx
Brodie, D., Slutsky, A. S., Combes, A. (2019). Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications: A Review. Journal American Medical Association, 322(6), 557-568.
Peek, G. J., Mugford, M., Tiruvoipati, R., Wilson, A., Allen, E., Thalanany, M. M. ... CESAR trial collaboration. (2009). Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. The Lancet, 374(9698), 1351-63.
Costa, L., Hora, M., Araújo, E., & Pedreira, E. (2011). Cuidado de enfermagem a uma paciente em uso da ECMO. Revista Baiana de Enfermagem, 25(2), 209-20.
Chen, N., Zhou, M., Dong, X., G, Fengyun, Han Yan, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507-13.
Haneke, F., Schildhauer, T., Strauch, J., Swol, J. (2021). Use of extracorporeal membrane oxygenation in an awake patient after a major trauma with an incidental finding of tuberculosis. Perfusion , 31 (4), 347-348.
Redealli, S., Zanella, A., Milan, M., Isgro,S., Lucchini, A., Pesenti, A., Patroniti, N. (2016). Daily nursing care on patients undergoing venous-venous extracorporeal membrane oxygenation: a challenging procedure. Journal of Artificial Organs, 19(4), 1-7.
Chaica, V., Pontífice-Sousa, P., Marques, R. (2020). Enfoque de enfermería a la persona en situación crítica sometida a oxigenación por membrana extracorpórea: Scoping review . Enfermería Global, 19 (59), 507-20.
Hamamoto, M., Unoki, T., Tamoto, M., Sakuramoto, H., Kawai, Y., Miyamoto, T. ... Nishida, O. (2021). Survey on the actual number of nurses required for critical patients with COVID-19 in Japanese intensive care units: Preliminary report. Japan Journal of Nursing Science, 18 (3), 1-3.
Alshammari M. A., Vellolikalam, C., Alfeeli, S. (2020). Nurses' perception of their role in extracorporeal membrane oxygenation care: A qualitative assessment. Nurs Crit Care, 1-7.
Asber, S. R., Shanahan, K. P., Lussier, L., Didomenico, D., Davis, M., Eaton, J. ... Kapur, N. K. (2020). Nursing Management of Patients Requiring Acute Mechanical Circulatory Support Devices. Crit Care Nurse, 40(1), 1-11.
Asgari, P., Jackson, A. C., Esmaeili, M., Hosseini, A., Bahramnezhad, F. (2021). Nurses' experience of patient care using extracorporeal membrane oxygenation. Nurs Crit Care, 2411-2502.
Gannon, W. D., Craig, L., Netzel, L., Mauldin, C., Troutt, A., Warhoover, M., Tipograf, Y., Hogrefe, K., Rice, T. W., Shah, A., Bacchetta, M. Curriculum to Introduce Critical Care Nurses to Extracorporeal Membrane Oxygenation. Am J Crit Care, 29(4), 262-269.
Odish, M., Yi, C., Tainter, C., Najmaii, S., Ovando, J., Chechel, L. ... Owens, R. L. (2021). The Implementation and Outcomes of a Nurse-Run Extracorporeal Membrane Oxygenation Program, a Retrospective Single-Center Study. Crit Care Explor, 3(6), 1-10.
Zigaib R.; Noritomi, D.T. Medicina intensiva: a oxigenação extracorpórea é factível no Brasil? Rev. bras. ter. intensiva. 2019 Set; 26( 3 ): 200-202.
World Health Organization(WHO). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: Interim guidance 1.2v, 2020.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Luzia Cibele de Souza Maximiano; Maria Eduarda da Silva Araújo; Luana Adrielle Leal Dantas; Helder Barbosa Rodrigues; Keylla Isabelle Sousa Duarte; Monique Veríssimo Martins; Leilane Alice Moura da Silva; Valéria Duarte de Almeida; Heitor Lenin Lisboa dos Santos; Jessica Larissa dos Santos Costa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
