Real and illusory perceptions of patients in induced coma

ABSTRACT Objective: To identify, in the scientific literature, real and illusory perceptions of adult patients in induced coma. Methods: This is an integrative review of 15 primary studies from the Medline, Web of Science, LILACS, CINAHL and SCOPUS databases. Results: The main memories reported after induced coma were thirst, cold, and pain. In some studies, patients reported they were unable to tell whether they were awake or dreaming, whether it was real or unreal. Satisfactory memories were reported by patients related to the care received and the use of bedside journals. Conclusion: Evidence showed a number of studies aiming to identify delirium, but without a focus on analyzing real or illusory perceptions of patients after induced coma. Thus, this integrative review identified scientific evidence of memories related to perceptions of sedated patients in the intensive care unit.

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Alterações oculares em unidade de terapia intensiva: scoping review

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2021.11.34.168-180 ◽

2021 ◽

Vol 11 (34) ◽

pp. 168-180

Author(s):

Queila Faria dos Santos ◽

Graciele Oroski Paes ◽

Fernanda Garcia Bezerra Góes

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Web Of Science ◽

Scientific Evidence ◽

Eye Diseases ◽

Factores De Riesgo ◽

Eye Damage ◽

Terapia Intensiva ◽

Ocular Changes ◽

Determining Factor

Mapear as evidências científicas sobre alterações oculares em pacientesinternados em terapia intensiva. Trata-se de uma revisão de escopo, com adoção da estratégia PPC nas bases de dados PUBMED, WEB OF SCIENCE e a biblioteca virtual SCIELO. Adotou-se como elegiveis, estudos primarios, empiricos, quantitativos e qualitativos, publicados em três idiomas. Foram encontrados 204 artigos e após análise, selecionou-se 08 artigos para compor o estudo. A lagoftalmia apresenta-se como principal alteração ocular e fator determinante para o desenvolvimento de danos oftálmicos. Evidencia-se que o ambiente, a terapêutica instituída e as próprias comorbidades do paciente possuem associação com as alterações oculares. As doenças oculares são passíveis de prevenção. O diagnóstico precoce de alterações oculares e a rastreabilidade dos fatores de risco para doenças oculares são medidas necessária para evitar ocorrência de dano ocular aos pacientes internados em terapia intensiva.Descritores: Síndrome do Olho Seco, Doenças da Córnea, Unidade de Terapia Intensiva. Eye changes in an intensive care unit: scoping reviewAbstract: To map the scientific evidence on ocular changes in patients in intensive care. Method: this is a scope review, with the adoption of the PPC strategy in the PUBMED, WEB OF SCIENCE databases and the SCIELO virtual library. Primary, empirical, quantitative and qualitative studies, published in three languages, were adopted as eligible. 204 articles were found and after analysis, 08 articles were selected to compose the study. Lagophthalmia is the main ocular alteration and a determining factor for the development of ophthalmic damage. It is evident that the environment, the instituted therapy and the patient's own comorbidities are associated with ocular changes. Eye diseases are preventable. The early diagnosis of eye changes and the traceability of risk factors for eye diseases are necessary measures to prevent the occurrence of eye damage to patients admitted to intensive care.Descriptors: Dry Eye Syndrome, Corneal Diseases, Intensive Care Unit. Cambios oculares en una unidad de cuidados intensivos: revisión del alcanceResumen: Mapear la evidencia científica sobre cambios oculares en pacientes en cuidados intensivos. Método: se trata de una revisión de alcance, con la adopción de la estrategia PPC en las bases de datos PUBMED, WEB OF SCIENCE y la biblioteca virtual SCIELO. Los estudios primarios, empíricos, cuantitativos y cualitativos, publicados en tres idiomas, se aprobaron como elegibles. Se encontraron 204 artículos y luego del análisis se seleccionaron 08 artículos para componer el estudio. La lagoftalmia es la principal alteración ocular y un factor determinante para el desarrollo de daño oftálmico. Es evidente que el entorno, la terapia instituida y las propias comorbilidades del paciente se asocian a cambios oculares. Las enfermedades oculares se pueden prevenir. El diagnóstico precoz de los cambios oculares y la trazabilidad de los factores de riesgo de enfermedades oculares son medidas necesarias para prevenir la aparición de daños oculares en los pacientes ingresados en cuidados intensivos.Descriptores: Síndrome del Ojo Seco, Enfermedades Corneales, Unidade de Cuidados Intensivos.

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Educação permanente em enfermagem no centro de tratamento intensivo

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2020.244644 ◽

2020 ◽

Vol 14 ◽

Author(s):

Jacqueline Aparecida De Oliveira ◽

Carla Aparecida Spagnol ◽

Anadias Trajano Camargos ◽

Selme Silqueira de Matos ◽

Soleane Franciele Da Silva ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Continuing Education ◽

Scientific Literature ◽

Descriptive Analysis ◽

Integrative Review ◽

Final Sample ◽

Nursing Team ◽

Terapia Intensiva ◽

Education Nursing

Objetivo: analisar na literatura científica como tem sido desenvolvida a educação permanente da equipe de enfermagem no Centro de Tratamento Intensivo. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa em que se buscou por artigos entre 2007 a 2017 no idioma português, nas bases de dados, LILACS, MEDLINE, BDENF e na Biblioteca Virtual de Saúde. Realizou-se a análise descritiva dos resultados a partir dos dados existentes na figura síntese dos artigos, com respaldo na literatura científica. Resultados: encontraram-se 583 artigos e cinco compuseram a amostra final. Considera-se, de modo geral, que os resultados decorrentes das capacitações realizadas foram satisfatórios, o que mostra a importância de um programa permanente de capacitação da equipe de enfermagem na Terapia Intensiva. Conclusão: pode-se dizer que, apesar de existirem ações de educação permanente no Centro de Terapia Intensiva, essa é uma política que ainda precisa se fortalecer e se consolidar nos hospitais brasileiros, visto que, neste estudo, encontrou-se um número reduzido de artigos relacionados ao tema, o que responde, em parte, aos pressupostos das autoras relativos a esta revisão integrativa. Descritores: Ensino; Educação Continuada; Enfermagem; Terapia Intensiva; Metodologia; Hospitais.AbstractObjective: to analyze in the scientific literature how the continuing education of the nursing team at the Intensive Care Unit has been developed. Method: this is a bibliographic, descriptive, integrative review type study that searched for articles between 2007 and 2017 in Portuguese, in the databases, LILACS, MEDLINE, BDENF and in the Virtual Health Library. A descriptive analysis of the results was carried out based on the existing data in the synthesis figure of the articles, supported by the scientific literature. Results: 583 articles were found and five made up the final sample. It is considered, in general, that the results resulting from the training carried out were satisfactory, which shows the importance of a permanent training program for the nursing team in Intensive Care. Conclusion: it can be said that, although there are permanent education actions in the Intensive Care Unit, this is a policy that still needs to be strengthened and consolidated in Brazilian hospitals, since, in this study, a small number of articles related to the theme, which responds, in part, to the assumptions of the authors regarding this integrative review. Descriptors: Teaching; Continuing Education, Nursing; Intensive Care; Methodology; Hospitals.ResumenObjetivo: analizar la literatura científica tal como se ha desarrollado la educación permanente del equipo de enfermería en el Centro de Cuidados Intensivos. Método: se trata de un estudio de tipo de revisión bibliográfica, descriptiva e integradora que buscó artículos entre 2007 y 2017 en portugués, en las bases de datos, LILACS, MEDLINE, BDENF y en la Biblioteca Virtual en Salud. Se realizó un análisis descriptivo de los resultados con base en los datos existentes en la figura de síntesis de los artículos, respaldados por la literatura científica. Resultados: se encontraron 583 artículos y cinco constituyeron la muestra final. Se considera, en general, que los resultados resultantes de la capacitación realizada fueron satisfactorios, lo que demuestra la importancia de un programa de capacitación permanente para el equipo de enfermería en Cuidados Intensivos. Conclusión: se puede decir que, aunque existen acciones de educación permanente en el Centro de Cuidados Intensivos, esta es una política que aún debe fortalecerse y consolidarse en los hospitales brasileños, ya que, en este estudio, se encontró un pequeño número de artículos relacionados con el tema, que responde, en parte, a los supuestos de los autores con respecto a esta revisión integradora. Descriptores: Enseñanza; Educación continuada; Enfermería; Terapia intensiva; Metodología; Hospitales.

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Produção científica da enfermagem sobre morte/morrer em unidades de terapia intensiva

Enfermagem em Foco ◽

10.21675/2357-707x.2013.v4.n3/4.547 ◽

2015 ◽

Vol 4 (3/4) ◽

pp. 179-183

Author(s):

Anderson Souza Almeida ◽

Edison Luiz Devos Barlem ◽

Jamila Geri Tomaschewski-Barlem ◽

Valéria Lerch Lunardi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Intensive Care Units ◽

Scientific Literature ◽

Professional Preparation ◽

Scientific Production ◽

Integrative Review ◽

Ethical Challenges ◽

Terapia Intensiva

Resumo: conhecer a produção científica nacional de enfermagem acerca da morte/morrer em ambientes de Unidade de Terapia Intensiva. Revisão integrativa realizada através dos descritores morte, unidades de terapia intensiva e enfermagem, entre os anos de 2005 e 2011, obtendo-se um corpus de 14 artigos. RESULTADOS: foram construídas três categorias: prática como objeto de reflexão e mudança; preparo profissional e instrumentalização; desafios éticos frente o processo de morte/morrer. A produção científica sobre morte/morrer deve ser redirecionada, ultrapassando os limites investigativos baseados meramente na busca da percepção dos significados e dos sentimentos.Descritores: Morte; Unidades de Terapia Intensiva; Enfermagem.Scientific production from the nursing about death / dying in intensive care unitsAbstract: Know the scientific production of nursing about death / dying in environments Intensive Care Unit. METHODOLOGY: integrative review conducted by the descriptors death, intensive care units and nursing, between the years 2005 and 2011, resulting in a corpus of 14 articles. RESULTS: Three categories were constructed: practice as an object of reflection and change, professional preparation and instrumentation; ethical challenges facing the process of death / dying. CONCLUSION: the scientific literature on death / dying must be redirected, overstepping the bounds investigative search based merely on the perception of the meanings and feelings.Descriptors: Death; Intensive Care Units; Nursing.Producción científica de enfermería de la muerte/morir en unidades de cuidados intensivosResumen: Conocer la producción científica de enfermería sobre la muerte/morir en entornos Unidad de Cuidados Intensivos. METODOLOGÍA: revisión integradora realizada por los descriptores muerte, unidades de cuidados intensivos y enfermería, entre los años 2005 y 2011, dando lugar a un corpus de 14 artículos. RESULTADOS: Tres categorías se construyeron: la práctica como objeto de reflexión y cambio, la preparación profesional y la instrumentación, los desafíos éticos que enfrenta el proceso de la muerte / la muerte. CONCLUSIÓN: la literatura científica sobre la muerte / muerte debe ser redirigida, sobrepasando los límites de la búsqueda investigativa basada meramente en la percepción de los sentidos y los sentimientos.Descriptores: Muerte; Unidades de Cuidados Intensivos; Enfermería.

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Palliative care in nursing in the intensive care unit: integrative review / Cuidados paliativos em enfermagem na unidade de terapia intensiva: revisão integrativa / Cuidados paliativos en enfermería en la unidad de cuidados intensivos...

Revista de Enfermagem da UFPI ◽

10.26694/reufpi.v9i0.10835 ◽

2020 ◽

Vol 9 ◽

Author(s):

Ana Lívia Castelo Branco De Oliveira ◽

Alana Carolina Rodrigues Bezerra De Amorim ◽

Rose-Elyne Santana do Nascimento Barreto ◽

Amadeu Luis De Carvalho Neto

Keyword(s):

Intensive Care Unit ◽

Palliative Care ◽

Intensive Care ◽

Retrieval System ◽

Web Of Science ◽

Medical Literature ◽

Integrative Review ◽

Literature Analysis ◽

Terapia Intensiva ◽

Online Web

Objetivo: Discutir as evidências na literatura científica sobre a assistência de enfermagem ao paciente em cuidados paliativos na Unidade de Terapia Intensiva. Metodologia: Pesquisa qualitativa, do tipo revisão integrativa da literatura. Foi realizada busca de artigos em português, inglês e espanhol, publicados nos últimos 10 anos. Foram excluídos artigos de revisão, relatos de experiência, manuais, livros, teses e dissertações. Utilizou-se as bases de dados Scopus, Medical Literature Analysis and Retrieval System Online, Web of Science e Literatura Latino-Americana e do Caribe em Ciências da Saúde; com descritores associados por operador booleano. Resultados: A amostra de 12 estudos resultou em três categorias temáticas: Ética na assistência de enfermagem intensiva em cuidados paliativos; Desafios e boas práticas para implantar cuidados paliativos em UTI; e Recursos da enfermagem intensiva para a humanização do cuidado paliativo. A extração dos dados evidenciou os desafios da enfermagem no enfrentamento da morte e a manutenção do equilíbrio psicológico do paciente. Constatou-se que os familiares são agentes importantes neste contexto e devem constituir alvo dos cuidados de enfermagem. Conclusão: Os cuidados paliativos em enfermagem direcionam-se às necessidades psíquicas dos pacientes, bem como devem contemplar a família, de modo qualificado. Descritores: Enfermagem. Cuidados de Enfermagem. Unidades de Terapia intensiva. Cuidados paliativos.

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Vulnerabilities of nurses in an intensive care unit: an integrative review

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0724 ◽

2021 ◽

Vol 74 (3) ◽

Author(s):

Marcelli Cristine Vocci ◽

Isabella Gandolfi Gallo ◽

Wilza Carla Spiri ◽

Maria Helena Borgato ◽

Cassiana Mendes Bertoncello Fontes

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Web Of Science ◽

Theoretical Framework ◽

The Other ◽

Communication Process ◽

Integrative Review ◽

Care Process ◽

Emotional Communication ◽

The Core

ABSTRACT Objectives: to identify vulnerabilities of nurses who work in an intensive care unit. Methods: an integrative review was held from 2006 to 2019, with searches on the platforms/databases LILACS, BDENF, SciELO, MEDLINE, Scopus, CINAHL, and Web of Science. The theoretical framework of ergology, by Schwartz, was used and the guiding question “What are the main vulnerabilities of nurses who work in an intensive care unit”? Results: eleven articles were included. Five topics of vulnerabilities emerged: physical, emotional, communication process, care process, and organizational. We observed that the organizational vulnerability was kept as a common and intersection factor in developing the other four. Conclusions: vulnerabilities found have a relationship to the physical, emotional, communication, care process, and institution organization elements. The organization aspect intersected with the others, configuring itself as the core in this context.

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Non‐pharmacologic interventions for the prevention of delirium in the intensive care unit: An integrative review

Nursing in Critical Care ◽

10.1111/nicc.12594 ◽

2021 ◽

Author(s):

Fursan Sahawneh ◽

Lisa Boss

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Integrative Review

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Topical Lidocaine Patch for Postthoracotomy and Poststernotomy Pain in Cardiothoracic Intensive Care Unit Adult Patients

Critical Care Nurse ◽

10.4037/ccn2019849 ◽

2019 ◽

Vol 39 (5) ◽

pp. 51-57 ◽

Cited By ~ 1

Author(s):

Michael Liu ◽

Mabel Wai ◽

James Nunez

Keyword(s):

Intensive Care Unit ◽

Cardiac Surgery ◽

Intensive Care ◽

Standard Care ◽

Academic Medical Center ◽

Adult Patients ◽

Control Group ◽

Lidocaine Group ◽

Lengths Of Stay ◽

Topical Lidocaine

Background Transdermal lidocaine patches have few systemic toxicities and may be useful analgesics in cardiac surgery patients. However, few studies have evaluated their efficacy in the perioperative setting. Objective To compare the efficacy of topical lidocaine 5% patch plus standard care (opioid and nonopioid analgesics) with standard care alone for postthoracotomy or poststernotomy pain in adult patients in a cardiothoracic intensive care unit. Methods A single-center, retrospective cohort evaluation was conducted from January 2015 through December 2015 in the adult cardiothoracic intensive care unit at a tertiary academic medical center. Cardiac surgery patients with new sternotomies or thoracotomies were included. Patients in the lidocaine group received 1 to 3 topical lidocaine 5% patches near sternotomy and/or thoracotomy sites daily. Patches remained in place for 12 hours daily. Patients in the control group received standard care alone. Results The primary outcome was numeric pain rating for sternotomy/thoracotomy sites. Secondary outcomes were cardiothoracic intensive care unit and hospital lengths of stay and total doses of analgesics received. Forty-seven patients were included in the lidocaine group; 44 were included in the control group. Mean visual analogue scores for pain did not differ between groups (lidocaine, 2; control, 1.9; P = .58). Lengths of stay were similar for both groups (cardiothoracic intensive care unit: lidocaine, 3.06 days; control, 3.11 days; P = .86; hospital: lidocaine, 8.26 days; control, 7.61 days; P = .47). Conclusions Adjunctive lidocaine 5% patches did not reduce acute pain in postthoracotomy and post-sternotomy patients in the cardiothoracic intensive care unit.

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Meningoencephalitis in intensive care unit: Do Japanese Encephalitis cases go unsuspected?

Journal of Chitwan Medical College ◽

10.3126/jcmc.v7i1.17362 ◽

2017 ◽

Vol 7 (1) ◽

pp. 7-10

Author(s):

Ashish Ghimire ◽

Balkrishna Bhattarai ◽

Basudha Khanal ◽

Suchana Marhatta ◽

Gopendra Prasad Deo

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Adult Patients ◽

Medical Emergency ◽

Real Problem ◽

Cerebrospinal Fluid Analysis ◽

Laboratory Findings ◽

Fluid Analysis ◽

Intensive Approach ◽

Serology Testing

Background: Meningoencephalitis (ME) is a medical emergency. Acute infective encephalitis is usually viral. Nepal has the second highest prevalence of JE in South East Asia. About one third of the JE cases results in death. The records of the JE in the laboratory of B.P. Koirala Institute of Health Sciences (BPKIHS) showed 760 samples to have the evidence of JE infection out of 3352 tested during the period of 2001-2011 AD. The present study aimed to conduct an audit on meningoencephalitis cases admitted in the ICU of our hospital in an attempt to find its burden.Methods: Medical records of all the adult patients with the provisional diagnosis of Meningoencephalitis at BPKIHS over the period of 2009-2011 AD were examined. Laboratory findings of all the patients diagnosed with ME who were admitted to the eight bedded general intensive care unit (ICU) were also reviewed. The diagnosis was made based on the findings of medical history, clinical examination and cerebrospinal fluid analysis for biochemistry and cytology, results of anti JE IgM test performed on CSF and/or serum.Results: Altogether 127 samples of CSF were obtained from adult patients admitted in different inpatient department of BPKIHS with the clinical diagnosis of meningo encephalitis between 2009-2011 AD. Out of them, 25 (19.68%) were tested positive of JE. A total of 684 patients were admitted over the same period with different diagnoses in 8 bedded ICU of hospital. Fifteen (2.19%) were transferred to the ICU with the ME. In the ICU, 9(60%) were treated as viral encephalitis. Among them CSF of only 4 patients’ were sent for testing for JE and found positive in 2 cases. Seven (46.6%) patients expired while 4(26.6%) were taken home by the relatives against medical advice in critically ill conditions and remaining 4 (26.6%) improved and transferred to ward. Among the expired patients 5 (71.4%) had viral encephalitis.Conclusion: JE is a real problem but many cases are likely to have been gone undetected. Adoption of a more intensive approach with much liberal serology testing policy seems to be appropriate for better detecting JE cases in the setting.

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