A importância do enfermeiro durante a reação transfusional aguda: revisão da literatura

Contextualizar a atuação do enfermeiro, suas capacidades técnicas e científicas frente à assistência de enfermagem na reação transfusional aguda, de acordo com a literatura científica. Trata-se de um estudo descritivo, do qual foram selecionados artigos nas seguintes bases de dados: SciELO.Org e LILACS. Para busca dos artigos, foram utilizados os seguintes descritores: Enfermagem, Reação e Transfusão Sanguínea. Para fins de análise, foram elaboradas 02 tabelas sendo: caracterização dos estudos e descrição dos resultados. A partir deste estudo identificou-se a efetividade da atuação do enfermeiro em hemoterapia. A enfermagem colabora de forma significativa com seus conhecimentos científicos aos pacientes transfundidos que apresentam reação transfusional aguda nas clínicas de UTI, pediatria oncológica e pacientes de pós-operatório cardíaco, visando sempre uma assistência de qualidade e livre de danos.Descritores: Enfermagem, Reação, Transfusão Sanguínea. The importance of nurses during acute transfusion reaction: literature review Abstract: To contextualize the work of nurses, their technical and scientific capacity across the nursing care in acute transfusion reaction, according to scientific literature. This is a descriptive study, in which articles were selected in the following databases: LILACS and SciELO.Org. To search for articles, the following descriptors were used: Nursing, Reaction and Blood Transfusion. For analysis purposes, we prepared 02 tables being: characterization studies and description of the results. From this study, we identified the effectiveness of the work of nurses in hemotherapy. Nursing contributes significantly with their scientific knowledge to transfused patients with acute transfusion reactions in ICU clinics, pediatric oncology and cardiac postoperative patients, always seeking harmless and quality care.Descriptors: Nursing, Reaction, Blood Transfusion. La importancia del enfermero durante la reacción transfusional aguda: revisión de la literatura Resumen: Contextualizar el desarrollo del enfermero, sus capacidades técnicas y científicas a través de la atención de enfermería en la reacción transfusional aguda, según la literatura científica. Tratase de un estudio descriptivo, en el que fueron selecionados los artículos en las siguientes bases de datos: SciELO.Org y LILACS. Para la busca de artículos, se utilizaron los siguientes descriptores: Enfermería, Reacción y Transfusión de Sangre. Para fines de análisis, fueron hechas 2 tablas, es decir, estudios de caracterización y descripción de los resultados. A partir de este estudio se identificó la eficacia del trabajo de las enfermeras en hemoterapia. Los enfermeros contribuyen de manera significativa con sus conocimientos científicos a los pacientes transfundidos y que presentan reacciones transfusionales en la UCI, clínicas de oncología pediátrica y pacientes postoperatorios cardíacos, buscando siempre uma asistência de cualidade y libre de daños.Descriptores: Enfermería, Reacción, Transfusión de Sangre.

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A importância do enfermeiro durante a reação transfusional aguda: revisão da literatura

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/2358-3088.2016.6.17.45-56 ◽

2016 ◽

pp. 45

Author(s):

Andrew Almeida de Lima ◽

Gilberto Pinheiro da Silva ◽

Sueli Menezes da Rocha ◽

Eric Lima Barbosa

Keyword(s):

Blood Transfusion ◽

Literature Review ◽

Nursing Care ◽

Pediatric Oncology ◽

Scientific Knowledge ◽

Scientific Literature ◽

Descriptive Study ◽

Transfusion Reaction ◽

Characterization Studies ◽

Transfusion Reactions

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Conhecimento de enfermeiros sobre reações transfusionais: revisão integrativa

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rerecien2020.10.31.65-73 ◽

2020 ◽

Vol 10 (31) ◽

pp. 65-73

Author(s):

Amanda Azevedo Bastos da Silva Santos ◽

Josilene Da Costa Teixeira ◽

Luana Do Carmo da Silva Pereira ◽

Amanda Lorena de Araújo Silva

Keyword(s):

Qualitative Research ◽

Blood Transfusion ◽

Literature Review ◽

Transfusion Reaction ◽

Inclusion Criteria ◽

Final Sample ◽

Nursing Professionals ◽

Transfusion Reactions ◽

Descriptive Qualitative

Descrever por meio de uma revisão integrativa da literatura o conhecimento dos enfermeiros sobre reações transfusionais. Trata-se de uma pesquisa descritiva, qualitativa cujo levantamento bibliográfico ocorreu em outubro de 2019. As bases de dados utilizadas foram PubMed, SciELO, BDEnf e LILACS. Foram identificadas 459 publicações, das quais 56 disponíveis no formato completo, excluíram-se produções duplicadas, que não atendem aos critérios de inclusão e artigos de outras bases de dados que não as supracitadas, restando 08 artigos, como amostra final. Os dados foram organizados em um quadro, com a identificação do artigo com base em sua referência e a sumarização de seus resultados. Conclui-se que há fragilidade no conhecimento dos profissionais de enfermagem e falta de estudos voltados para a temática, e com isso, incorrendo em negligência e, por conseguinte, riscos à saúde do paciente, prejudicando a qualidade da assistência à saúde.Descritores: Reação transfusional, Enfermagem, Transfusão de Sangue. Knowledge of nurses about transfusion reactions: integrative reviewAbstract: Describe, through an integrative literature review, the knowledge of nurses about transfusion reactions. This is a descriptive, qualitative research, which bibliographic survey took place in October 2019. The databases used were PubMed, SciELO, BDEnf and LILACS. Were identified 459 publications, of which 56 were available in full format, were excluded duplicate productions that don’t attend the inclusion criteria and articles from other databases than those mentioned above, leaving 8 articles as final sample. The data were organized in a table, with the identification of the article based on its reference and a summary of its results. In conclusion, there is a fragility in the knowledge of nursing professionals and a lack of studies focused on the theme, and therefore, incurring negligence and, consequently, risks for the patient's health, impairing the quality of health care.Descriptors: Transfusion Reaction, Nursing, Blood Transfusion. Conocimiento de enfermeras sobre reacciones de transfusión: revisión integrativaResumen: Describir, a través de una revisión integradora, el conocimiento de enfermeros sobre las reacciones transfusionales. Esta es una investigación descriptiva, cualitativa cuya encuesta bibliográfica se realizó en octubre de 2019. Las bases de datos utilizadas fueron PubMed, SciELO, BDEnf y LILACS. Se identificaron 459 publicaciones, de los cuales 56 disponibles en formato completo, se excluyeron las producciones duplicadas, que no cumplen con los criterios de inclusión y los artículos de bases de datos distintas a las mencionadas anteriormente, dejando 8 artículos como muestra final. Los datos se organizaron en un quadro, con la identificación del artículo en función de su referencia y resumen de sus resultados. Se concluye que existe fragilidad en el conocimiento de los profesionales de enfermería y falta de estudios centrados en el tema, y con esto, incurrir en negligencia y, por lo tanto, riesgos para la salud del paciente, perjudicando la calidad de la atención al salud.Descriptores: Reacción a la Transfusión, Enfermería, Transfusión Sanguínea.

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Clinical Presentation of Nonhaemolytic Transfusion Reactions

Anaesthesia and Intensive Care ◽

10.1177/0310057x8000800205 ◽

1980 ◽

Vol 8 (2) ◽

pp. 125-131 ◽

Cited By ~ 11

Author(s):

Bryan Rush ◽

Newton L. Y. Lee

Keyword(s):

Differential Diagnosis ◽

Blood Transfusion ◽

Respiratory Distress ◽

Hospital Stay ◽

Clinical Presentation ◽

Allergic Reactions ◽

Red Cell ◽

Transfusion Reaction ◽

Cell Compatibility ◽

Transfusion Reactions

Due to the sophistication of red cell compatibility testing, the majority of transfusion reactions are non-haemolytic in origin. This paper reviews the clinical presentation of these reactions, emphasising that blood transfusion reaction must always be considered in the differential diagnosis when a patient develops unexpected complications during his hospital stay. Fever, allergic reactions, respiratory distress, hypotension and jaundice may all be manifestations of a transfusion reaction.

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Trends of scientific literature on the nursing care in the use of central venous catheter insertion of peripheral

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0503201132 ◽

2011 ◽

Vol 5 (3) ◽

pp. 806

Author(s):

Gilvânya Magna Dantas Peixoto ◽

Ana Elza Oliveira de Mendonça ◽

Rodrigo Assis Neves Dantas ◽

Daniele Vieira Dantas ◽

Gilson De Vasconcelos Torres

Keyword(s):

Nursing Care ◽

Scientific Literature ◽

Venous Catheter ◽

Descriptive Study ◽

Venous Access ◽

Catheter Insertion ◽

Central Venous ◽

Palabras Clave ◽

Web Of Knowledge ◽

Education Nursing

ABSTRACTObjective: to characterize the scientific literature on nursing care in the insertion/use of venous catheter peripherally inserted central (PICC). Method: this is about a bibliographic research, exploratory, descriptive and documentary study, performed with the keywords "nursing" and “catheterization, peripheral”. It were found six items, two in the LILACS, SciELO one, one and two in PUBMED in ISI Web of Knowledge. Results: most of the studies was located in LILACS (33.3%) and ISI (33.3%) in 2008 (33.3%), produced by graduate teachers (50.0%) and nurses care (50.0%), using the descriptive study (33.3%) and literature review (33.3%) with a quantitative approach (66.7%). 50.0% of the studies were about the care in the maintenance of PICC and 33.3% over the catheter insertion. 66.7% of studies were published in international journals. Conclusion: the interest for PICC continues to increase due to lower incidence of complications (compared to other venous access), ease of insertion by nursing staff, longer duration of the procedure and possible use in home care. Descriptors: catheterization, peripheral; nursing; publications; review; education, nursing, continuing.RESUMOObjetivo: caracterizar a produção científica sobre cuidado de enfermagem na inserção/utilização do cateter venoso central de inserção periférica (PICC). Método: pesquisa do tipo bibliográfica, de cunho exploratório-descritiva e documental, realizada com os descritores “enfermagem” e “cateterismo venoso periférico”. Foram encontrados seis artigos, sendo dois na LILACS, um na SCIELO, um na PUBMED e dois na ISI Web of Knowledge. Resultados: a maioria dos estudos estava localizada na LILACS (33,3%) e ISI (33,3%), em 2008 (33,3%), produzidos por docentes de pós-graduação (50,0%) e por enfermeiros assistenciais (50,0%), utilizando-se do estudo descritivo (33,3%) e revisão de literatura (33,3%), com abordagem quantitativa (66,7%). 50,0% dos estudos foram sobre os cuidados na manutenção do PICC e 33,3% sobre a inserção do cateter. 66,7% dos estudos foram publicados em revistas internacionais. Conclusão: o interesse pelo PICC continua a aumentar devido sua menor incidência de complicações (comparado a outros acessos venosos), facilidade de inserção pela equipe de enfermagem, maior duração do procedimento e possibilidade de utilização no atendimento domiciliar. Descritores: cateterismo venoso periférico; enfermagem; publicações; revisão; educação continuada em enfermagem.RESUMENObjetivo: caracterizar la literatura científica sobre los cuidados de enfermería en la inserción / uso de catéter venoso central de inserción periférica (PICC). Método: es un estúdio de investigación bibliográfica, de carácter exploratorio, descriptivo y documental, realizado con las palabras clave "enfermería" y "cateterismo venoso periférico". Se han encontrado 6 artículos, dois en el LILACS, SciELO un, un y dois en PUBMED en el ISI Web of Knowledge. Resultados: la mayoría de los estudios se encuentra en LILACS (33,3%) y el ISI (33,3%) en 2008 (33,3%), producida por profesores titulados (50,0%) y enfermeros atención (50,0%), utilizando el estudio descriptivo (33,3%) y revisión de la literatura (33,3%) con un enfoque cuantitativo (66,7%). 50,0% de los estudios eran sobre el cuidado en el mantenimiento de PICC y el 33,3% más de la inserción del catéter. 66,7% de los estudios fueron publicados en revistas internacionales. Conclusión: el interés por el PICC sigue aumentando debido a la menor incidencia de complicaciones (comparado con el acceso venoso otros), facilidad de inserción de personal de enfermería, una larga duración del procedimiento y su posible uso en la atención domiciliaria. Descriptores: cateterismo venoso periférico; enfermería; publicaciones; revisión; educación continua en enfermería.

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Haematological emergencies

10.1093/med/9780199683307.003.0013_update_001 ◽

2018 ◽

Author(s):

Drew Provan ◽

Trevor Baglin ◽

Inderjeet Dokal ◽

Johannes de Vos ◽

Hassan Al-Sader

Keyword(s):

Septic Shock ◽

Blood Transfusion ◽

Thrombolytic Therapy ◽

Thrombotic Thrombocytopenic Purpura ◽

Disseminated Intravascular Coagulation ◽

Transfusion Reaction ◽

Thrombocytopenic Purpura ◽

Heparin Induced Thrombocytopenia ◽

Massive Blood Transfusion ◽

Transfusion Reactions

Septic shock/neutropenic fever - Acute transfusion reactions - Delayed transfusion reaction - Post-transfusion purpura - Hypercalcaemia - Hyperviscosity - Disseminated intravascular coagulation - Overdosage of thrombolytic therapy - Heparin overdosage - Heparin-induced thrombocytopenia - Warfarin overdosage - Massive blood transfusion - Paraparesis/spinal collapse - Leucostasis - Thrombotic thrombocytopenic purpura - Sickle crisis

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PERBEDAAN REAKSI PEMBERIAN TRANSFUSI DARAH WHOOLE BLOOD (WB) DAN PACKED RED CELL (PRC) PADA PASIEN SECTIO CAESARE

Human Care Journal ◽

10.32883/hcj.v1i3.29 ◽

2018 ◽

Vol 1 (3) ◽

Author(s):

Neila Sulung

Keyword(s):

Blood Transfusion ◽

T Test ◽

Sectio Caesarea ◽

Blood Transfusions ◽

Group Comparison ◽

Red Cell ◽

Transfusion Reaction ◽

Receive Blood Transfusion ◽

The Difference ◽

Transfusion Reactions

Transfusion reaction is the reaction of the recipient's body to blood donors, blood transfusion reactions can be mild to severe, and could be either fast, medium and slow. Hospital Dr. Achmad Darwis District Lima Puluh Kota every month UTDRS blood for transfusion are 45 to 55 bags. Survey of 30 patients who received a blood transfusion, there are 10 people have reactions such as fever of 4 people, as many as 4 people dizzy, urtikariat (itching) as much as one person and as many as three people shivering. The aim of research to find out the difference Reaction Giving Whoole Blood Transfusion Blood (WB) and Packed Red Cell (PRC) in Patients Sectio Caesare (SC). Type pre-experimental study, the design of Static Group Comparison. The population was patients post SC who receive blood transfusion, with sampling purposive sampling of 20 people. The data collection was done by direct observation, then processed and analyzed using independent t-test. Results that the average transfusion reactions in patients receiving blood transfusions WB is 1.30 and the patients who receive blood transfusion PRC is 0.40. The results of the bivariate no difference Whoole blood transfusion reaction Blood (WB) and Packed Red Cell (PRC) in Patients with Post Sectio Caesarea (SC) (p = 0.009). It was concluded that there is a difference of transfusion reactions in blood transfusions WB and blood transfusions PRC. Expected to medicine and nurse to be more selective in giving blood transfusions to patients and intensive control of blood transfusion process , so that a transfusion reaction can be immediately known. . Keywords: transfusion reactions, Whoole Blood (WB), Packed Red Cell (PRC) Reaksi Transfusi adalah reaksi tubuh resipien terhadap darah donor, reaksi transfusi darah dapat ringan sampai berat, dan dapat berupa reaksi cepat, sedang, dan lambat. RSUD Dr. Achmad Darwis Kabupaten Lima Puluh Kota setiap bulannya UTDRS mengeluarkan darah untuk transfusi berjumlah 45 sampai 55 kantong. Survey terhadap 30 orang pasien yang mendapatkan transfusi darah, terdapat 10 orang mengalami reaksi berupa demam sebanyak 4 orang, pusing sebanyak 4 orang, menggigil sebanyak 3 orang dan urtikariat (gatal-gatal) sebanyak 1 orang. Tujuan penelitian untuk mengetahui Perbedaan Reaksi Pemberian Transfusi Darah Whoole Blood (WB) dan Packed Red Cell (PRC) pada Pasien Sectio Caesare (SC). Jenis penelitian pra eksperimen, dengan rancangan Statis Group Comparison. Populasi adalah pasien post SC yang mendapatkan transfusi darah, dengan pengambilan sampel secara purposive sampling sebanyak 20 orang. Pengumpulan data dilakukan dengan cara observasi langsung, kemudian diolah dan dianalisa menggunakan t-test independent. Didapatkan hasil rata- rata reaksi transfusi pada pasien yang mendapatkan transfusi darah WB adalah 1,30 dan pasien yang mendapatkan transfusi darah PRC adalah 0,40. Terdapat perbedaan reaksi pemberian transfusi darah Whoole Blood (WB) dan Packed Red Cell (PRC) pada Pasien Post Sectio Caesarea (SC) (p = 0,009). Disimpulkan bahwa ada perbedaan reaksi transfusi pada transfusi darah WB dan transfusi darah PRC. Diharapkan dokter dan perawat agar lebih selektif dalam memberikan darah transfusi pada pasien dan intensif dalam mengontrol proses transfusi darah, sehingga adanya reaksi transfusi dapat segera diketahui. Kata Kunci : Reaksi Transfusi, Whoole Blood (WB), Packed Red Cell (PRC)

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Transfusion reaction and hemovigilance: An imperative discussion in Brazilian hemotherapy services

International Archives of Medicine ◽

10.3823/2526 ◽

2017 ◽

Vol 10 ◽

Author(s):

João Paulo dos Santos ◽

Angela Alzamora ◽

Mariana Dutra Teles ◽

Veruska Lucena ◽

Tatiana Almeida Omura de Paula ◽

...

Keyword(s):

Blood Transfusion ◽

Transfusion Reaction ◽

Blood Components ◽

Important Data ◽

History Of ◽

Transfusion Reactions

Transfusion of blood components is considered safer, but it took years to reach this level. One of the most effective ways to make blood transfusion a safer practice is hemovigilance, which provides important data, including the history of feared transfusion reactions. In recent years in Brazil, there has been an improvement in the reporting of transfusion reactions, however due to the great diversity of hematology services, there are still transfusion reactions. The aims of this study were described the main types of transfusion reactions, as well as to evaluate the underreporting importance of transfusion occurrences of hemotherapy services in Brazil.

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Physiological methods as indexes of listening effort measurement: an integrative literature review

Revista CEFAC ◽

10.1590/1982-021620182044018 ◽

2018 ◽

Vol 20 (4) ◽

pp. 541-549

Author(s):

Laura Mochiatti Guijo ◽

Ana Cláudia Vieira Cardoso

Keyword(s):

Speech Perception ◽

Literature Review ◽

Skin Conductance ◽

Scientific Knowledge ◽

Scientific Literature ◽

Objective Assessment ◽

Normal Hearing ◽

Cochrane Library ◽

Listening Effort ◽

Physiological Method

ABSTRACT Purpose: to review the scientific literature and present existing instruments and methods for the objective assessment of the listening effort in normal hearing individuals worldwide. Methods: a literature integrative review whose purpose was to gather and summarize the scientific knowledge regarding the objective methods theme for measuring the listening effort, developed through the search of articles in specialized national and international journals, in the English and Portuguese languages, available in the databases: PUBMED, Cochrane Library, LILACS and SCIELO. Results: 18 articles which used physiological methods to measure the listening effort in individuals with normal hearing were reviewed. The main findings described in those articles refer to the author(s) and purpose(s) of the research, country where the research was conducted, casuistry, physiological method used and results. Conclusion: there is no consensus among the researchers about the best physiological method to measure this parameter, that is, this effort in the speech perception tasks, although the level of skin conductance is considered the most accurate measure to date.

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Nursing care protocol for patients with a ventricular assist device

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0363 ◽

2017 ◽

Vol 70 (2) ◽

pp. 335-341 ◽

Cited By ~ 7

Author(s):

Regimar Carla Machado ◽

Purificación Gironés ◽

Andressa Rodrigues de Souza ◽

Rita Simone Lopes Moreira ◽

Camila Bomfim von Jakitsch ◽

...

Keyword(s):

Nursing Care ◽

Ventricular Assist Device ◽

Delphi Technique ◽

Scientific Literature ◽

Descriptive Study ◽

Content Validation ◽

Assist Device ◽

Ventricular Assist ◽

Care Protocol ◽

Three Stages

ABSTRACT Objective: to develop and validate a nursing care protocol for patients with a ventricular assist device (VAD). Method: descriptive study, with a quantitative approach, for an instrument's methodological validation. Three stages were conducted: development of the instrument; protocol content validation according to the Delphi technique, and agreement among experts and the scientific literature. Results: based on the content validation, a care protocol for patients with a VAD was created and assessed by Spanish experts. Of the 15 items evaluated by means of the content validity index (CVI), 10 presented solid evidence of validation, with Kappa ranging between 0.87 and 1. Conclusion: the method enabled the validation of interventions that will contribute to qualified and standardized care for patients with a VAD.

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Importance of haemovigilance and reports on transfusion reaction in blood component therapy

Medicinski pregled ◽

10.2298/mpns1202050g ◽

2012 ◽

Vol 65 (1-2) ◽

pp. 50-53 ◽

Cited By ~ 2

Author(s):

Jasmina Grujic ◽

Zdravko Gulan ◽

Zorana Budakov

Keyword(s):

Blood Transfusion ◽

Fresh Frozen Plasma ◽

Blood Component ◽

Safe Procedure ◽

Transfusion Reaction ◽

Blood Components ◽

Blood Component Therapy ◽

Fresh Frozen ◽

Novi Sad ◽

Transfusion Reactions

Introduction. Application of blood and blood components throughout decades is very successful and mostly safe procedure in patients? therapy. However, it may lead to unfavourable effects, such as transfusion reactions. Material and Methods. In the period from 2000 to 2009, 180 transfusion reactions were reported at the Department of Clinical Transfusion of the Service for Blood Transfusion of Vojvodina in Novi Sad. The aetiology of transfusion reactions was determined by examining pretransfusion and post-transfusion sample of patient?s blood and by examining the unit of blood component that induced reaction. Results. Out of 180 reported transfusion reactions, 98 (54.4%) were febrile non-haemolytic transfusion reactions, 69 (38.3%) allergic reactions and 2 (1.11%) haemolytic reactions. Blood components that caused most of transfusion reactions were erythrocytes (62.4%), fresh frozen plasma (11.2%) and platelets (14.4%). All patients underwent multiple transfusions. Discussion. The fact that only 0.13% transfusion reactions were reported, compared with data from literature (2-15%), points to the lack of regular reporting of transfusion reactions, as well as the fact that there is only one report of delayed transfusion reaction. Conclusions. To improve and make blood transfusion safer it is necessary to respect all pre-transfusion procedures, constant follow up of blood transfusion must be done and patients with diagnosed non-haemolytic transfusion reaction should be given leukocyte reduced blood components.

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