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Gestione della mobilizzazione della persona assistita sottoposta a contropulsazione aortica: revisione della letteratura

Scenario, 2018-01, Vol.35 (1), p.21-24 [Peer Reviewed Journal]

Copyright ANIARTI - Italian Critical Care Nurses Association 2018 ;ISSN: 1592-5951 ;EISSN: 2239-6403

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  • Title:
    Gestione della mobilizzazione della persona assistita sottoposta a contropulsazione aortica: revisione della letteratura
  • Author: Simone, Gabbiadini ; Valeria, Cattaneo ; Monica, Casati ; Chiara, Cuminetti ; Manuela, Lamera ; Nives, Chinelli
  • Subjects: Angioplasty ; Coronary vessels ; Edema ; Heart surgery ; Intensive care ; Ischemia ; Literature reviews ; Nursing care ; Patients ; Systematic review ; Thoracic surgery
  • Is Part Of: Scenario, 2018-01, Vol.35 (1), p.21-24
  • Description: Introduction: The Intra aorthlc balloon pump (IABP) Is a device used In patients with cardiogenic shock, Its Insertion Into the femoral artery limits the mobilization of the person In bed and entails major risks such as vascular and compartmental complications at the lower limb, Objective: Identification, thorugh a review of literature, of best nursing practices, aiming to prevent immobilization's effects from IABP placement and promote early mobilization in patients with femoral IABP. Materials and Methods: A literature review was conducted in the following databases: Pubmed, Cinhal, Embase. The filters applied were: articles in English, full text and year by 2000, adult patients with femoral IABP. Boolean operator between the keywords: AND. Research conducted on 27/04/2017, 28/04/2017 and 28/05/2017. Results: 234 articles were found. Seven of these were relevant. On the basis of the analysis of literature some appropriate interventions aimed at the prevention of complications have been identified: control of the counterpulsated limb (in particular pain, pulse, temperature's variation, abstractesthesia and paralysis), capillary refill time test, limb's edema monitoring. Patient's axis maintenance while changing linens, bedhead elevation ranged between 30° and 45°, use of pillows to support patient's position. Use the reverse-Trendelenburg position for intubated patients. Discussion: Literature is poor on the subject matter. None of the articles found deals exclusively with the mobilization of the person with IABP. The publications address the complications of the device, in particular those affecting the involved limb, and propose various solutions. However none of them is supported by primary or secondary studies; the existing data come from tertiary sources. Conclusions: Poor data availability on the mobilization and posture of the leg and on the patient's mobilization. The indications provided come from tertiary sources. It is necessary to deepen the topic with targeted studies.
  • Publisher: Firenze: ANIARTI - Italian Critical Care Nurses Association
  • Language: Italian
  • Identifier: ISSN: 1592-5951
    EISSN: 2239-6403
  • Source: ProQuest Central

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