Nursing care in Intensive Care Unit in the face of post-cardiac arrest syndrome: an integrative review of the literature.

Authors

DOI:

https://doi.org/10.33448/rsd-v10i12.20475

Keywords:

Nursing; Intensive Care Unit; Heart Failure; Post-Cardiac Arrest Syndrome; Patient-Centered Nursing.

Abstract

Introduction: The Post-Cardiac Arrest Syndrome (PCAS) is characterized by systemic inflammation, followed by risk of multiple organ failure, due to oxidative stress generated after the period of ischemia. Nursing in the clinical management of PPS acts directly in the early identification and conducts that result in reduced risk circumstances. Objective: To identify, through literature, the role of intensivist nursing in the clinical signs of PPSC. Methodology: Integrative literature review. Articles were searched using the Biblioteca Virtual de Saúde (BVS), Base de Dados de Enfermagem (BDENF), Latin American and Caribbean Literature on Health Sciences (LILACS) and Medical Literature Review and Online Recovery System (MEDLINE). Results and Discussion: ICU nursing, when facing PCAS, acts by means of interventions aiming at the stabilization of this clinical picture. Thus, continuing education is a relevant tool in the quality of this care, because it is necessary the knowledge about the pathophysiological process and the appropriate assistance. Conclusion: The nursing performance in PCAS and the skill in its management are limited by the lack of standardization and the establishment of specific scores for this disease, and the inadequate dimensioning of the team contributes to worsening the patient's prognosis, because good care is based on the triad predictability-assistance-team.

References

American Heart Association. Destaques das Diretrizes da American Heart Association 2020 para RCP e ACE [Internet]. Dallas: AHA; (2020). https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020eccguidelines_portuguese.pdf.

Beccaria, L. M., Santos, K. F., Trombeta, J. C., Rodrigues, A. M. S., Barbosa, T. P. & Jacon, J. C. (2017). Conhecimento teórico da enfermagem sobre parada cardiorrespiratória e reanimação cardiocerebral em unidade de terapia intensiva. CuidArte, Enferm 11(1): 51-58, jan. (2017). https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1027730.

Corrêa, L. O., Silveira, R. S., Mancia, J. R., Corrêa, N. L., Reinhardt, I. M. S., Lunardi, V. S., & Ciconet, R. M. (2018). Hipotermia terapêutica: efeitos adversos, complicações e cuidados de enfermagem. Enfermagem em Foco, 9(4). https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1028389.

Ercole, F. F., Melo, L. S., & Alcoforado, C. L. G. C. (2014). Revisão integrativa versus revisão sistemática. REME rev. min. enferm; 18(1): 09-11, jan.-mar. 2014. Doi: http://www.dx.doi.org/10.5935/1415-2762.20140001.

Espindola, M. C. M., Espindola, M. M. M., Moura, L. T. R., & Lacerda, L. C. A. (2017). Parada cardiorrespiratória: conhecimento dos profissionais de enfermagem em uma unidade de terapia intensiva. Revista de Enfermagem UFPE on-line, 11(7), 2773-2778. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1032188.

Ferreira, F. S., Garrido, L. M. M., Oliveira, R. C., Moraes, M. A., Pires, C. G. S., & Mussi, F. C. (2018). Uso do metrônomo na ressuscitação cardiopulmonar em uma Unidade de Terapia Intensiva. Revista Baiana de Enfermagem, 32, e27912. Epub 08 de abril de 2019. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1003310.

Girotra, S., Nallamothu, B. K., Tang, Y., & Chan, P. S. (2020). Para a American Heart Association Get With The Guidelines – Resuscitation Investigators. Associação de Reanimação Aguda em Nível Hospitalar e Sobrevivência Pós-Ressuscitação com Sobrevivência Padronizada de Risco Geral para Alta para Parada Cardíaca Hospitalar. JAMA Netw Open. 2020; 3 (7): e2010403. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32648925.

Guskuma, E. M., Lopes, M. C. B. T., Piacezzi, L. H. V., Okuno, M. F. P., Batista, R. E. A., & Campanharo, C. R. V. (2019). Conhecimento da equipe de enfermagem sobre ressuscitação cardiopulmonar em um hospital universitário. Revista Eletrônica De Enfermagem, 21. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1119020.

Kim, D., Yoon, HJ., & Lee, W.J. (2019). Prognostic value of 18F-FDG brain PET as an early indicator of neurological outcomes in a rat model of post-cardiac arrest syndrome. Sci Rep 9, 14798 (2019). https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31616019.

Kim, Y., Kim, J., & Shin, S. A. (2019). Relationship between the legal nurse staffing standard and patient survival after perioperative cardiac arrest: A cross-sectional analysis of Korean administrative data, International Journal of Nursing Studies, Volume 89, 2019, Pages 104-111, ISSN 0020-7489. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30359876.

Kocayigit, H., Suner, K. O., Kaya, B., Tomak, Y., Tuna, A. T., & Erdem, A. F. (2021). Neurological Outcomes of Normothermia versus Targeted Temperature Management in Post-cardiac Arrest Syndrome. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 30(5), 497–501. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-34027857.

Lisboa, N. L., Borges, M. S., & Monteiro, P. S. (2016). Avaliação do conhecimento dos enfermeiros sobre os cuidados pós-parada cardiorrespiratória. Revista de Enfermagem UFPE on-line, [S.l.], v. 10, n. 10, p. 3778-3786, jun. 2016. ISSN 1981-8963. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11443.

Mai, N., Miller-Rhodes, K., Knowlden, S., & Halterman, M. W. (2019). The post-cardiac arrest syndrome: A case for lung–brain coupling and opportunities for neuroprotection. Journal of Cerebral Blood Flow & Metabolism. 2019;39(6):939-958. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30866740.

Marquez, A. M., Morgan, R. W., Ko, T., Landis, W. P., Hefti, M. M., Mavroudis, C. D., McManus, M. J., Karlsson, M., Starr, J., Roberts, A. L., Lin, Y., Nadkarni, V., Licht, D. J., Berg, R. A., Sutton, R. M., & Kilbaugh, T. J. (2020). Oxygen Exposure During Cardiopulmonary Resuscitation Is Associated With Cerebral Oxidative Injury in a Randomized, Blinded, Controlled, Preclinical Trial. Journal of the American Heart Association, 9(9), e015032. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32321350.

Mauricio, E. C. B., Lopes, M. C. B. T., Batista, R. E. A., Okuno, M. F. P., & Campanharo, C. R. V. (2018). Results of the implementation of integrated care after cardiorespiratory arrest in a university hospital. Revista Latino-Americana de Enfermagem, 26, e2993. Epub 16 de julho de 2018. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-961197.

McHugh, M. D., Rochman, M. F., Sloane, D. M., Berg, R. A., Mancini, M. E., Nadkarni, V. M., Merchant, R. M., & Aiken, L. H. (2016). American Heart Association’s Get With The Guidelines-Resuscitation Investigators Better Nurse Staffing and Nurse Work Environments Associated With Increased Survival of In-Hospital Cardiac Arrest Patients, Medical Care: January 2016 - Volume 54 - Issue 1 - p 74-80. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-26783858.

Nee, J., Jörres, A., Krannich, A., Leithner, C., Schroeder, T., Munk, A. L., Enghard, P., Moore, C., Steppan, S., & Storm, C. (2019). Elimination of glutamate using CRRT for 72 h in patients with post-cardiac arrest syndrome: A randomized clinical pilot trial. Resuscitation, 144, 54–59. https://doi.org/10.1016/j.resuscitation.2019.09.020.

Nishikimi, M., Ogura, T., Nishida, K., Takahashi, K., Nakamura, M., Matsui, S., Matsuda, N., & Iwami, T. (2019). External validation of a risk classification at the emergency department of post-cardiac arrest syndrome patients undergoing targeted temperature management, Resuscitation, Volume 140, 2019, Pages 135-141, ISSN 0300-9572. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31153943.

Pichler, G., & Fazekas, F. (2016). Cardiopulmonary arrest is the most frequent cause of the unresponsive wakefulness syndrome: A prospective population-based cohort study in Austria, Resuscitation, Volume 103, 2016, Pages 94-98, ISSN 0300-9572. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-26980348.

Pulze, G., Alves, W. S., & Paiva, B. C., & Ferretti-Rebustini, R. E. L. (2019). Incidência e fatores associados à parada cardiorrespiratória nas primeiras 24 horas de internação em Unidades de Terapia Intensiva. Revista da Sociedade de Cardiologia do Estado de São Paulo. 29. 192-196. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1009728.

Rasia, M. A. (2016). Cuidados de enfermagem a pacientes em pós-parada cardiorrespiratória internados em Unidade de Terapia Intensiva: construção e validação de protocolo (tese). Repositório da UFSC. https://repositorio.ufsc.br/handle/123456789/167744.

Silva, R., Rodrigues, J. & Nunes, N. (2017). Parada cardiorrespiratória e educação continuada em Unidade de Terapia Intensiva. Revista de Ciências Médicas. 25. 129. 10.24220/2318-0897v25n3a3391. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-859891.

Zhou, D., Li, Z., Shi, G., & Zhou, J. (2020). Proportion of time spent in blood glucose range 70 to 140 mg/dL is associated with increased survival in patients admitted to ICU after cardiac arrest, Medicina: 14 de agosto de 2020 - Volume 99 - Edição 33 - p e21728. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32872055.

Zhuang, YG., Chen, YZ., Zhou, SQ., Peng, Hu., Chen, YQ., & Li, DJ. (2020). High plasma levels of pro-inflammatory factors interleukin-17 and interleukin-23 are associated with poor outcome of cardiac-arrest patients: a single center experience. BMC Cardiovasc Disord 20, 170 (2020). https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32293300.

Published

24/09/2021

How to Cite

RODRIGUES, M. C.; CUNHA, R. K. P. da; VIANA, M. L. da S. .; FÉLIX, J. L. dos S. .; GALVÃO, M. R. da S. .; SILVA, V. L. M. da . Nursing care in Intensive Care Unit in the face of post-cardiac arrest syndrome: an integrative review of the literature. . Research, Society and Development, [S. l.], v. 10, n. 12, p. e377101220475, 2021. DOI: 10.33448/rsd-v10i12.20475. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20475. Acesso em: 20 nov. 2024.

Issue

Section

Health Sciences