Determination of blood pressure in carriers of artificial ventricle continuous flow: Practice report

Authors

DOI:

https://doi.org/10.33448/rsd-v12i2.40227

Keywords:

Coração auxiliar; Determinação da pressão arterial; Pratica avancada de enfermagem ; Educação em enfermagem.

Abstract

The objective of the research is to report the procedure for determining blood pressure in patients with continuous flow artificial ventricle. This is a descriptive, exploratory, experience report type study. The specialized and evidence-based professional practice allowed observing that the use of this procedure among patients with continuous flow artificial ventricle can be performed by the previously trained nursing team. The continuous flow pump mechanism alters the blood pressure verification mechanism, as it modifies the presence of pulsatility. The most recommended technique for this profile of patients, in a non-invasive way, is through the use of vascular Doppler to verify the mean arterial pressure. Therefore, in recent years, the use of an artificial ventricle has been on the rise as a therapeutic alternative used in our environment and requires specific care, pressure measurement being one of them and of great importance. This study allowed listing the care and guidelines for professionals and patients.

References

Ayub-Ferreira, S. M., Souza, J. D., Neto, Almeida, D. R., Biselli, B., Avila, M. S., Colafranceschi, A. S., Stefanello, B., Carvalho, B. M., Polanczyk, C. A., Galantini, D. R., Bocchi, E. A., Chamlian, E. G., Hojaij, E. M., Gaiotto, F. A., Pinton, F. A., Jatene, F. B., Ramires, F., Atik, F. A., Figueira, F., Bacal, F., … Issa, V. S. (2016). Diretriz de Assistência Circulatória Mecânica da Sociedade Brasileira de Cardiologia. Arquivos brasileiros de cardiologia, 107(2 Suppl 2), 1–33. https://doi.org/10.5935/abc.20160128

Barroso, W. K. S., Rodrigues, C. I. S.; Bortolotto, L. A.; Mota-Gomes, M. A.; Brandão, A. A.; Feitosa, A. D. M.; Machado, C. A.; Poli-di-Figueiredo, C. E.; Amodeo, C., ..., Nadruz, W. (2021) Diretrizes Brasileiras de Hipertensão Arterial. Arquivos Brasileiros de Cardiologia, 116(3),516-658. https://doi.org/10.36660/abc.20201238

Bennett, M. K., & Adatya, S. (2015). Blood pressure management in mechanical circulatory support. Journal of thoracic disease, 7(12), 2125–2128. https://doi.org/10.3978/j.issn.2072-1439.2015.11.05

Cestari, V. R. F., Pessoa, V. L. M. P., Moreira, T. M. M., Florêncio, R. S., Barbosa, I. V. & Ribeiro, S. B. (2017). Dispositivos de assistência ventricular e cuidados de enfermagem. Texto & Contexto Enfermagem, 26(3): e0980016. https://doi.org/10.1590/0104-07072017000980016

Jakovljevic, D. G., Yacoub, M. H., Schueler, S., MacGowan, G. A., Velicki, L., Seferovic, P. M., Hothi, S., Tzeng, B. H., Brodie, D. A., Birks, E., & Tan, L. B. (2017). Left Ventricular Assist Device as a Bridge to Recovery for Patients With Advanced Heart Failure. Journal of the American College of Cardiology, 69(15), 1924–1933. https://doi.org/10.1016/j.jacc.2017.02.018

Lanier, G. M., Orlanes, K., Hayashi, Y., Murphy, J., Flannery, M., Te-Frey, R., Uriel, N., Yuzefpolskaya, M., Mancini, D. M., Naka, Y., Takayama, H., Jorde, U. P., Demmer, R. T., & Colombo, P. C. (2013). Validity and reliability of a novel slow cuff-deflation system for noninvasive blood pressure monitoring in patients with continuous-flow left ventricular assist device. Circulation. Heart failure, 6(5), 1005–1012. https://doi.org/10.1161/CIRCHEARTFAILURE.112.000186

Lankheet, S., Pieterse, M. M., Rijnhout, R., Tuerlings, E., Oppelaar, A. C., van Laake, L. W., Ramjankhan, F. Z., Westerhof, B. E., & Oerlemans, M. I. F. J. (2022). Validity and success rate of noninvasive mean arterial blood pressure measurements in cf-LVAD patients: A technical review. Artificial organs, 46(12), 2361–2370. https://doi.org/10.1111/aor.14367

Lemos, D. M. P., Barcellos, R. A., Borba, D. S. M., Caballero, L. G., Goldraich, L. A. & Echer, I.C. (2019) Comunicação efetiva para o cuidado seguro ao paciente com implante de Dispositivo de Assistência Ventricular. Revista Gaúcha de Enfermagem.,40 (spe): e20180344. https://doi.org/10.1590/1983-1447.2019.20180344.

Li, S., Beckman, J. A., Welch, N. G., Cheng, R. K., Rockom, S. W., Levy, W. C., O'Brien, K. D., Dardas, T. F., Lin, S., Leary, P. J., Kirkpatrick, J., McCabe, J. M., Bjelkengren, J., Chassagne, F., Aliseda, A., Zimpfer, D., & Mahr, C. (2020). Accuracy of Doppler blood pressure measurement in HeartMate 3 ventricular assist device patients. ESC heart failure, 7(6), 4241–4246. https://doi.org/10.1002/ehf2.13056

Mangini, S., Pires, P. V., Braga, F. G. M. & Bacal, F. (2013). Insuficiência cardíaca descompensada. Einstein,11(3),383-389. https://doi.org/10.1590/S1679-45082013000300022

Markham, D. W., & Drazner, M. H. (2013). Measuring nonpulsatile blood pressure: say goodbye to the Doppler? Circulation. Heart failure, 6(5), 879–880. https://doi.org/10.1161/CIRCHEARTFAILURE.113.000579

Muniz, V. O., Silva, G. T. R., Pedreira, L. C., Menezes, T. M. O. & Guerrero-Castañeda, R. F. (2022). Contribuições da pedagogia freiriana para o ensino da fenomenologia em enfermagem: relato de experiência. Revista Gaúcha de Enfermagem,43, e:20220131 doi: https://doi.org/10.1590/1983-1447.2022.20220131.pt

Muntner, P., Shimbo, D., Carey, R. M., Charleston, J. B., Gaillard, T., Misra, S., Myers, M. G., Ogedegbe, G., Schwartz, J. E., Townsend, R. R., Urbina, E. M., Viera, A. J., White, W. B., & Wright, J. T., Jr (2019). Measurement of Blood Pressure in Humans: A Scientific Statement From the American Heart Association. Hypertension (Dallas, Tex.:1979), 73(5), e35–e66. https://doi.org/10.1161/HYP.0000000000000087

Pereira, B. C., Nascimento, M. G. G., Lima, R. S., Dázio, E. M. R. & Fava, S. M. C. L. Knowledge and Skills About Measuring Blood Pressure Among Nursing Undergraduate Students. (2018). Revista de Pesquisa: Cuidado é Fundamental Online,10(3), 729- 736. https://doi.org/10.9789/2175-5361.2018.v10i3.729-736.

Rangasamy, S., Madan, S., Saeed, O., Goldstein, D. J., Jorde, U. P., Negassa, A., & Patel, S. R. (2019). Noninvasive Measures of Pulsatility and Blood Pressure During Continuous-Flow Left Ventricular Assist Device Support. ASAIO journal (American Society for Artificial Internal Organ: 1992), 65(3), 241–246. https://doi.org/10.1097/MAT.0000000000000805

Rohde, L., Montera, M. W., Bocchi, E. A., Clausell, N. O., Albuquerque, D. C., Rassi, S., Colafranceschi, A. S., Freitas, A. F., Junior, Ferraz, A. S., Biolo, A., Barretto, A., Ribeiro, A., Polanczyk, C. A., Gualandro, D. M., Almeida, D. R., Silva, E., Figueiredo, E. L., Mesquita, E. T., Marcondes-Braga, F. G., … Martins, W. A. (2018). Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arquivos brasileiros de cardiologia, 111(3), 436–539. https://doi.org/10.5935/abc.20180190

Saeed, O., & Jorde, U. P. (2019). Impact and Measurement of Blood Pressure During Continuous Flow Left Ventricular Assist Device Support: The Pressure Is On! ASAIO journal (American Society for Artificial Internal Organs: 1992), 65(2), 101–103. https://doi.org/10.1097/MAT.0000000000000960

Saeed, O., Jermyn, R., Kargoli, F., Madan, S., Mannem, S., Gunda, S., Nucci, C., Farooqui, S., Hassan, S., Mclarty, A., Bloom, M., Zolty, R., Shin, J., D'Alessandro, D., Goldstein, D. J., & Patel, S. R. (2015). Blood pressure and adverse events during continuous flow left ventricular assist device support. Circulation. Heart failure, 8(3), 551–556. https://doi.org/10.1161/CIRCHEARTFAILURE.114.002000

Silva, A. V. C. da , Saraiva, E. L. ., & Balestra, N. (2021). Qualidade de vida em pacientes com Dispositivos de Assistência Ventricular de longa permanência. Research, Society and Development, 10(17), e168101724466. https://doi.org/10.33448/rsd-v10i17.24466

Wever-Pinzon, O., Drakos, S. G., McKellar, S. H., Horne, B. D., Caine, W. T., Kfoury, A. G., Li, D. Y., Fang, J. C., Stehlik, J., & Selzman, C. H. (2016). Cardiac Recovery During Long-Term Left Ventricular Assist Device Support. Journal of the American College of Cardiology, 68(14), 1540–1553. https://doi.org/10.1016/j.jacc.2016.07.743

Downloads

Published

07/02/2023

How to Cite

SANTOS, I. G. M. dos .; SILVA, A. V. C. da .; VIANA, T. H. X. .; CALLIL, F. C. .; BALESTRA, N. . Determination of blood pressure in carriers of artificial ventricle continuous flow: Practice report. Research, Society and Development, [S. l.], v. 12, n. 2, p. e21912240227, 2023. DOI: 10.33448/rsd-v12i2.40227. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40227. Acesso em: 17 nov. 2024.

Issue

Vol. 12 No. 2

Section

Health Sciences

License

Copyright (c) 2023 Isabela Gomes Musa dos Santos; Adryel Vieira Caetano da Silva; Teully Hemerson Xavier Viana; Fabricio Canova Callil; Natalia Balestra

Creative Commons License

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.