OBJECTIVE: To identify the adverse events associated with the use of arterial catheters in critically-ill patients in the world scientific production.
METHODS: The present scoping review was conducted according to the JBI methodology for scoping reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist was used for reporting. The research question was \"Which adverse events related to the use of arterial catheters in patients admitted to intensive care are more evident in the literature?\". Data collection took place in the following databases: LILACS; MEDLINE; EMBASE; CINAHL, EBSCOhost; and WEB OF SCIENCE.
RESULTS: Through the search strategies, 491 articles were found in the databases. After exclusion of duplicates, peer analysis of titles and abstracts, full reading and screening of lists of references, the final sample of studies included was 38 articles. The main harms cited by the publications were as follows: limb ischemia, thrombosis, hemorrhage, accidental removal, inadvertent connection of inadequate infusion solution, pseudoaneurysm and bloodstream infection.
CONCLUSIONS: It was evidenced that patients are subjected to risks of adverse events from the insertion moment to removal of the arterial catheter, focusing on the infusion solution used to fill the circuit, the type of securement and dressings chosen, as well as the Nursing care measures for the prevention of bloodstream infection.
目的:确定世界科学生产中与危重患者使用动脉导管相关的不良事件。
方法:本范围审查是根据JBI范围审查方法进行的。系统审查和Meta分析扩展范围审查的首选报告项目(PRISMA-ScR)清单用于报告。研究的问题是:“哪些与重症监护患者使用动脉导管相关的不良事件在文献中更为明显?”数据收集发生在以下数据库中:LILACS;MEDLINE;EMBASE;CINAHL,EBSCOhost;和WEB的科学。
结果:通过搜索策略,在数据库中找到了491篇文章。排除重复项后,对标题和摘要的同行分析,全面阅读和筛选参考文献清单,最终纳入的研究样本为38篇文章.出版物引用的主要危害如下:肢体缺血,血栓形成,出血,意外移除,不充足的输液意外连接,假性动脉瘤和血流感染.
结论:有证据表明,患者从动脉导管的插入时刻到拔除存在不良事件的风险,专注于用于填充电路的输液,所选择的固定和敷料的类型,以及预防血流感染的护理措施。