La intervención de la enfermera de rehabilitación en la decanulación eficiente del paciente crítico
protocolo de revisión del alcance
DOI:
https://doi.org/10.48492/servir0207.30180Palabras clave:
Enfermería, Rehabilitación, Traqueotomía, UCIResumen
Introducción: La ventilación mecánica prolongada se asocia a destete ventilatorio difícil y se considera indicación de traqueotomía en cuidados intensivos. La presencia de una traqueotomía, a pesar de facilitar el destete ventilatorio, puede originar otras complicaciones para el paciente, por lo que se debe realizar la decanulación lo antes posible Debe tener un enfoque interdisciplinario y la enfermera rehabilitadora puede tener un papel protagonista.
Objetivo: Mapear la evidencia disponible sobre la intervención de rehabilitación en la decanulación de pacientes críticos.
Métodos: Esta revisión de alcance seguirá la estrategia PCC y las recomendaciones PRISMA® del JBI®. Pretendemos responder a la pregunta: “Cuál es la intervención de la enfermera especialista en enfermería rehabilitadora para la decanulación eficiente en pacientes traqueostomizados en cuidados intensivos?”. La búsqueda se realizará en las bases de datos MEDLINE, CINAHL® Complete, Cochrane Database of Systematic Reviews, MedicLatina, Nursing & Allied Health Collection, Scopus®, Web of Science, ProQuest, RCAPP, OpenGrey, MedNar y Google Scholar. Dos revisores independientes evaluarán los estudios obtenidos, analizando sus títulos, resúmenes y posteriormente el texto completo, recurriendo a un tercer revisor si existen discrepancias.
Conclusión Se espera que esta revisión proporcione información para la creación de un protocolo, que oriente la toma de decisiones de rehabilitación en la decanulación.
Descargas
Citas
Beduneau, G., Pham, T., Schortgen, F., Piquilloud, L., Zogheib, E., Jonas, M., Grelon, F., Runge, I., Terzi, N., Grange, S., Barberet, G., Guitard, P. G., Frat, J. P., Constan, A., Chretien, J. M., Mancebo, J., Mercat, A., Richard, J. C. M., & Brochard, L. (2017). Epidemiology of weaning outcome according to a new definition the WIND study. American Journal of Respiratory and Critical Care Medicine, 195(6), 772–783. https://doi.org/10.1164/RCCM.201602-0320OC
Burns, K. E. A., Rizvi, L., Cook, D. J., Lebovic, G., Dodek, P., Villar, J., Slutsky, A. S., Jones, A., Kapadia, F. N., Gattas, D. J., Epstein, S. K., Pelosi, P., Kefala, K., & Meade, M. O. (2021). Ventilator weaning and discontinuation practices for critically ill patients. JAMA, 325(12), 1173–1184. https://doi.org/10.1001/jama.2021.2384
Ciaglia, P., Firsching, R., & Syniec, C. (1985). Elective percutaneous dilatational tracheostomy. Chest, 87(6), 715–719. https://doi.org/10.1378/chest.87.6.715
Costi, S., Brogneri, A., Bagni, C., Pennacchi, G., Beneventi, C., Tabbì, L., Dell’Orso, D., Fantini, R., Tonelli, R., Beghi, G. M., & Clini, E. (2022). Rehabilitation of difficult-to-wean, tracheostomized patients admitted to specialized unit: Retrospective analyses over 10-years. International Journal of Environmental Research and Public Health, 19(5), 2982–2992. https://doi.org/10.3390/ijerph19052982
Everitt, E. (2016). Managing the weaning of a temporary tracheostomy. Nursing Times, 112(20), 17–19.
Fernandez-Bussy, S., Mahajan, B., Folch, E., Caviedes, I., Guerrero, J., & Majid, A. (2015). Tracheostomy tube placement. Journal of Bronchology & Interventional Pulmonology, 22(4), 357–364. https://doi.org/10.1097/LBR.0000000000000177
Ghattas, C., Alsunaid, S., Pickering, E. M., & Holden, V. K. (2021). State of the art: Percutaneous tracheostomy in the intensive care unit. Journal of Thoracic Disease, 13(8), 5261–5276. https://doi.org/10.21037/jtd-19-4121
Gundogdu, I., Ozturk, E. A., Umay, E., Karaahmet, O. Z., Unlu, E., & Cakci, A. (2017). Implementation of a respiratory rehabilitation protocol: Weaning from the ventilator and tracheostomy in difficult-to-wean patients with spinal cord injury. Disability and Rehabilitation, 39(12), 1162–1170. https://doi.org/10.1080/09638288.2016.1189607
Ishizaki, M., Toyama, M., Imura, H., Takahashi, Y., & Nakayama, T. (2022). Tracheostomy decannulation rates in Japan: A retrospective cohort study using a claims database. Scientific Reports, 12(1), 19801–19809. https://doi.org/10.1038/s41598-022-24174-w
Jackson, M., & Cairns, T. (2021). Care of the critically ill patient. Surgery (Oxford), 39(1), 29–36. https://doi.org/10.1016/j.mpsur.2020.11.002
Jeong, B.-H., Lee, K. Y., Nam, J., Ko, M. G., Na, S. J., Suh, G. Y., & Jeon, K. (2018). Validation of a new WIND classification compared to ICC classification for weaning outcome. Annals of Intensive Care, 8(1), 115–123. https://doi.org/10.1186/s13613-018-0461-z
Jin, Y., Di, J., & Wang, X. (2021). Early rehabilitation nursing in ICU promotes rehabilitation of patients with respiratory failure treated with invasive mechanical ventilation. American Journal of Translational Research, 13(5), 5232–5239.
Littlewood, C. G., Jebril, A., Lowe, D., Konig, R., Groom, P., & Rogers, S. N. (2021). Factors contributing to delayed decannulation of temporary tracheostomies following free tissue reconstructive surgery for head and neck cancer. British Journal of Oral and Maxillofacial Surgery, 59(4), 472–477. https://doi.org/10.1016/j.bjoms.2020.09.019
MacIntyre, N. R. (2001). Evidence-based guidelines for weaning and discontinuing ventilatory support. Chest, 120(6), 375S-395S. https://doi.org/10.1378/chest.120.6_suppl.375S
MacIntyre, N. R. (2019). Early mobilization of patients on mechanical ventilation: Worth the effort and expense? Respiratory Care, 64(1), 112–113. https://doi.org/10.4187/respcare.06801
Medeiros, G. C. de, Sassi, F. C., Lirani-Silva, C., & Andrade, C. R. F. de. (2019). Critérios para decanulação da traqueostomia: Revisão de literatura. CoDAS, 31(6). https://doi.org/10.1590/2317-1782/20192018228
Mehta, C., & Mehta, Y. (2017). Percutaneous tracheostomy. Annals of Cardiac Anaesthesia, 20(5), 19–25. https://doi.org/10.4103/0971-9784.197793
Outeiro, R. M., & Soares, S. (2021). A enfermagem de reabilitação e o desmame ventilatório numa unidade de cuidados intensivos. Revista Portuguesa de Enfermagem de Reabilitação, 4(2), 57–63. https://doi.org/10.33194/rper.2021.177
Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI Evidence Synthesis, 20(4), 953–968. https://doi.org/10.11124/JBIES-21-00242
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167
Raimondi, N., Vial, M. R., Calleja, J., Quintero, A., Cortés, A., Celis, E., Pacheco, C., Ugarte, S., Añón, J. M., Hernández, G., Vidal, E., Chiappero, G., Ríos, F., Castilleja, F., Matos, A., Rodriguez, E., Antoniazzi, P., Teles, J. M., Dueñas, C., … Nates, J. L. (2017). Evidence-based guidelines for the use of tracheostomy in critically ill patients. Journal of Critical Care, 38, 304–318. https://doi.org/10.1016/j.jcrc.2016.10.009
Shinn, J. R., Kimura, K. S., Campbell, B. R., Sun Lowery, A., Wootten, C. T., Garrett, C. G., Francis, D. O., Hillel, A. T., Du, L., Casey, J. D., Ely, E. W., & Gelbard, A. (2019). Incidence and outcomes of acute laryngeal injury after prolonged mechanical ventilation. Critical Care Medicine, 47(12), 1699–1706. https://doi.org/10.1097/CCM.0000000000004015
Singh, R. K., Saran, S., & Baronia, A. K. (2017). The practice of tracheostomy decannulation—A systematic review. Journal of Intensive Care, 5(1), 38. https://doi.org/10.1186/s40560-017-0234-z
Thomas, S., Sauter, W., Starrost, U., Pohl, M., & Mehrholz, J. (2017). Time to decannulation and associated risk factors in the postacute rehabilitation of critically ill patients with intensive care unit-acquired weakness: a cohort study. European Journal of Physical and Rehabilitation Medicine, 53(4), 501–507. https://doi.org/10.23736/S1973-9087.16.04400-2
Touman, A. A., & Stratakos, G. K. (2018). Long-term complications of tracheal intubation. In Tracheal Intubation. InTech. https://doi.org/10.5772/intechopen.74160
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Vincent, J.-L., & Creteur, J. (2019). The critically ill patient. In Critical Care Nephrology (pp. 1-4.e1). Elsevier. https://doi.org/10.1016/B978-0-323-44942-7.00001-7
World Health Organization. (2021, November 10). Rehabilitation. https://www.who.int/news-room/fact-sheets/detail/rehabilitation
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 Ana Sofia Castro Correia, Maria Catarina Pinto de Oliveira, Abílio Teixeira Cardoso, Inês Alves da Rocha e Silva Rocha
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
No intuito de promover a livre circulação do conhecimento, a Servir funciona em regime de acesso livre (open access). Todo o seu conteúdo está disponível e protegido sob a licença Creative Commons (CC BY 4.0).
A revista permite o auto-arquivo em repositórios institucionais de todas as versões, podendo ficar imediatamente disponíveis.
