Usability of the multiparameter monitor in adult patients in intensive care units: an integrative review / Usabilidade do monitor multiparamétrico em pacientes adultos em unidades de terapia intensiva: uma revisão integrativa
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https://doi.org/10.9789/2175-5361.rpcfo.v18.13617Keywords:
Unidade de Terapia IntensivaAbstract
Objective: to identify the scientific evidence on the usability of the multiparametric monitor in adult patients in intensive care units. Method: integrative review, the strategy was used PECO (Population: adult patients admitted to the intensive care unit va; Exposure: hemodynamic monitoring; Comparison: does not apply; Outcome: usability of multiparametric monitors) to define the guiding question “Patients admitted to intensive care units have hemodynamic monitoring installed accordingly?” The descriptors were used “Hemodynamic Monitoring”, “Intensive Care Units” and “Adult”, Seven national and international databases were consulted. The time frame was 2018 the 2023, with a sample consisting of 237 articles. References have been exported to the application Rayyan®, and analyzed descriptively. Findings: Four articles that met the established criteria were selected. The evidence addresses the use of hard technology in intensive care units and the need for pathophysiological follow-up supported by biomedical equipment. The importance of monitoring vital signs in a personalized way to critically ill patients was emphasized. Conclusion: There was incipience of robust evidence that addresses the usability of multiparametric monitoring and the management of the multidisciplinary team in the handling, installation and maintenance of surveillance of monitored patients. We highlight the need for studies in the area of usability of multiparametric monitors for critically ill patients.
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References
Knobel E. Monitorização hemodinâmica e estados de choque. 1. ed. São Paulo: Editora dos Editores; 2023.
Brasil. Agência Nacional de Vigilância Sanitária. Manual de tecnovigilância: uma abordagem sob a ótica da vigilância sanitária [Internet]. Brasília: Agência Nacional de Vigilância Sanitária; 2021 [acesso em 12 jul 2023]. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/monitoramento/tecnovigilancia/manual-tecnovigilancia-2021-v4.pdf/view.
Assis AP, Oliveira FT, Camerini FG, Silva RCL, Moraes CM. Individualized parameterization of multiparametric monitors alarms in infarcted patients. Rev Bras Enferm. [Internet]. 2019 [cited 14 jul 2023];72(3). Available from: https://doi.org/10.1590/0034-7167-2018-0485.
Sá DRT, Campos ECA, Santos F, Teixeira RO. Usabilidade das tecnologias biomédicas na Unidade de Terapia Intensiva e sua influência na assistência de enfermagem. Global Acad Nurs J. [Internet]. 2021 [acesso em 27 jul 2023];2(Supl 3):e185. Disponível em: https://doi.org/10.5935/2675-5602.20200185.
Amarijo CL, Figueira AB, Gonçalves NGC. Segurança do paciente: conexões de dispositivos. Res Soc Dev. [Internet]. 2022 [acesso em 27 jul 2023];11(10):e474111033188. Disponível em: https://doi.org/10.33448/rsd-v11i10.33188.
Cabral JVB, Silva WBS, Farias RRS. Avaliação do conhecimento de enfermeiros atuantes em unidade de terapia intensiva sobre monitorização hemodinâmica. Rev Bras Multidiscip. [Internet]. 2021 [acesso em 27 jul 2023];24(3). Disponível em: https://revistarebram.com/index.php/revistauniara/article/view/783.
Oliveira SC, Corrêa BT, Dodde HN, Pereira GL, Aguiar BGC. O enfermeiro na detecção dos sinais e sintomas que antecedem sepse em pacientes na enfermaria. Rev Pesqui Cuid Fundam. [Internet]. 2019 [acesso em 27 jul 2023];11(5). Disponível em: https://ciberindex.com/index.php/ps/article/view/P13071311.
Signore A, Campagna G. Evidence-based medicine: reviews and meta-analysis. Clin Transl Imaging. [Internet]. 2023 [cited 27 jul 2023];11. Available from: https://doi.org/10.1007/s40336-022-00538-0.
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein (São Paulo). [Internet]. 2010 [cited 27 jul 2023];8(1). Available from: https://doi.org/10.1590/S1679-45082010RW1134.
Botelho LLR, Cunha CCA, Macedo M. O método da revisão integrativa nos estudos organizacionais. Gest Soc. [Internet]. 2011 [acesso em 27 jul 2023];5(11). Disponível em: https://ges.face.ufmg.br/index.php/gestaoesociedade/article/view/1220/.
Sousa LMM, Marques-Vieira CMA, Severino SSP, Antunes AV. A metodologia de revisão integrativa da literatura em enfermagem. Rev Investig Enferm. [Internet]. 2017 [acesso em 27 jul 2023];21(2). Disponível em: http://www.sinaisvitais.pt/images/stories/Rie/RIE21.pdf.
Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Diretrizes metodológicas: elaboração de revisão sistemática e metanálise de estudos observacionais comparativos sobre fatores de risco e prognóstico [Internet]. Brasília: Ministério da Saúde; 2014 [acesso em 27 jul 2023]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_fatores_risco_prognostico.pdf.
Melnyk BM, Fineout-Overholt E, Stillwell SB, Williamson KM. Evidence-based practice: step by step: the seven steps of evidence-based practice. Am J Nurs. [Internet]. 2010 [cited 27 jul 2023];110(1). Available from: https://pubmed.ncbi.nlm.nih.gov/20032669/.
Heringlake M, Sander M, Treskatsch S, Brandt S, Schmidt C. Hämodynamische Zielvariablen auf der Intensivstation. Anaesthesist. [Internet]. 2018 [cited 27 jul 2023];67. Available from: https://doi.org/10.1007/s00101-018-0489-3.
Yoon JH, Pinsky MR. Predicting adverse hemodynamic events in critically ill patients. Curr Opin Crit Care. [Internet]. 2018 [cited 27 jul 2023];24(3). Available from: https://pubmed.ncbi.nlm.nih.gov/29601321/.
De Backer D, Vincent JL. Noninvasive monitoring in the intensive care unit. Semin Respir Crit Care Med. [Internet]. 2021 [cited 27 jul 2023];42(1). Available from: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1718387.
Kulkarni AP, Govil D, Samavedam S, Srinivasan S, Ramasubban S, Venkataraman R, et al. ISCCM guidelines for hemodynamic monitoring in the critically ill. Indian J Crit Care Med. [Internet]. 2022 [cited 27 jul 2023];26(Suppl 2). Available from: https://pubmed.ncbi.nlm.nih.gov/36896359/.
Divatia JV, Amin PR, Ramakrishnan N, Kapadia FN, Todi S, Sahu S, et al.; INDICAPS Study Investigators. Intensive care in India: the Indian Intensive Care Case Mix and Practice Patterns Study. Indian J Crit Care Med. [Internet]. 2016 [cited 27 jul 2023];20(4). Available from: https://doi.org/10.5005/jp-journals-10071-23965.
Divatia JV, Mehta Y, Govil D, Zirpe K, Amin PR, Ramakrishnan N, et al. Intensive care in India in 2018–2019: the second Indian Intensive Care Case Mix and Practice Patterns Study. Indian J Crit Care Med. [Internet]. 2021 [cited 27 jul 2023];25(10). Available from: https://doi.org/10.5005/jp-journals-10071-23965.
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