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EXPERIENCE REPORT
Implementation of care for the use of the extracorporeal oxygenation membrane in the COVID-19 pandemic
- Ligia Neres Matos
, - Julia Gonçalves Escossia Campos ,
- Liana Amorim Corrêa Trotte ,
- Marluci Andrade Conceição Stipp
04-14-2021
Resumo
EXPERIENCE REPORTImplementation of care for the use of the extracorporeal oxygenation membrane in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200870
04-14-2021DOI 10.1590/0034-7167-2020-0870
- Ligia Neres Matos ,
- Julia Gonçalves Escossia Campos ,
- Liana Amorim Corrêa Trotte ,
- Marluci Andrade Conceição Stipp
Visualizações0ABSTRACT
Objective:
To report the experience of a quaternary care center on the implementation of a care program for patients with severe hypoxemic respiratory failure due to SARS-CoV-2 requiring an extracorporeal oxygenation membrane.
Method:
This is an experience report with a descriptive approach, analyzing the use of the extracorporeal oxygenation membrane in a quaternary care center in the city of Rio de Janeiro.
Results:
The planning for the use of the extracorporeal oxygenation membrane included training with the professionals and use of the components related to the adaptation of the protocol, equipment, facilities, quality and safety.
Final Considerations:
Planning, resource allocation and regular training of the team to offer complex interventions, in line with recommendations for good practices in the care for patients with pulmonary complications related to the new coronavirus were essential for the development of the action plan for the use of extracorporeal oxygenation membrane in this pandemic period.
Palavras-chave: Coronavirus InfectionsExtracorporeal Membrane OxygenationPandemicsPlanningSevere Acute Respiratory SyndromeVer maisVisualizações0
Resumo
EXPERIENCE REPORTImplementation of care for the use of the extracorporeal oxygenation membrane in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200870
04-14-2021DOI 10.1590/0034-7167-2020-0870
- Ligia Neres Matos ,
- Julia Gonçalves Escossia Campos ,
- Liana Amorim Corrêa Trotte ,
- Marluci Andrade Conceição Stipp
Visualizações0ABSTRACT
Objective:
To report the experience of a quaternary care center on the implementation of a care program for patients with severe hypoxemic respiratory failure due to SARS-CoV-2 requiring an extracorporeal oxygenation membrane.
Method:
This is an experience report with a descriptive approach, analyzing the use of the extracorporeal oxygenation membrane in a quaternary care center in the city of Rio de Janeiro.
Results:
The planning for the use of the extracorporeal oxygenation membrane included training with the professionals and use of the components related to the adaptation of the protocol, equipment, facilities, quality and safety.
Final Considerations:
Planning, resource allocation and regular training of the team to offer complex interventions, in line with recommendations for good practices in the care for patients with pulmonary complications related to the new coronavirus were essential for the development of the action plan for the use of extracorporeal oxygenation membrane in this pandemic period.
Palavras-chave: Coronavirus InfectionsExtracorporeal Membrane OxygenationPandemicsPlanningSevere Acute Respiratory SyndromeVer mais - Ligia Neres Matos
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REVIEW
Predictors of complications associated with extracorporeal membrane oxygenation
Revista Brasileira de Enfermagem. 2020;73(2):e20180666
03-30-2020
Resumo
REVIEWPredictors of complications associated with extracorporeal membrane oxygenation
Revista Brasileira de Enfermagem. 2020;73(2):e20180666
03-30-2020DOI 10.1590/0034-7167-2018-0666
Visualizações0Ver maisABSTRACT
Objectives:
to identify in the literature, the predictors of ECMO complications in adult patients.
Methods:
integrative review of literature, including articles in Portuguese, English and Spanish published from 2014 to 2018 in five databases. Included articles which analyzed the predictive factors of ECMO complications in adult patients using multivariate analysis.
Results:
a total of 1629 articles were identified, of which 19 were included. Nineteen predictors were identified for neurological complications (e.g., post-ECMO hypoglycemia), seven for bleeding complications (e.g., fungal pneumonia), four for infections complications (e.g., preoperative creatinine level), three for kidney complications (e.g., the length of ICU stay> 20 days) and a combination of factors for mechanical complications (e.g., median flow).
Conclusions:
different predictors were identified to ECMO complications. The knowledge of these predictors enables the individualized targeting of preventive interventions by multidisciplinary team for modifiable factors, as well as intensification of monitoring for early recognition of non-modifiable factors.
Visualizações0Resumo
REVIEWPredictors of complications associated with extracorporeal membrane oxygenation
Revista Brasileira de Enfermagem. 2020;73(2):e20180666
03-30-2020DOI 10.1590/0034-7167-2018-0666
Visualizações0Ver maisABSTRACT
Objectives:
to identify in the literature, the predictors of ECMO complications in adult patients.
Methods:
integrative review of literature, including articles in Portuguese, English and Spanish published from 2014 to 2018 in five databases. Included articles which analyzed the predictive factors of ECMO complications in adult patients using multivariate analysis.
Results:
a total of 1629 articles were identified, of which 19 were included. Nineteen predictors were identified for neurological complications (e.g., post-ECMO hypoglycemia), seven for bleeding complications (e.g., fungal pneumonia), four for infections complications (e.g., preoperative creatinine level), three for kidney complications (e.g., the length of ICU stay> 20 days) and a combination of factors for mechanical complications (e.g., median flow).
Conclusions:
different predictors were identified to ECMO complications. The knowledge of these predictors enables the individualized targeting of preventive interventions by multidisciplinary team for modifiable factors, as well as intensification of monitoring for early recognition of non-modifiable factors.
Extracorporeal Membrane Oxygenation Archives - Revista Brasileira de Enfermagem
