Nursing care in adult patients with extracorporeal membrane oxygenation (ECMO). Systematic review
Keywords:
ECMO; Nurse; Nursing care; Nursing care plan.Abstract
Objectives: The main objective of this article was to review the literature about the specific nursing care to adult patients with ECMO, identifying the existence of standardized care plans that optimize the quality of the care and favor the continuity of the care.
Methods: A search was carried out in the following databases: CINAHL, CUIDEN PLUS, EMBASE, LILACS, MEDLINE, PUBMED. All reference lists were imported to a bibliographic manager (RefWorks), a tool used to eliminate duplicate documents. The inclusion criteria were: (1) original scientific article, (2) full text published in Spanish or English. The exclusion criteria were: (1) articles published in other languages, (2) articles in which the interventions performed on patients did not involve nursing participation.
Findings: A review of 11 articles was carried out, analyzing the role of nurses and the care of patients with ECMO. It is important to highlight the importance of prior technical training and the thorough evaluation of all physiological systems and the ECMO circuit, without forgetting family support.
Conclusions: The nurse must provide direct care to the patient with ECMO and to the circuit, carefully review all physiological systems and pay attention to the family members’ care. Therefore, the nurse acquires a primary role in the coordination of care and in the monitoring of the patient with ECMO.
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