Nursing care in adult patients with extracorporeal membrane oxygenation (ECMO). Systematic review

Authors

  • Mari Carmen Zaragozà Biot
  • Juan Navarro Guillén
  • Rocío Sánchez Miguel
  • Carmen Natividad Cárdenas Beltrán
  • Oscar Fernández Alquézar
  • Mª Cristina Alfaro Royo

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.

Downloads

Download data is not yet available.

References

Berryman S. Extracorporeal membrane oxygenation in a Scottish intensive care unit. Nurs. Crit. Care. 2010;15(5):262-268. https://doi.org/10.1111/j.1478-5153.2010.00419.x

Dang D, Johantgen M, Pronovost P, Jenckes M, Bass E. Postoperative complications: Does intensive care unit staff nursing make a difference? Heart Lung. 2002;31(3):219-228. https://doi.org/10.1067/mhl.2002.122838

Dalton HJ. Extracorporeal life support: moving at the speed of light. Respiratory Care. 2011;56(9):1445-1456. https://doi.org/10.4187/respcare.01369

Freeman R, Nault C, Mowry J, Baldridge P. Expanded resources through utilization of a primary care giver extracorporeal membrane oxygenation model. Crit Care Nurs Q. 2012;35(1):39-49. https://doi.org/10.1097/CNQ.0b013e31823b1fa1

Honey M, Wang W. New Zealand nurses perceptions of caring for patients with influenza A (H1N1). Nurs Crit Care. 2013;18(2):63-69. https://doi.org/10.1111/j.1478-5153.2012.00520.x

Flörchinger B, Philipp A, Klose A, Hilker M, Kobuch R, Rupprecht L, et al. Pumpless extracorporeal lung assist: a 10-year institutional experience. Ann Thorac Surg. 2008;86(2):410-417. https://doi.org/10.1016/j.athoracsur.2008.04.045

Sánchez Luna M, Valls i Soler A, Moreno Hernando J. Oxigenación por membrana extracorpórea (ECMO). Indicaciones y guía para el contacto con una unidad de ECMO. Anales de Pediatría. 2002;57(1):51-54. https://doi.org/10.1016/S1695-4033(02)77892-2

Pertierra Cortada A, Moreno Hernando J, Mayol Gómez J, Castañón García-Alix M, Agut Quijano T. Oxigenación por membrana extracorpórea neonatal: 9 años de experiencia. Cir Pediatr. 2012;25:69-74.

Zwischenberger J, Lynch J. Will CESAR answer the adult ECMO debate? The Lancet. 2009;374(9698):1307-1308. https://doi.org/10.1016/S0140-6736(09)61630-5

Sihler K, Park P. Extracorporeal membrane oxygenation in the context of the 2009 H1N1 influenza A pandemic. Surgical infections. 2011;12(2):151-158. https://doi.org/10.1089/sur.2010.082

Gómez-Caro A, Badia J, Ausin P. Asistencia respiratoria extracorpórea en la insuficiencia respiratoria grave y el SDRA. Situación actual y aplicaciones clínicas. Archivos de Bronconeumología. 2010; 46(10):531-537. https://doi.org/10.1016/j.arbres.2010.05.005

Peek GJ, Mugford M, Tiruvoipati R, Wilson A, Allen E, Thalanany M, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. The Lancet. 2009;374(9698):1351-1363. https://doi.org/10.1016/S0140-6736(09)61069-2

Courtin A, Sanchez L, Sinquet JC, Gaudard P, Eliet J, Barge F, Colson P. ARDS and ECMO, an update on critical care nursing. Open J. Nurs. 2012;2(03):301-306. http://dx.doi.org/10.4236/ojn.2012.223044

MacLaren G, Combes A, Bartlett RH. Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era. Intensive Care Med. 2012;38(2):210-220. https://doi.org/10.1007/s00134-011-2439-2

Rodríguez A, Martin-Loeches I, Bonastre J, Olaechea P, Álvarez-Lerma F, Zaragoza R, et al. First influenza season after the 2009 pandemic influenza: report of the first 300 ICU admissions in Spain. Medicina intensiva. 2011;35(4):208-216. https://doi.org/10.1016/j.medin.2011.03.001

Bonastre J, Suberviola B, Pozo JC, Guerrero JE, Torres A, Rodríguez A, et al. Uso de oxigenador de membrana extracorpóreo en pacientes con insuficiencia respiratoria aguda grave refractaria en la epidemia de gripe estacional 2010-2011 por influenza A (H1N1) en España. Med Intensiva. 2012;36(3):193-199. https://doi.org/10.1016/j.medin.2011.12.004

Kulkarni T, Sharma NS, Diaz-Guzman E. Extracorporeal membrane oxygenation in adults: A practical guide for internists. Cleve Clin J Med. 2016;83(5):373-384.

Torregrosa S, Fuset MP, Castelló A, Mata D, Heredia T, Bel A et al. Oxigenación de membrana extracorpórea para soporte cardíaco o respiratorio adultos. Cirugía Cardiovascular.2009;16(2):163-177. https://doi.org/10.1016/S1134-0096(09)70162-7

Allen S e, Holena D, McCunn M, Kohl B, Sarani B. A review of the fundamental principles and evidence base in the use of extracorporeal membrane oxygenation (ECMO) in critically ill adult patients. J Intensive Care Med. 2011;26(1):13-26. https://doi.org/10.1177/0885066610384061

Chillcot S, Stahovich, M, Earnhardt C, Dembitsky W. Portable rapid response extracorporeal life support a center's 20-year experience with a registered nurse-run program. Crit Care Nurs Q. 2008;31(3):211-215. https://doi.org/10.1097/01.CNQ.0000325045.17023.d1

Laird P, Ruppert SD. Acute respiratory distress syndrome - a case study. Crit Care Nurs Q. 2011;34(2):165-174.

Gay SE, Ankney N, Cochran JB, Highland KB. Critical care challenges in the adult ECMO patient. Dimensions of Critical Care Nursing. 2005;24(4):157-162. https://doi.org/10.1097/00003465-200507000-00001

Merino-Trujillo A. Como escribir documentos científicos (Parte 3). Artículo de revisión. Salud en Tabasco. 2011;17(1-2), 36-40.

Urrutia G, Bonfill X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaánalisis. Medicina Clínica. 2010;135(11):507-511.

Moreno F, Pérez MT, Poza A. ECMO: un caso clínico. Enfermería en Cardiología. 2012;55:91-93.

Short BL. ECMO Specialist Training Manual. Ann Arbor: ELSO; 2010.

V Brogan T, Lequier L, Lorusso R, MacLaren G, Peek G. Extracorporeal Life Support: The ELSO Red Book. Ann Arbor: ELSO; 2017.

Bibro C, Lasich C, Rickman F, Foley NE, Kunugiyama SK, Moor E, et al. Critically ill patients with H1N1 influenza A undergoing extracorporeal membrane oxygenation. Crit Care Nurse. 2011;31(5):e8-e24. https://doi.org/10.4037/ccn2011186

Downloads

Published

2019-12-09

How to Cite

Zaragozà Biot, M. C. ., Navarro Guillén, J., Sánchez Miguel, R. ., Cárdenas Beltrán, C. N. ., Fernández Alquézar, O. ., & Alfaro Royo, M. C. . (2019). Nursing care in adult patients with extracorporeal membrane oxygenation (ECMO). Systematic review. Atena Journal of Public Health, 1, 2. Retrieved from https://atenajournals.com/index.php/ajph/article/view/9

Issue

Section

Articles