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Authors
Advisor(s)
Abstract(s)
A utilização da ventilação não invasiva (VNI) é um dos desafios que o enfermeiro,
em contexto do serviço de urgência (SU), enfrenta na execução das suas funções enquanto
cuidador, uma vez que esta é uma técnica indispensável no tratamento de várias
patologias em situações de emergência do foro respiratório.
O objetivo geral deste trabalho consiste em identificar as complicações dos doentes
críticos submetidos a terapia com VNI, internados no SU da Unidade Local de Saúde de
Bragança. Trata-se de um estudo observacional, de caráter exploratório, quantitativo e
descritivo, realizado através da aplicação de uma grelha de observação a uma amostra de
35 doentes críticos sujeitos a terapia com VNI, no período de novembro de 2017 a março
de 2018.
Dos 35 doentes estudados, 57.14% eram do sexo feminino e a faixa etária com
maior frequência correspondia a mais de 85 anos (37.14%). As Comorbilidades mais
prevalentes foram as perturbações do tipo cardiovascular (85.71%) e perturbações
respiratórias (51.43%). Os diagnósticos clínicos de maior frequência no momento de
admissão do doente crítico no SU foram: insuficiência respiratória (45.71%),
insuficiência cardíaca (34.29%) e 37.14% dos doentes foram diagnosticados com
pneumonia. Verificou-se a utilização do modo Bilevel positive pressure airway pressure
(BPAP) em maior incidência em todos os momentos de avaliação definidos pela
investigadora.
As complicações mais frequentes dos doentes submetidos a VNI, encontradas neste
estudo, foram: secura da boca, sensação de claustrofobia, ulcerações da face ou
desconforto causado pela máscara, com dor presente no nariz, marcas e rubor no local de
contacto, alguma evidência para distensão abdominal, aerofagia e acumulação de
secreções.
Sugerimos a realização de outros estudos com amostras maiores, onde seja
possível determinar outras associações e a sensibilização da equipe multidisciplinar para
a identificação precoce das complicações inerentes a este tipo de tratamento.
The use of noninvasive ventilation (NIV) is one of the challenges nurses face in the context of the emergency department (ED), in the execution of their functions as caregiver, since the use of NIV is an indispensable technique in the treatment of several pathologies in respiratory emergencies. The aim of this study is to identify the complications of patients submitted to emergency NIV in the Emergency Department of Bragança. Quantitative study of descriptiveexploratory and correlational character. Thirty-five patients, subject to NIV, were studied from November 2017 to March 2018. Of the 35 patients studied 57.14% were female, and the age group with the highest frequency corresponded to more than 85 years (37.14%). The most prevalent comorbidities were cardiovascular disorders, 85.71% and respiratory disorders, 51.43%. The most frequent clinical diagnoses at the time of admission were: respiratory failure (45.71%), heart failure (34.29%) and 37.14% of the patients were diagnosed with pneumonia. The use of the Bilevel positive pressure airway pressure (BPAP) mode was verified at higher incidence at all times and evaluated. The complications of the most frequent NIV patients observed this study were dry mouth, claustrophobia, facial ulcerations or discomfort caused by the mask, pain in the nose, and marks and flushing at the site of contact, some evidence for distension abdominal, aerophagia, accumulation of secretions. We suggest other studies with larger samples, where it is possible to determine other associations and the sensitization of the multidisciplinary team for the early identification of the complications inherent to this type of treatment.
The use of noninvasive ventilation (NIV) is one of the challenges nurses face in the context of the emergency department (ED), in the execution of their functions as caregiver, since the use of NIV is an indispensable technique in the treatment of several pathologies in respiratory emergencies. The aim of this study is to identify the complications of patients submitted to emergency NIV in the Emergency Department of Bragança. Quantitative study of descriptiveexploratory and correlational character. Thirty-five patients, subject to NIV, were studied from November 2017 to March 2018. Of the 35 patients studied 57.14% were female, and the age group with the highest frequency corresponded to more than 85 years (37.14%). The most prevalent comorbidities were cardiovascular disorders, 85.71% and respiratory disorders, 51.43%. The most frequent clinical diagnoses at the time of admission were: respiratory failure (45.71%), heart failure (34.29%) and 37.14% of the patients were diagnosed with pneumonia. The use of the Bilevel positive pressure airway pressure (BPAP) mode was verified at higher incidence at all times and evaluated. The complications of the most frequent NIV patients observed this study were dry mouth, claustrophobia, facial ulcerations or discomfort caused by the mask, pain in the nose, and marks and flushing at the site of contact, some evidence for distension abdominal, aerophagia, accumulation of secretions. We suggest other studies with larger samples, where it is possible to determine other associations and the sensitization of the multidisciplinary team for the early identification of the complications inherent to this type of treatment.
Description
Keywords
Doente crítico Ventilação não invasiva Complicações da ventilação não invasiva