Intra aortic balloons in candidate patients of heart transplants: operational guide of the cares of nursing

Authors

  • Regimar Carla Machado Enfermeira. Doutora em Ciências pelo Programa de Pós-Graduação em Cirurgia Cardiovascular da Universidade Federal de São Paulo – UNIFESP – São Paulo (SP)
  • João Nelson Rodrigues Branco Médico. Livre Docente e Professor Adjunto da Disciplina de Cirurgia Cardiovascular da Universidade Federal de São Paulo – UNIFESP – São Paulo (SP)
  • Ana Lucia Gargione Galvão Sant Anna Enfermeira. Mestre em Ciências e Professora do Departamento de Enfermagem Universidade do Vale do Paraíba– UNIVAP – São José dos Campos (SP)
  • Vania Maria de Araujo Giaretta Enfermeira. Mestre em Ciências e Professora do Departamento de Enfermagem Universidade do Vale do Paraíba– UNIVAP – São José dos Campos (SP)
  • Maria Belen Salazar Posso Enfermeira. Professora Doutora do Departamento de Enfermagem Universidade do Vale do Paraíba– UNIVAP – São José dos Campos (SP),
  • Enio Buffolo Médico. Professor Titular da Disciplina de Cirurgia Cardiovascular da Universidade Federal de São Paulo – UNIFESP – São Paulo (SP)
DOI: https://doi.org/10.6018/eglobal.11.4.159211
Keywords: Heart Transplant, Assisted Circulation, Nurse Care

Abstract

The research was carried out to validate the content of an operational guide of nurse care among the candidate patients of heart transplants which used Intra Aortic Balloons correlating to publications of scientific literature on the practical experience of specialists. The methodology trajectory followed three phases: 1-Construction of the instrument; 2-Validation of the content of the instrument; 3-Elaboration of the operational guide for the analysis of the agreement between the referees and the scientific literature. The study sample was composed of 48 professionals from expert doctors and nurses who give the direct assistance to the patients in a clinically unstable cardiologic condition using the BIA. The care validated in this study referred to the maintenance in horizontal decubitus and indication of the change of decubitus of the patient; to carry out the change of the insertion point of the catheter whenever there are signs of infection; the time between the changing of the transparent film dressing over the place of insertion of the catheter balloon is made every seven days; to constantly evaluate the position of the catheter in the thorax by x-ray; to evaluate the clinic of the of insertion of the catheter; to analyze the time of exchange of the transducers; to clarify to the patient and family the risk-benefit of the BIA; to communicate to the patient each of the parameter changes of the BIA; the compression of the wound after the withdrawal of the catheter can be carried out manually, mechanically or a mix of the two. The study is based on the clinical practice of experts and scientific literature, present in this study, it was observed that the construction of a guide can be a tool of great value for the systematization of the care.

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Published
28-09-2012
How to Cite
[1]
Machado, R.C. et al. 2012. Intra aortic balloons in candidate patients of heart transplants: operational guide of the cares of nursing. Global Nursing. 11, 4 (Sep. 2012). DOI:https://doi.org/10.6018/eglobal.11.4.159211.
Issue
Vol. 11 No. 4 (2012): #28 - Octubre
Section
Administración-Gestión-Calidad

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