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Enfermería en Cardiología

Enfermería en Cardiología

SEPTIEMBRE 2021 N° 84 Volumen 31

Hemodynamic impact of daily hygiene on the critical cardiology patient

Section: Artículos Científicos

Authors

Silvia Pérez-Ortega1, Vanessa Hervás Durán2, Silvia Vidorreta Gracia2, Emma Fontanet Ferri3, Josefina Casal Rodríguez4, Montserrat Venturas Nieto5, Adelaida Zabalegui6

Position

1RN, MSc, PhD student. Unidad de Cuidados Cardiológicos Agudos, Hospital Clínic de Barcelona.2RN, MSc. Unidad de Cuidados Cardiológicos Agudos, Hospital Clínic de Barcelona.3RN, MSc. Unidad de Cuidados Intensivos de Cirugía Cardiovascular, Hospital Clínic de Barcelona.4RN, MSc. Práctica avanzada en Insuficiencia Cardiaca, Hospital Clínic de Barcelona.5RN, PhD. Jefe de Enfermería del Instituto Clínico Cardiovascular, Barcelona.6RN, PhD, FEANS. Subdirectora de Enfermería del Hospital Clínic de Barcelona.

Contact address

Silvia Pérez-Ortega. Unidad Cuidados Cardiológicos Agudos. Hospital Clínic Barcelona. Villarroel, 170. 08036 Barcelona

Contact email: sperezo@clinic.cat

Abstract

Introduction. Hygiene of critically ill patients is generally performed to improve physical condition and keep the patient clean and comfortable. This activity is conducted at the bedside and should be planned, tailored and in some cases restricted.

The main objective of our study was to identify the hemodynamic impact and the adverse events of daily-bathing on critical patients admitted in two Cardiovascular Intensive Care Units.

Material and method. A prospective observational study was conducted in a reference tertiary hospital. Clinical, haemodynamic and adverse events were collected during and 30-60 minutes after daily hygiene.

Results. We analysed 242 patient hygiene routines: 114 in a Coronary Intensive Care Unit and 128 in a Cardiovascular Surgery Intensive Care Unit; 69.8% of patients were male. The most prevalent adverse event during patient hygiene was arterial hypertension (25.4% in Coronary Intensive Care Unit and 19.5% in Cardiovascular Surgery Intensive Care Unit). However, 30-60 min post hygiene only 1.8% and 3.1% of Coronary Intensive Care Unit and Cardiovascular Surgery Intensive Care Unit patients remained hypertensive, respectively.

Conclusion. Arterial hypertension was the most frequent adverse event during daily hygiene in critically ill cardiovascular patients, especially in patients with assisted invasive mechanical ventilation. Hygiene in critical patients probably induced some patient discomfort which might reflect the need for creation of specific analgesia protocols.

Keywords:

chygiene; baths; adverse effect; critical care; cardiac nursing; coronary care nursing

Versión en Español

Título:

Impacto hemodinámico de la higiene en el paciente crítico cardiovascular

Artículo completo no disponible en este idioma / Full article is not available in this language

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