Conocimiento enfermero sobre hipotermia inducida tras parada cardiorrespiratoria: revisión bibliográfica / Nursing knowledge about hypothermia induced after cardiopulmonary arrest: literature review

Este trabajo pretende realizar una revisión de la evidencia científica actual sobre la hipotermia (HT) terapéutica inducida tras parada cardiorrespiratoria (PC). Examinar la literatura publicada; el conocimiento enfermero existente; y la búsqueda del rol propio de Enfermería. Antecedentes La PC es una situación sanitaria problemática que lleva asociada una alta mortalidad. Gracias a las maniobras de reanimación cardiopulmonar (RCP) han aumentado los pacientes que recuperan la circulación espontánea; en cambio, la mortalidad en las Unidades de Cuidados Intensivos (UCI), derivada de los daños neurológicos producidos, sigue siendo muy alta. La HT terapéutica inducida se define como un elemento protector frente al daño neurológico consecuente de la PC, y las maniobras de RCP; y a pesar de las recomendaciones sobre su utilización dentro del manejo del síndrome posparada, existe poca rigurosidad sobre su uso, escasa estandarización enfermera, y falta de protocolos en nuestras UCI. Estrategia de búsqueda Las bases de datos a las que se accede son: Medline, Pubmed, Ocenet Salud, Cochrane Library Plus, Cuiden, Scielo, y las plataformas electrónicas Elsevier, OVID y ProQuest. Las siguientes palabras clave se utilizaron para iniciar la búsqueda: Hypothermia, Induced, Heart Arrest, Nursing. Criterios de inclusión y exclusión Solo evidencias publicadas desde el año 2005, sin importar el idioma de salida, priorizando aquellos trabajos con participación enfermera. Conclusiones esta trabajo deja patente la evidencia del uso de HT inducida tras PC; y los conocimientos y literatura necesaria para que Enfermería interprete un rol propio, e implemente protocolos estandarizados en nuestras UCI en relación (AU)

This paper aims to conduct a review of current scientific evidence on therapeutic hypothermia (TH) induced after cardiac arrest (CA).To examine the published literature; existing nursing knowledge; and the pursuit of the proper role of nursing. Background CA is a problematic health status with a high associated mortality rate. Cardiopulmonary resuscitation (CPR) techniques have increased the number of patients who recover spontaneous circulation, whereas, mortality in intensive care units (ICU) arising from the neurological damage produced, remains very high. Induced TH is defined as a protective factor against neurological damage resulting from the CA and CPR, but despite the recommendations on its use in the management of post-cardiac arrest syndrome, there is little rigour in its use, little nurse standardisation, and a lack of protocols in our ICU .Search strategy The databases which can be accessed are: Medline, Pubmed, Ocenet Health, Cochrane Library Plus, Cuiden, Scielo, and electronic platforms Elsevier, OVID and ProQuest. The following keywords were used to start the search: "Hypothermia, Induced", "Heart Arrest", "Nursing". Inclusion and exclusion criteria: only evidence published since 2005, regardless of the output language, focusing on those works involving nursing. Conclusions This work shows clear evidence of the use of TH induced after CA, and the literature and knowledge required for nursing to interpret their own role, and to introduce standardised protocols for ICUs (AU)

[Nursing knowledge about hypothermia induced after cardiopulmonary arrest: literature review]. / Conocimiento enfermero sobre hipotermia inducida tras parada cardiorrespiratoria: revisión bibliográfica.

OBJECTIVES: This paper aims to conduct a review of current scientific evidence on therapeutic hypothermia (TH) induced after cardiac arrest (CA).To examine the published literature; existing nursing knowledge; and the pursuit of the proper role of nursing. BACKGROUND: CA is a problematic health status with a high associated mortality rate. Cardiopulmonary resuscitation (CPR) techniques have increased the number of patients who recover spontaneous circulation, whereas, mortality in intensive care units (ICU) arising from the neurological damage produced, remains very high. Induced TH is defined as a protective factor against neurological damage resulting from the CA and CPR, but despite the recommendations on its use in the management of post-cardiac arrest syndrome, there is little rigour in its use, little nurse standardisation, and a lack of protocols in our ICU. SEARCH STRATEGY: The databases which can be accessed are: Medline, Pubmed, Ocenet Health, Cochrane Library Plus, Cuiden, Scielo, and electronic platforms Elsevier, OVID and ProQuest. The following keywords were used to start the search: "Hypothermia, Induced", "Heart Arrest", "Nursing". INCLUSION AND EXCLUSION CRITERIA: only evidence published since 2005, regardless of the output language, focusing on those works involving nursing. CONCLUSIONS: This work shows clear evidence of the use of TH induced after CA, and the literature and knowledge required for nursing to interpret their own role, and to introduce standardised protocols for ICUs.