Implications of decreased cardiac output nursing diagnosis in postoperative cardiac surgery: systematic literature review

Janine Gomes Timótheo, Isabel Cruz

Abstract


Introduction: The physiological changes of the cardiac surgery postoperative period are related to anesthesia, surgical trauma and cardiopulmonary bypass. The decrease in cardiac output constitutes a threat to the patient's prognosis. Question clinic: For high complexity clients with cardiac output diagnosis decreased postoperative cardiac surgery which more effective intervention for their resolution? Methods: A systematic review of the literature. Summary of scientific evidence: The cardiac output decreased not only linked to identification of invasive methods, the faster detection largest prognosis. Discussion: More studies are needed to present scientific evidence on nursing interventions for patients with decreased cardiac output, most of the studies summarized in identifying factors and defining characteristics of this diagnosis. Contributions to clinical practice: The intensive care nurse must have the ability to detect and interpret blood flow early signs of failure by clinical signs.

Keywords


Evidence-Based Nursing. Intensive care. Hemodynamic monitoring

Full Text:

HTML

References


Galdeano LE, Rossi LA, Santos CB, Dantas RAS. Diagnósticos de enfermagem no perioperatório de cirurgia cardíaca. Revista da Escola de Enfermagem da USP. 2006;40:26-33. Available from: http://www.scielo.br/scielo.php?pid=S0080-62342006000100004&script=sci_arttext.

Brandão SMG, Altino DM, Silva RCG, Lopes JL. Defining Characteristics of Decreased Cardiac Output: A Literature Review. International Journal of Nursing Terminologies and Classifications. 2011;22(2):92--102. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1744-618X.2010.01174.x/abstract;jsessionid=A8F8FD8A34990AD74633111CAB09E78F.f02t01

Van Tulder M, Furlan A, Bombardier C, Bouter L. Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine (Phila Pa 1976). 2003 Jun 15;28(12):1290-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12811274

WebQualis. Sistema Integrado CAPES [cited 2014 nov 29]. Available from: http://qualis.capes.gov.br/webqualis/principal.seam

Corley A, Barnett AG, Mullany D, Fraser JF. Nurse-determined assessment of cardiac output. Comparing a non-invasive cardiac output device and pulmonary artery catheter: a prospective observational study. Int J Nurs Stud. 2009 Oct;46(10):1291-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19423107

Martins QC, Aliti G, Rabelo ER. Decreased cardiac output: clinical validation in patients with decompensated heart failure. Int J Nurs Terminol Classif. 2010 Oct-Dec;21(4):156-65. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1744-618X.2010.01174.x/abstract;jsessionid=A8F8FD8A34990AD74633111CAB09E78F.f02t01

Pivoto FL, Lunardi Filho WD, Santos SSC, Almeida MA, Silveira RSd. Diagnósticos de enfermagem em pacientes no período pós-operatório de cirurgias cardíacas. Acta Paulista de Enfermagem. 2010;23:665-70. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002010000500013

Melo RP, Lopes MVO, Araujo TL, Silva LF, Sampaio AA, Santos F, et al. Risk for decreased cardiac output: validation of a proposal for nursing diagnosis. Nursing in Critical Care. 2011;16(6):287--94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21999419

Souza V, Zeitoun SS, Barros ALBL. Débito cardíaco diminuído: revisão sistemática das características definidoras. Acta Paulista de Enfermagem. 2011; 24:114-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002011000100017&nrm=iso






JSNCARE
Share |