What is the best digital technology for the keep in ventilation with mechanical ventilation nursing intervention in ICU - Systematic Literature Review

Abstract

Introduction: High complexity is the environment in which the patient needs more assistance from the multidisciplinary team and often requires tracheal intubation and invasive mechanical ventilation (IMV). Thus, it is an important role for nurses to have knowledge about the advantages and disadvantages of using digital technologies that can help in patient care. Objective: to systematically synthesize the best evidence on digital health technologies for the nursing intervention “maintain ventilation with a mechanical ventilator” (ICNP® code: 10046258). Methodology: Integrative literature review, which sought articles that dealt with digital health technologies that optimize the nursing intervention “maintain ventilation with a mechanical ventilator, published between 2014 and 2020 in the virtual portals of the Lilacs, BVS and SciELO databases. 279 articles were found, 29 articles were selected for reading, after analyzing the inclusion criteria, 10 articles were selected. Results: The literature review resulted in 10 articles, with most articles being published in 2020, with the predominant country of publication Brazil and cross-sectional and descriptive studies represented the majority of selected articles, with eight works with their variations in approach and two studies were an integrative literature review. Discussion: The digital technology found that optimizes the intervention in question was an electronic form that identifies flaws in the care processes of the nursing team to patients using mechanical ventilation, as it generates reports on the application of the VAP prevention bundle by nursing professionals. The other studies guided the use of other health technologies for care maintenance to promote adequate ventilation and prevent infections associated with the use of the invasive device, such as: lower airway aspiration, maintenance of cuff pressure, oral hygiene with chlorhexidine 0.12% and monitoring and evaluation of ventilatory parameters to promote adequate patient oxygenation in respiratory disorders. Conclusion: From the discussion carried out in this study, the nursing professional has evidence-based information that can help in decision making, contributing to health recovery, providing quality and comprehensive care, in relation to the intervention of maintaining the use of mechanical ventilator ventilation in the patient in critical care for a period of 7 days.