VENTRICULAR ASSIST DEVICES AND NURSING CARE

Cestari, Virna Ribeiro Feitosa; Pessoa, Vera Lúcia Mendes de Paula; Moreira, Thereza Maria Magalhães; Florêncio, Raquel Sampaio; Barbosa, Islene Victor; Ribeiro, Silvania Braga

doi:10.1590/0104-07072017000980016

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Original Article • Texto contexto - enferm. 26 (3) • 2017 • https://doi.org/10.1590/0104-07072017000980016 linkcopy

VENTRICULAR ASSIST DEVICES AND NURSING CARE

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: describing the functioning, benefits and complications associated with the use of ventricular assist devices and identifying the interventions performed by nurses in the care of patients using this device, according to presented evidence.

Method: an integrative review of articles collected in health databases conducted in February 2015. The descriptors used were heart diseases, heart-assist devices and nursing. We identified 34 articles, which were then submitted to thematic analysis.

Results: ventricular assist devices function as mechanical pumps promoting adequate cardiac output. Their main benefit is hemodynamic stabilization. The most common complication is infection. Health education, emotional support, outpatient care and curative care are the main care actions performed by nurses.

Conclusion: evidence confirms improvement in survival rates of patients with severe heart failure with the use of ventricular assist devices, reiterating the importance of expanding this technology in Brazil as a possibility for treatment.

DESCRIPTORS:
Cardiac disorders; Cardiac insufficiency; Artificial heart; Nursing; Cardiovascular nursing; Nursing care

Study	Journal/year	Methodological design	LE	Topic approached	Nursing actions	Justification for Nursing actions
A1¹³	Prog Transpl/ 2010	Experience Report	V	Preparing nurses for the Total Artificial Heart Program (TAH-t)	Creation/implementation of protocols and standard care; knowledge regarding the ethical aspects that involve the theme	Development and maintenance of professional competence
A2¹⁴	J Card Surg/ 2010	Review	V	Expansion of scientific knowledge about the use of VAD: components, associated benefits and complications	-	-
A3¹⁵	Prog Transpl/ 2010	Hermeneutic phenomenology	V	Emotional experiences of caregivers of patients with VAD	Evaluation of the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A4⁸	Prog Transpl/ 2010	Case study	IV	Expansion of scientific knowledge about the use of VAD: components, associated benefits and complications	-	-
A5¹⁶	Medical-Surgical Nurs/ 2011	Descriptive	V	The use of VADs and ethical aspects	Creation/implementation of protocols and standard care; knowledge of the ethical aspects involving the theme	Development and maintenance of professional competence
A6¹⁷	J Card Surg/ 2011	Case-control study	IV	Re-evaluation of VAD patients eligible for transplant	-	-
A7¹⁸	Mayo Clin Proc/ 2011	Retrospective	V	Implementation of palliative medicine consultations	-	-
A8¹⁹	Pediatr Cardiol/ 2011	Descriptive	V	Children's experience awaiting transplant with VAD and family members	Evaluation of the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A9²⁰	Prog Transpl/ 2011	Longitudinal	IV	Sleep pattern and quality	Analysis of sleep quality and pattern	Reduction of complications and health promotion
A10²¹	Prog Transpl/ 2011	Hermeneutic phenomenology	V	Lifestyle adjustments of caregivers of adults with VAD	Evaluating the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A11²²	Prog Transpl/ 2012	Experience Report	V	Alteration of body self-perception imposed by VAD	Evaluating the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A12²³	Prog Transpl/ 2012	Descriptive	V	Nurses health care practice in caring for the patient with VAD	Assessment and management of health problems: interpretation/request for laboratory tests and other diagnostic procedures; realization of physical examination; monitoring vital signs; patients admissions and discharges; home visits	Patient monitoring to prevent or diagnose early complications associated with the use of VAD
A13²⁴	Circulation/ 2012	Case-control study	IV	Benefits: reduction of myocardial lipotoxicity, reversing insulin resistance and cardiac metabolism normalization in patients with advanced heart failure	-	-
A14²⁵	Prog Transpl/ 2012	Exploratory and descriptive	V	Definition of existing practices (standardization or protocol based on experts' opinions) to prevent infections	-	-
A15²⁶	Int J Artif Organs/ 2012	Exploratory and descriptive	V	Sleep pattern and quality	Analysis of sleep quality and pattern	Reduction of complications and health promotion
A16⁸	Arqu Bras Cardiol/ 2012	Review	V	Expansion of scientific knowledge about the use of VAD: components, associated benefits and complications	-	-
A17²⁷	Rev Bras Cirur Cardiovasc/ 2013	Case study	IV	Use of ventricular assistance after refractory cardiogenic shock	-	-
A18²⁸	J Clin Nurs/ 2013	Hermeneutic phenomenology	V	Alteration of body self-perception imposed by VAD	Evaluating the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A19²⁹	Heart Vessels/ 2013	Case-control study	IV	Effects of VAD in carotid artery compliance	-	-
A20⁹	Prog Transpl/ 2013	Systematic review	II	Expansion of scientific knowledge about the use of VAD: its components, associated benefits and complications	-	-
A21³⁰	Int J Med Sci/ 2013	Case-control study	IV	Complications: oxidative stress, DNA damage and repair	-	-
A22³¹	Prog Transpl/ 2013	Descriptive	V	Nurses health care practice in caring for the patient with VAD	Evaluating the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A23³²	Clin Infect Dis/ 2013	Retrospective	V	Manifestations and actions associated with the occurrence of infections	-	-
A24³³	Circulation/ 2013	Prospective	V	Risk factors for infection in the pre-, intra-and postoperative periods of VAD implantation	-	-
A25³⁴	J Emerg Nurs/ 2013	Case study	IV	Management of patients with VAD in the emergency department	Intervention in emergency situations and complications related to VAD	Control of complications and improved survival
A26³⁵	Mayo Clinic Proc/ 2013	Retrospective	V	Management of patients with VAD in the perioperative period	-	-
A27³⁶	Prog Transpl/ 2013	Review	V	Expansion of scientific knowledge about the use of VAD: components, associated benefits and complications	Assessment and management of health problems: interpretation/request for laboratory tests and other diagnostic procedures; realization of physical examination; monitoring vital signs; patient admissions and discharges; home visits	Patient monitoring to prevent or diagnose early complications associated with the use of the VAD
A28³⁷	Prog Transpl/ 2013	Review	V	Complications: intestinal bleeding	-	-
A29³⁸	Med Sci Monit/2014	Case-control study	IV	Benefits: hemodynamic effects	-	-
A30³⁹	Am J Nephrol /2014	Retrospective	V	Complications: kidney damage	-	-
A31⁴⁰	Int J Artif Organs/ 2014	Exploratory and descriptive	V	Nurses health care practice in caring for the patient with VAD	Assessment and management of health problems: interpretation/request for laboratory tests and other diagnostic procedures; realization of physical examination; monitoring vital signs; patient admissions and discharges; home visit	Patient monitoring to prevent or diagnose early complications associated with the use of VAD
A32⁴¹	J Korean Med Sci /2014	Case study	IV	Benefits: cardiac rehabilitation	-	-
A33⁴²	Prog Transpl /2014	Hermeneutic phenomenology	V	Perception of caregivers of adults with VAD	Evaluating the perception of patients, family members, caregivers and nurses	Possibility of interventions based on the actual situation
A34⁴³	Arqu Bras Cardiol/2015	Case study	IV	VAD implant for heart transplantation	-	-

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