What is the best digital technology for nursing intervention in care with an invasive device site in the icu? – Systematized Literature Review

Larissa Angeli Guirra, Isabel Cruz


The intensive care unit (ICU) is the sector that most uses invasive devices for diagnostic procedures and for the treatment of patients who are in critical condition, the insertion of these devices and their length of stay can trigger complications such as infections related to Health Assistance (IRAS). The objective of this study is to search the professional scientific literature for digital technologies, their characteristics and their purpose of use which can optimize the nursing intervention in the care with an invasive device location (CIPE® code: 10031592), as well as having a positive impact on the therapeutic results of the highly complex patient. It is an integrative computerized review carried out in the databases of the virtual health library (VHL) and PubMed from March to December 2021. We seletcted 8 articles, 1 monograph and 1 thesis were evaluated in relation to the strength of evidence and clinical relevance. Considering that HAIs are one of the factors that increase morbidity and mortality in patients who are hospitalized in the intensive care unit, it is concluded that the monitoring of these patients must be strict, especially in the first 24 hours of insertion of the invasive devices and during their permanence and exchange. The invasive hemodynamic clinical evaluation in patients affected by serious illnesses, major surgeries, prolonged use of intravenous drugs, and among other cases is of extreme importance, therefore, HAIs should be prevented early and the appropriate nursing interventions to be defined implemented.


Nursing; Health

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Hespanhol LAB, Ramos SCS, Ribeiro Júnior OC, Araújo TS, Martins AB. Infecção relacionada à Assistência à Saúde na Unidade de Terapia Intensiva Adulto. Enferm Global [Internet]. 2019 [cited 2021 abr 14];(53):229-241.Available from: https://scielo.isciii.es/pdf/eg/v18n53/pt_1695-6141-eg-18-53-215.pdf

Silva CS. Intervenções para o controle e prevenção de infecções relacionadas à assistência à saúde em unidades de terapia intensiva [undergraduate thesis]. Rio de Janeiro. Instituto de Medicina Social. Universidade do Estado do Rio de Janeiro; 2019, 56 p. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1050631

Silva AG, Oliveira AC. Impacto da implementação dos Bundles na redução das infecções da corrente sanguínea: uma revisão integrativa. Texto contexto Enferm [Internet]. 2018 [cited 2021 abr 19];27(1):e3540016. Available from: https://www.scielo.br/j/tce/a/gK7c9qQpZGxQbqjFLMMG3pp/abstract/?lang=pt

Dantas AC, Araújo JNM, Nascimento AAA, Martins QCS, Araújo MG. Medidas utilizadas em unidades de terapia intensiva para prevenção de infecção: revisão integrativa. Rev Rene [Internet]. 2020 [cited 2021 abr 19]; 21:e44043. Available from: http://repositorio.ufc.br/bitstream/riufc/53170/1/2020_art_acdantas.pdf

Fernandes MS, Fernandes MS, Nogueira HKL, Pontes FS, Góes ACF, Oliveira DF. Bundle para a prevenção de infecção de corrente sanguínea. Rev Enferm UFPE on line [Internet]. 2019 [cited 2021 abr 19];13(1):1-8. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/237743/31116

Perin DC, Erdmann AL, Higashi GDC, Sasso GTM. Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Rev Latino Am. Enferm [Internet]. 2016 [cited 2021 abr 19];24:e2787. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016007/

Lara MO. Detecção de patógenos em ponta de cateter venoso central por reação em cadeia da polimerase [master’s thesis].Belo Horizonte: Pós-Graduação em Saúde Pública da Faculdade de Medicina, Universidade Federal de Minas Gerais, 2018 [cited 2021 maio 01]. 80p. Available from: https://repositorio.ufmg.br/handle/1843/BUOS-B46H9Z

Ullman AJ, August D, Kleidon T, Walker R, Marsh NM, Bulmer A, et al. Peripherally Inserted Central catheter iNnovation to reduce Infections and Clots (the PICNIC trial): a randomised controlled trial protocol. BMJ Open [Internet]. 2021 [cited 2021 out 23];11:e042475. Available from:https://bmjopen.bmj.com/content/11/4/e042475

Zhang J, Wang B, Wang J, Yang Q. Ethanol locks for the prevention of catheter-related infection in patients with central venous catheter: a systematic review and meta-analysis of randomized controlled trials. PLoS ONE [Internet]. 2019 [cited 2021 nov 10];14(9):e0222408. Available from: https://pubmed.ncbi.nlm.nih.gov/31513652/

Freitas LCM, Guedes MTS, Santiago LC. Proposta de um software-protótipo para uso na assistência a pacientes com cateter central de inserção periférica (PICC). Rev Fund Care Online [Internet]. 2017 [cited 2021 nov 28]; 9(2):536-544. Available from: http://seer.unirio.br/cuidadofundamental/article/view/5481

URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v14i1.34501

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