Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Research, Society and Development |
| Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/18715 |
Resumo: | Objective: to describe the nursing care provided to hemorrhagic stroke patients using an external ventricular drain. Method: a descriptive study, of experience report type, carried out in June 2021. The study site is in a public university hospital in Southern Brazil. Results: on admission, the nurse is responsible for making sure of the location and permeability of the ventricular drainage, positioning the patient in dorsal decubitus, with sternal alignment and head of the bed at 30º. To install the system, it is necessary to couple the transducer to the multi-parameter monitor, and the zero point of the system must be aligned with the external acoustic meatus, using a leveling ruler. The system is then fixed on a support exclusively for this purpose, maintaining the point height for the cerebrospinal fluid drainage at 20 centimeters above the transducer or the zero point, considering a normal intracranial pressure of up to 15 mmHg. When necessary to change the bed headboard height, the proximal circuit of the patient's head should be interrupted, closing the clamp, keeping the drainage bag well fixed, avoiding level changes and inadvertent drainage. Final considerations: the complexity of care for neuro-critical patients is evident, thus highlighting the need for the implementation of interventions based on specific care plans to obtain the appropriate treatment. |
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Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience reportEnfermería en el Cuidado del Paciente Neuroquirúrgico mediante Bypass Ventricular Externo: informe de experienciaEnfermagem no Cuidados ao Paciente Neurocirúrgico em uso de Derivação Ventricular Externa: relato de experiênciaHealth educationNursing careStroke.Educación en saludAtención de enfermeiraAccidente cerebrovascular.Educação em saúdeCuidados de enfermagemAcidente vascular cerebral.Objective: to describe the nursing care provided to hemorrhagic stroke patients using an external ventricular drain. Method: a descriptive study, of experience report type, carried out in June 2021. The study site is in a public university hospital in Southern Brazil. Results: on admission, the nurse is responsible for making sure of the location and permeability of the ventricular drainage, positioning the patient in dorsal decubitus, with sternal alignment and head of the bed at 30º. To install the system, it is necessary to couple the transducer to the multi-parameter monitor, and the zero point of the system must be aligned with the external acoustic meatus, using a leveling ruler. The system is then fixed on a support exclusively for this purpose, maintaining the point height for the cerebrospinal fluid drainage at 20 centimeters above the transducer or the zero point, considering a normal intracranial pressure of up to 15 mmHg. When necessary to change the bed headboard height, the proximal circuit of the patient's head should be interrupted, closing the clamp, keeping the drainage bag well fixed, avoiding level changes and inadvertent drainage. Final considerations: the complexity of care for neuro-critical patients is evident, thus highlighting the need for the implementation of interventions based on specific care plans to obtain the appropriate treatment.Objetivo: describir los cuidados de enfermería que se brindan a los pacientes con ictus hemorrágico mediante bypass ventricular externo. Método: estudio descriptivo, tipo relato de experiencia, realizado en junio de 2021. El sitio de estudio se encuentra en un hospital universitario público del sur de Brasil. Resultados: al ingreso le corresponde al enfermero cerciorarse de la ubicación y permeabilidad del drenaje ventricular, colocando al paciente en decúbito dorsal, con alineación esternal y cabeza a 30º. Para instalar el sistema es necesario acoplar el transductor al monitor multiparamétrico, y el punto cero del sistema debe estar alineado con el conducto auditivo externo, utilizando una regla de nivelación. A continuación, el sistema se fija sobre un soporte exclusivo para este fin, manteniendo la altura del punto de flujo de líquido cefalorraquídeo a 20 centímetros por encima del transductor o del punto cero, considerando una presión intracraneal normal de hasta 15 mmHg. Cuando sea necesario cambiar la altura de la cabecera de la cama, se debe interrumpir el circuito proximal de la cabeza del paciente, cerrando la pinza, manteniendo bien fijada la bolsa de drenaje, evitando cambios de nivel y drenaje involuntario. Consideraciones finales: existe la complejidad de la atención al paciente neurocrítico, evidenciando así la necesidad de implementar intervenciones basadas en planes de atención específicos para obtener un tratamiento adecuado.Objetivo: descrever os cuidados de Enfermagem prestados aos pacientes acometidos por acidente vascular cerebral hemorrágico em uso de derivação ventricular externa. Método: estudo descritivo, do tipo relato de experiência, realizado em junho de 2021. O local do estudo é em um hospital público universitário do Sul do Brasil. Resultados: na admissão, cabe ao enfermeiro certificar-se da localização e permeabilidade da drenagem ventricular, posicionando o paciente em decúbito dorsal, com alinhamento esternal e cabeceira a 30º. Para realizar a instalação do sistema, é necessário acoplar o transdutor ao monitor multiparâmetros, sendo que o ponto zero do sistema deve estar alinhado ao meato acústico externo, fazendo uso de régua niveladora. O sistema é então fixado em suporte exclusivo para esta finalidade, mantendo a altura do ponto para o escoamento de líquido cefalorraquidiano em 20 centímetros acima do transdutor ou do ponto zero, considerando a pressão intracraniana normal em até 15 mmHg. Quando necessária a mudança na altura da cabeceira do leito, o circuito proximal da cabeça do paciente deve ser interrompido, fechando o clamp, mantendo a bolsa de drenagem bem fixada, evitando alterar nível e drenagem inadvertida. Considerações finais: constata-se a complexidade no cuidado diante do paciente neurocrítico, evidenciando, dessa forma, a necessidade da implantação de intervenções baseadas em planos de cuidados específicos para a obtenção do tratamento adequado.Research, Society and Development2021-08-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1871510.33448/rsd-v10i10.18715Research, Society and Development; Vol. 10 No. 10; e355101018715Research, Society and Development; Vol. 10 Núm. 10; e355101018715Research, Society and Development; v. 10 n. 10; e3551010187152525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/18715/16912Copyright (c) 2021 Carina Galvan; Lisiane Paula Sordi Matzenbacher; Débora Machado Nascimento do Espírito Santo; Rosaura Soares Paczek; Ana Karina Silva da Rocha Tanakahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGalvan, CarinaMatzenbacher, Lisiane Paula Sordi Espírito Santo, Débora Machado Nascimento do Paczek, Rosaura Soares Tanaka, Ana Karina Silva da Rocha 2021-10-02T21:49:16Zoai:ojs.pkp.sfu.ca:article/18715Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:46.915996Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
| dc.title.none.fl_str_mv |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report Enfermería en el Cuidado del Paciente Neuroquirúrgico mediante Bypass Ventricular Externo: informe de experiencia Enfermagem no Cuidados ao Paciente Neurocirúrgico em uso de Derivação Ventricular Externa: relato de experiência |
| title |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report |
| spellingShingle |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report Galvan, Carina Health education Nursing care Stroke. Educación en salud Atención de enfermeira Accidente cerebrovascular. Educação em saúde Cuidados de enfermagem Acidente vascular cerebral. |
| title_short |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report |
| title_full |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report |
| title_fullStr |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report |
| title_full_unstemmed |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report |
| title_sort |
Nursing in the Care of Neurosurgical Patients using External Ventricular Drain: experience report |
| author |
Galvan, Carina |
| author_facet |
Galvan, Carina Matzenbacher, Lisiane Paula Sordi Espírito Santo, Débora Machado Nascimento do Paczek, Rosaura Soares Tanaka, Ana Karina Silva da Rocha |
| author_role |
author |
| author2 |
Matzenbacher, Lisiane Paula Sordi Espírito Santo, Débora Machado Nascimento do Paczek, Rosaura Soares Tanaka, Ana Karina Silva da Rocha |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Galvan, Carina Matzenbacher, Lisiane Paula Sordi Espírito Santo, Débora Machado Nascimento do Paczek, Rosaura Soares Tanaka, Ana Karina Silva da Rocha |
| dc.subject.por.fl_str_mv |
Health education Nursing care Stroke. Educación en salud Atención de enfermeira Accidente cerebrovascular. Educação em saúde Cuidados de enfermagem Acidente vascular cerebral. |
| topic |
Health education Nursing care Stroke. Educación en salud Atención de enfermeira Accidente cerebrovascular. Educação em saúde Cuidados de enfermagem Acidente vascular cerebral. |
| description |
Objective: to describe the nursing care provided to hemorrhagic stroke patients using an external ventricular drain. Method: a descriptive study, of experience report type, carried out in June 2021. The study site is in a public university hospital in Southern Brazil. Results: on admission, the nurse is responsible for making sure of the location and permeability of the ventricular drainage, positioning the patient in dorsal decubitus, with sternal alignment and head of the bed at 30º. To install the system, it is necessary to couple the transducer to the multi-parameter monitor, and the zero point of the system must be aligned with the external acoustic meatus, using a leveling ruler. The system is then fixed on a support exclusively for this purpose, maintaining the point height for the cerebrospinal fluid drainage at 20 centimeters above the transducer or the zero point, considering a normal intracranial pressure of up to 15 mmHg. When necessary to change the bed headboard height, the proximal circuit of the patient's head should be interrupted, closing the clamp, keeping the drainage bag well fixed, avoiding level changes and inadvertent drainage. Final considerations: the complexity of care for neuro-critical patients is evident, thus highlighting the need for the implementation of interventions based on specific care plans to obtain the appropriate treatment. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-08-13 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://rsdjournal.org/index.php/rsd/article/view/18715 10.33448/rsd-v10i10.18715 |
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https://rsdjournal.org/index.php/rsd/article/view/18715 |
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10.33448/rsd-v10i10.18715 |
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por |
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por |
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https://rsdjournal.org/index.php/rsd/article/view/18715/16912 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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Research, Society and Development |
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Research, Society and Development |
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Research, Society and Development; Vol. 10 No. 10; e355101018715 Research, Society and Development; Vol. 10 Núm. 10; e355101018715 Research, Society and Development; v. 10 n. 10; e355101018715 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
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Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
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