Intervenciones para el cuidado ocular en pacientes críticos/quirúrgicos en decúbito prono: revisión de alcance
DOI:
https://doi.org/10.5294/aqui.2022.22.3.3Palabras clave:
Cuidado crítico, Cirugía general, Cuidado de enfermera, Salud ocular, Posición pronaResumen
Objetivos: el presente estudio tuvo como objetivo mapear la evidencia de las intervenciones de cuidado ocular en el manejo de pacientes críticos o quirúrgicos sometidos a decúbito prono. Materiales y método: esta revisión de alcance se elaboró de acuerdo con la metodología del Instituto Joanna Briggs y bajo los criterios de PRISMA-ScR. Se realizó una búsqueda entre julio y agosto de 2020 en las bases de datos SCOPUS, Web of Science, Science Direct, PubMed Central, CINAHL y COCHRANE. Además, se delimitó la siguiente pregunta de investigación: “¿Cuáles son las estrategias e intervenciones utilizadas para el cuidado ocular en el manejo del paciente crítico o quirúrgico sometido al decúbito prono?”. Después de aplicar los criterios de inclusión y exclusión, la muestra quedó constituida por 24 estudios. Resultados: las intervenciones oftalmológicas en el manejo de pacientes críticos/quirúrgicos sometidos a decúbito prono fueron examen oftalmológico, uso de lubricantes/solución oftálmica específica, posicionamiento de Trendelenburg inverso y protección con cinta adhesiva. Conclusiones: esta revisión permitió la comprensión del cuidado ocular de pacientes críticos/quirúrgicos en decúbito prono. Entre los cuidados presentados, gran parte está relacionada con la enfermería, puesto que es más cercana al cuidado del paciente. Los hallazgos enfatizan la necesidad de implementar políticas de seguridad del paciente con el cuidado ocular como prioridad.
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Dalmedico MM, Salas D, Oliveira AM, Baran FDP, Meardi JT, Santos MC. Efficacy of prone position in acute respiratory distress syndrome: overview of systematic reviews. Rev Esc Enferm USP. 2017;51:e03251. DOI: https://doi.org/10.1590/s1980-220x2016048803251
Araújo MS, Santos MMP, Silva CJA, Menezes RMP, Feijão AR, Medeiros SM. Prone positioning as an emerging tool in the care provided to patients infected with COVID-19: a scoping review. Rev Lat Am Enferm. 2021;29:e3397. DOI: https://doi.org/10.1590/1518-8345.4732.3397
Borges DL, Rapello GVG, Deponti GN, Andrade FMD. Posição prona no tratamento da insuficiência respiratória aguda na COVID-19. ASSOBRAFIR Ciênc. 2020;11(1):111. DOI: https://doi.org/10.47066/2177-9333.AC20.covid19.011
Reece-Anthony R, Lao G, Carter C, Notter J. COVID-19 disease: Acute respiratory distress syndrome and prone position. Clin Integr Care. 2020;3:100024. DOI: https://doi.org/10.1016/j.intcar.2020.100024
Welter DI, Batista DCR, Moretti MMS, Piekala DM, Oliveira VM. Clinical profile and complications in pronated patients: a cohort from a university hospital. Clin Biomed Res. 2019;39(4):301-306.
Hadaya J, Benharash P. Prone Positioning for Acute Respiratory Distress Syndrome (ARDS). JAMA. 2020;324(13):1361. DOI: https://doi.org/10.1001/jama.2020.14901
Marimon MF, Huguet EG, Biosca AR. El decúbito prono como estrategia terapéutica para la mejora del síndrome de distrés respiratorio agudo. Metas Enferm. 2018;20(1):57-63. DOI: https://doi.org/10.35667/MetasEnf.2019.20.1003081019
Small J, Robertson E, Runcie C. Care of the eye during anaesthesia and intensive care. Anaesthesia and Intensive Care Medicine. 2019;20:731–734. DOI: https://doi.org/10.1016/j.mpaic.2019.10.008
Oliveira VM, Piekala DM, Deponti GN, Batista D, Minossi SD, Chisté M, et al. Safe prone checklist: construction and implementation of a tool for performing the prone maneuver. Rev Bras Ter Intensiva. 2017;29(2):131–141. DOI: https://doi.org/10.5935/0103-507X.20170023
Hearne BJ, Hearne EG, Montgomery H, Lightman SL. Eye care in the intensive care unit. J Intensive Care Soc. 2018;19(4):345-350. DOI: https://doi.org/10.1177/1751143718764529
Peters M, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–2126. DOI: https://doi.org/10.11124/JBIES-20-00167
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Inter Med. 2018;169:467-473. DOI: https://doi.org/10.7326/M18-0850
Dantas AC, Costa ML, Araújo JNM. Interventions for eye care in critical/surgical patients in a prone position: A Scoping Review; 2020. Available from: https://osf.io/2h6kc
Centre for Evidence-Based Medicine. Levels of evidence (March 2009); 2019. Available from: https://www.cebm.net/2009/06/oxfor-centre-evidence-based-medicinelevels-evidence- march-2009/
Kwee MM, Ho YH, Rozen WM. The prone position during surgery and its complications: a systematic review and evidence-based guidelines. Int Surg. 2015;100:292-303. DOI: https://doi.org/10.9738/INTSURG-D-13-00256.1
Wilcklin SA. Systematic review and meta-analysis of prone position on intraocular pressure in adults undergoing surgery. Int J Spine Surg. 2020;14:195–208. DOI: https://doi.org/10.14444/7029
Kocatürk Ö, Kocatürk T, Kaan N, Dayanir V. The comparison of four different methods of perioperative eye protection under general anesthesia in prone position. J Clin Anal Med. 2012;3:163-165. DOI: https://doi.org/10.4328/JCAM.607
Deniz MN, Erakgün A, Sertöz N, Yılmaz SG, Ateş H, Erhan E. The effect of head rotation on intraocular pressure in prone position: a randomized trial. Braz J Anesthesiol. 2013:63(2):209-212. DOI: https://doi.org/10.1016/S0034-7094(13)70217-4
Curley MAQ, Arnold JH, Thompson JE, Fackler JC, Grant MJ, Fineman LD, et al. Clinical trial design - effect of prone positioning on clinical outcomes in infants and children with acute respiratory distress syndrome. J Crit Care. 2006;21(1):23-32. DOI: https://doi.org/10.1016/j.jcrc.2005.12.004
Ozcan MS, Praetel C, Bhatti MT, Gravenstein N, Mahla ME, Seubert C. The effect of body inclination during prone positioning on intraocular pressure in awake volunteers: a comparison of two operating tables. Anesth Analg. 2005;99(4):1152-1158. DOI: https://doi.org/10.1213/01.ANE.0000130851.37039.50
Zeng LA, Lie SA, Chong SY. Comparison of Medical Adhesive Tapes in Patients at Risk of Facial Skin Trauma under Anesthesia. Anesthesiol Res Pract. 2016. DOI: https://doi.org/10.1155/2016/4878246
Carey TW, Shaw KA, Weber ML, Devine JG. Effect of the degree of reverse Trendelenburg position on intraocular pressure during prone spine surgery: a randomized controlled trial. Spine J. 2014;14(9):2118-2126. DOI: https://doi.org/10.1016/j.spinee.2013.12.025
Farag E, Sessler DI, Kovaci B, Wang L, Mascha EJ, Bell G, et al. Effects of crystalloid versus colloid and the α-2 agonist brimonidine versus placebo on intraocular pressure during prone spine surgery: A factorial randomized trial. Anesthesiology. 2012;116:807–815. DOI: https://doi.org/10.1097/ALN.0b013e3182475c10
Atwater BI, Wahrenbrock E, Benumof JL, Mazzei WJ. Pressure on the face while in the prone position: ProneView versus Prone Positioner. J Clin Anesth. 2004;16(2):111-6. DOI: https://doi.org/10.1016/j.jclinane.2003.06.001
Kadam AB, Jaipuria AS, Rathod AK. Modified prone position using lateral brace attachments for cervico-dorsal spine surgeries. Eur Spine J. 2013;22:1474–1479. DOI: https://doi.org/10.1007/s00586-012-2653-9
Keita H, Devys JM, Ripart J, Frost M, Cochereau I, Boutin F, et al. Eye protection in anaesthesia and intensive care. Anaesth Crit Care Pain Med. 2017;36(6):411–418. DOI: https://doi.org/10.1016/j.accpm.2017.08.001
Makic MBF. Prone position of patients with COVID-19 and acute respiratory distress syndrome. J Perianesth Nurs. 2020;35:437-438. DOI: https://doi.org/10.1016/j.jopan.2020.05.008
Gibson V, Rutherford I. Artificial ventilation in the prone position. Aust Crit Care. 1999;12(1):18-22. DOI: https://doi.org/10.1016/S1036-7314(99)70508-4
Longhini F, Bruni A, Garofalo E, Navalesi P, Grasselli G, Cosentini R. Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients. Pulmonology. 2020;26:186-191. DOI: https://doi.org/10.1016/j.pulmoe.2020.04.014
Sansome SG, Lin PF. Eye care in the intensive care unit during the COVID-19 pandemic. Br J Hosp Med. 2020;81(6):1-10. DOI: https://doi.org/10.12968/hmed.2020.0228
Kam RYR, Hayes M, Joshi N. Ocular care and complications in the critically ill. Anaesth Crit Care Pain Med. 2011;1:257–262. DOI: https://doi.org/10.9789/2175-5361.2017.v9i4.907-916
Urine AA, Baig MN, Puente EG, Viloria A, Mendel E, Bergese SD. Current intraoperative devices to reduce visual loss after spine surgery. Neurosurg Focus. 2012;33:E14. DOI: https://doi.org/10.3171/2009.8.FOCUS09151
Kamel I, Barnette R. Positioning patients for spine surgery: Avoiding uncommon position-related complications. World J Orthop. 2014;5:425-443. DOI: https://doi.org/10.5312/wjo.v5.i4.425
Epstein NE. How to avoid perioperative visual loss following prone spinal surgery. Surg Neurol Int. 2016;7:S328–330. DOI: https://doi.org/10.4103/2152-7806.182543
Roth S. Perioperative visual loss: What do we know, what can we do? Brit J Anaesth. 2009;103(SUPPL.1):31–40. DOI: https://doi.org/10.1093/bja/aep295
Lin S, Bailey L, Nguyen T, Mintz C, Rosenblatt K. Extendable mirrors to improve anesthesia provider comfort for eye and positioning checks in prone patients: A pilot study. J Patient Saf Risk Manag. 2020;25:117-122. DOI: https://doi.org/10.1177/2516043520914199
Fandino W. Strategies to prevent ischemic optic neuropathy following major spine surgery: A narrative review. J Clin Anesth. 2017;43:50-58. DOI: https://doi.org/10.1016/j.jclinane.2017.09.009
Patterson TJ, Currie P, Williams M, Shevlin C. Ocular Injury Associated with Prone Positioning in Adult Critical Care: A Systematic Review and Meta-Analysis. Am J Ophthalmol. 2021;227:66-73. DOI: https://doi.org/10.1016/j.ajo.2021.02.019
Sanghi P, Malik M, Hossain IT, Manzouri B. Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic. J Intensive Care Med. 2021;36(3):361-372. DOI: https://doi.org/10.1177/0885066620959031
Kousha O, Kousha Z, Paddle J. Exposure keratopathy: Incidence, risk factors and impact of protocolised care on exposure keratopathy in critically ill adults. J Crit Care. 2018;44:413–418. DOI: https://doi.org/10.1016/j.jcrc.2017.11.031
Moore Z, Patton D, Avsar P, McEvoy NL, Curley G, Budri A, et al. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the COVID-19 emergency. J Wound Care. 2020;29(6):312-320. DOI: https://doi.org/10.12968/jowc.2020.29.6.312
Sun L, Hymowitz M, Pomeranz HD. Eye Protection for Patients With COVID-19 Undergoing Prolonged Prone-Position Ventilation. JAMA Ophthalmol. 2021;139(1):109-112. DOI: https://doi.org/10.1001/jamaophthalmol.2020.4988
Ceylan I, Korkmaz HA, Ulutaş HG. Eye Care in Intensive Care in COVID-19 Era: A Prospective Observational Study from Turkey. Eur Rev Med Pharmacol Sci. 2022;26(6):2165-2170. DOI: https://doi.org/10.26355/eurrev_202203_28364
Santos VB, Aprile DCBA, Lopes CT, Lopes JL, Gamba MA, Costa KAL, et al. COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention. Rev Bras Enferm. 2021;74(Suppl 1):e20201185. DOI: https://doi.org/10.1590/0034-7167-2020-1185
Gok ZE, Gok A, Delen LA, Kasapoglu US, Gurbuz E, Mutlu K. Evaluation of eye care and ocular findings in critically ill COVID-19 patients. Int J Clin Pract. 2021;75:e14909. DOI: https://doi.org/10.1111/ijcp.14909
Soare C, Nowak VA, Osborne S. Eye care in the intensive care unit during the COVID-19 pandemic and beyond. Anaesthesia. 2020;75:1118-1119. DOI: https://doi.org/10.1111/anae.15154
Lahiji AP, Gohari M, Mirzaei S. The effect of implementation of evidence-based eye care protocol for patients in the intensive care units on superficial eye disorders. BMC Oftalmol. 2021;21:275. DOI: https://doi.org/10.1186/s12886-021-02034-x
Leuzinger-Dias M, Lima-Fontes M, Oliveira-Ferreira C, Camisa E, Sousa C, Rocha-Sousa A, et al. Prone Positioning Covid-19 Patients: A Double-Edged Sword - A Case Report of a Devastating Ocular Complication. Ophthalmol Ther. 2021;10(3):691-697. DOI: https://doi.org/10.1007/s40123-021-00359-w
Chandra KN, Kundan M. Post operative visual loss after cervical laminectomy in prone position. Braz J Anesthesiol. 2017;67(4):435-438. DOI: https://doi.org/10.1016/j.bjane.2016.11.003
Peko L, Barakat‐Johnson M, Gefen A. Protecting prone positioned patients from facial pressure ulcers using prophylactic dressings: a timely biomechanical analysis in the context of the covid 19 pandemic. Int Wound J. 2020;17(6):1595-1606. DOI: https://doi.org/10.1111/iwj.13435
Bloria P, Bloria S, Chauhan R, Luthra A. Medical adhesive-related skin injuries caused by taping of the eye using acrylic-based adhesive tapes in prone surgery: a case report. Ind J Anaesth. 2020;64(4):345. DOI: https://doi.org/10.4103/ija.IJA_905_19
Haleem S, Mihai R, Rothenfluh DA, Reynolds J. Preventing iatrogenic facial pressure ulcers during spinal surgery: Prospective trial using a novel method and review of literature. Int Wound J. 2020;17:1391–1395. DOI: https://doi.org/10.1111/iwj.13402
Czorlich P, Krätzig T, Kluge N, Skevas C, Knospe V, Spitzer MS, et al. Intraocular pressure during neurosurgical procedures in context of head position and loss of cerebrospinal fluid. J Neurosurg. 2019;131(1):271-280. DOI: https://doi.org/10.3171/2018.3.JNS173098
Shearer SC, Parsa KM, Newark A, Peesay T, Walsh AR, Fernandez S, et al. Facial Pressure Injuries from Prone Positioning in the COVID‐19 Era. Laryngoscope. 2021;131(7):2139-2142. DOI: https://doi.org/10.1002/lary.29374
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