https://doi.org/10.4081/scenario.2017.32
Instabilità emodinamica nelle fratture del bacino: efficacia e complicanze dell’utilizzo precoce dei Pelvic Circumferential Compression Devices. Revisione della letteratura
Submitted: 3 January 2018
Accepted: 3 January 2018
Published: 3 January 2018
Accepted: 3 January 2018
Abstract Views: 516
PDF (Italiano): 331
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Materiali e metodi. La ricerca è stata effettuata sui database Medline, The Cochrane Library, CINAHL, Embase e Scopus, includendo gli articoli pubblicati in lingua inglese e italiana negli ultimi 10 anni.
Risultati. Sono stati analizzati 29 articoli: 17 indagano l’efficacia dei PCCDs, 5 mettono a confronto i vari dispositivi, 3 studiano le modalità di posizionamento e 4 evidenziano le complicanze associate a questi presidi.
Discussione. I PCCDs sono efficaci nel ridurre il volume pelvico nelle fratture e spesso anche il sanguinamento conseguente stabilizzando i pazienti emodinamicamente compromessi. Il T-POD® e il SAM SlingTM sono i presidi maggiormente supportati dalle evidenze, che suggeriscono inoltre il posizionamento sulla linea del grande trocantere del femore, a contatto con la cute. Le principali complicanze emerse sono le lesioni da pressione qualora il dispositivo rimanga posizionato a lungo.
Conclusioni. Sebbene non sia stata dimostrata l’efficacia nella riduzione della mortalità e delle emotrasfusioni, l’utilizzo di questi dispositivi è raccomandato ogni qualvolta si sospetti una lesione della pelvi al fine di contenere il sanguinamento. Per ovviare all’insorgenza di complicanze, devono essere rimossi non appena risulta possibile la stabilizzazione invasiva del bacino.
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How to Cite
Padoan, L., Bortoli, N., Badon, P., Pellegatta, F., Canesi, M., Monterosso, A., & Buchini, S. (2018). Instabilità emodinamica nelle fratture del bacino: efficacia e complicanze dell’utilizzo precoce dei Pelvic Circumferential Compression Devices. Revisione della letteratura. Scenario® - Il Nursing Nella Sopravvivenza, 34(3), 18–24. https://doi.org/10.4081/scenario.2017.32
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