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
Ricevuto: 3 gennaio 2018
Accettato: 3 gennaio 2018
Pubblicato: 3 gennaio 2018
Accettato: 3 gennaio 2018
Abstract Views: 460
PDF: 116
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Autori
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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Come citare
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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