La prevenzione e la cura delle complicanze oculari nel paziente critico. Una revisione bibliografica
Abstract
Introduzione: le complicanze oculistiche sono frequenti nei pazienti ricoverati nelle terapie intensive e tale situazione è favorita dai trattamenti principalmente focalizzati sulla gestione delle insufficienze d’organo. In questi pazienti i meccanismi protettivi sistemici e oculari sono danneggiati come risultato di: problemi metabolici, disfunzioni multi-organo, ventilazione meccanica e ridotto livello di coscienza. La revisione si propone di conoscere lo stato dell’arte circa la cura degli occhi nei pazienti in terapia intensiva.
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Riferimenti bibliografici
- GRIxtI A, SANDRI M, DAttA AV. Uncommon ophthalmologic disorders in intensive care unit patients. J Crit Care. 2012;27(6):746.e9-22.
- GRIxtI A, SANDRI M, EDGAR J, DAttA AV. Common ocular surface disorders in patients in intensive care units. Ocul Surf. 2012;10(1):26-42.
- ROSENbERG Jb, EISEN LA. Eye care in the intensive care unit: narrative review and meta-analysis. Crit Care Med. 2008;36(12):3151-5.
- HuGHES EH, GRAHAM EM, WyNCOLL LA. Hypotension and anaemia a blinding combination. Anaesth Intensive Care. 2007;35(5): 773-5.
- LEE LA, NAtHENS Ab, SIRES BS et al. Blindness in the intensive care unit: possible role for vasopressors? Anaesth Analg 2005;100(1):192-5.
- LANE C. Management of ocular surface exposure. Br J Ophthalmol. 2012;96(4):471-2.
- GIpSON IK. The ocular surface: the challenge to enable and protect vision.The Friedenwald lecture. Invest Ophtalmol Vis Sci. 2007;48:4391-4398.
- OH EG, LEE WH,yOO JS, KIM SS, KO IS, CHu SH, SONG EK, KANG SW. Factors related to incidence of eye disorders in Korean patients at intensive care
- units. J Clin Nurs. 2009;18(1):29-35.
- MERCIECA F, SuRESH p, MORtON A,tuLLO AB. Ocular surface disease in intensive care unit patients. Eye. 1999;13:231-6.
- MCHuGHJ,ALExANDERp,KALHOROA,IONIDESA.Screeningforocularsurfacediseaseintheintensivecareunit.Eye.2008;22:1465-1468.
- RAMIREz F, IbARRA S, VARON J, tANG R. The neglected eye: ophthalmological issues in the intensive care unit. Crit Care Shock. 2008;11:72-82.
- KOROLOFF N, bOOtS R, LIpMAN J, tHOMAS p, RICKARD C, COyER F. A randomised controlled study of the ef cacy of hypromellose and Lacri-Lube combi-
- nation versus polyethylene/Cling wrap to prevent corneal epithelial breakdown in the semiconscious intensive care patient. Intensive Care
- Med. 2004;30(6):1122-6.
- SIVASANKAR S, JASpER S, SIMON S et al. Eye care in ICU. Indian J Crit Care Med. 2006;10:11-4.
- MARSHALL Ap, ELLIOt R, ROLLS K et al. Eyecare in the critically ill: Clinical Practice Guideline. Aust Crit Care. 2008;21:97-109.
- KAM KyR, HAyES M, JOSHI N. Ocular care and complications in the critically ill. Curr Anaesth Crit Care. 2011;1:257-262.
- GRIxtI A,SADRI M,WAttS MT.Corneal protection during general anaesthesia for nonocular surgery.The Ocular Surface.2013;11(2):109-118.
- EzRA DG, CHAN Mpy, Solebo LA et al. Randomised trial comparing ocular lubricants and polyacrylamide hydrogel dressings in the prevention
- of exposure keratopathy in the critically ill. Intensive Care Medicine. 2009;35:455-61.
- GERMANO E, MELLO MJ, SENA DF et al. Incidence and risk factors of corneal epithelial defects in mechanically ventilated children. Crit Care Med.
- ;37:1097-1100.
- MELA EK, DRIMtzIAS EG, CHRIStOFIDOu MK et al. Ocular surface bacterial colonization in sedated intensive care unit patients. Anaesth Intensive Care
- ;38:190-3.
- DuA HS. Bacterial keratitis in the critically ill and comatose patient. Lancet. 1998;351:387-8.
- EzRA DG, GOyAL S, MOOSAVI R et al. Microbial keratitits in ITU staff: an occupational hazard? Anaesthesia. 2004;59:1221-3.
- SuRESH p, MERCIECA F, MORtON A,tuLLO AB. Eye care for the critically ill. Intensive Care Medicine. 2000;2:162-6.
- DESALuI,AKINSOLAF,ADEKOLAOetal.Ocularsurfacedisordersinintensivecareunitpatientsinasub-saharanteachinghospital.InternetJournalofEmer-
- gency and Intensive Care Medicine. 2008;11(1).
- JOyCE N. The Joanna Briggs Institute for Evidence-Based Nursing & Midwifery. Eye care for intensive care patients. Best Practice. 2002;6:1-6.
- HERbERt L. Ophthalmology in anaesthesia and intensive care. Anaesthesia Intensive Care Medicine. 2004;5:304-7.
- GRIFFItHS p, RENz A, HuGHES J, RAFFERty AM. Impact of organisational and management factors on infection control in hospitals: a scoping review.
- Journal of Hospital Infection. 2009;73(1):1-14.
- WERLI-ALVARENGA A, ERCOLE FF, HERDAMN tH, CHIANCA TCM. Nursing interventions for adult intensive care patients with risk for corneal injury: a sys-
- tematic review. International Journal of Nursing Knowledge. 2012;24(1):25-29.
- KAM KyR, HALDAR S, pApAMICHAEL E, pEARCE KCS, HAyES M, JOSHI N. Eye care in the critically ill: a national survey and protocol. Journal of Intensive
- Care Society. 2013;14(2):150-4.
- LENARt Sb, GARRIty JA. Eye care for patients receiving neuromuscolar blocking agents or propofol during mechanical ventilation. American
- Journal of Critical Care. 2000;9:188-91.
- EzRA DG, HEALy M, COOMbES A. Assessment of corneal epitheliopathy in the critically ill. Intensive Care Medicine. 2005;31:313.
- EzRA DG, LEWIS G, HEALy M, COOMbES A. Preventing exposure keratopathy in the critically ill: a prospective study comparing eye care regimes. Br J
- Ophthalmol. 2005;89(8):1068-9.
- bAtESJ,DWyERR,O’tOOLELetal.Cornealprotectionincriticallyillpatients:arandomizedcontrolledtrialofthreemethods.ClinIntensiveCare.
- ;15:23-6.
- CORtESE D, CApp L, MCKINLEy S. Moisture chamber versus lubrication for the prevention of corneal epithelial breakdown. Am J Crit Care.
- ;4:425-428.
- SHAN H, MIN D. Prevention of exposure keratopathy in intensive care unit. Int J Ophthalmol. 2010;3(4):346-348.
- KOCAçAL GüLER E, EşEER I, EğRILMEz S. Effectiveness of polyethylene covers versus carbomer drops (Viscotears) to prevent dry eye syndrome in the
- critically ill. J Clin Nurs. 2011;20(13-14):1916-22.
- SO HM, LEE CC, LEuNG AK, LIM JM, CHAN CS,yAN WW. Comparing the effectiveness of polyethylene covers (Gladwrap) with lanolin (Duratears) eye
- ointment to prevent corneal abrasions in critically ill patients: a randomized controlled study. Int J Nurs Stud. 2008;45(11):1565-71.
- DAWSON D. Development of a new eye care guideline for critically ill patients. Intensive Crit Care Nurs. 2005;21:119-22.
- pARKIN b,tuRNER A, MOORE E et al. Bacterial keratitis in the critically ill. Br J Ophtalmol. 1997;12:1060-63.
- KING DJ, HEALy M. Prevention of eye disease in intensive care – a telephone survey. Intensive Care Medicine. 2003;29:15S.
- KAM KyR, HALDAR S, pApAMICHAEL E, pEARCE KCS, HAyES M, JOSHI N. National survey of protective eye care practices in the critically ill. Critical Care.
- ;15(Suppl.1):P538.
- SOHM,LEECCH,LEuNGAKHetal.Comparingtheeffectivenessofpolyethylenecovers(Goldwrap)withlanolin(Duratears)eyeointmenttoprevent
- corneal abrasions in critically ill patients: A randomized controlled study. International Journal of Nursing Studies. 2008;45:1565-1571.
- AzFAR MF, KHAN MF, ALzEER AH. Protocolized eye care prevents corneal complications in ventilated patients in a medical intensive care unit. Sau-
- di j Anaesth. 2013;7(1):33-36.
- FAVARO S. [La cura degli occhi nel paziente comatoso in terapia intensiva] ital. Scenario. 2009;26(4):15-21.
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