科研之友
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摘要
objectives: to identify scientific evidence on the impact of hemodynamic oxygenation of the bathing in the adult patient hospitalized in critical condition; to verify the possibility of establishing criteria for the indication of the bathing in that patient, based on hemodynamic effects of oxygenation in different clinical situations. methods: systematic review of primary and secondary literature, without restriction of time or language. pio strategy used: p (problem) = %26quot;intensive care units%26quot; and variations, i (intervention) = bathing and variations; o (result) = %26quot;hemodynamic phenomena%26quot; / %26quot;oxygen consumption%26quot; and variations. sources: cinahl databases, dedalus, embase, cochrane, lilacs, pubmed / medline; libraries of nursing schools, fluminense federal university and federal university of rio de janeiro; cross references, and, articles from pubmed and isi. results: of 44,597 references six quasi-experiments remained. during the bathing, mixed venous oxygen saturation declined significantly from baseline, being restored 30 minutes later. conclusion: the conditions that increase risk are: bathing less than four hours after cardiac surgery, prolonged lateral decubitus positioning, and, bathing time exceeding 20 minutes: maintenance of water temperature at 40 ～ c, for protection.
