Infusion pumps and red blood cell damage in transfusion therapy: an integrative revision of the academic literature

Infusion pumps and red blood cell damage in transfusion therapy: an integrative revision of the academic literature

Title: Infusion pumps and red blood cell damage in transfusion therapy: an integrative revision of the academic literature;
Bombas de infusión y lesión celular en glóbulos rojos en la terapia transfusional: revisión integradora de la literatura;
Bombas de infusão e lesão celular em hemácias na terapia transfusional: revisão integrativa da literatura
Author Wilson, Ana Maria Miranda Martins Google Scholar
Peterlini, Maria Angélica Sorgini Autor UNIFESP Google Scholar
Pedreira, Mavilde da Luz Gonçalves Autor UNIFESP Google Scholar
Abstract Objectives: to obtain information from scientific literature concerning infusion pumps used in administering erythrocyte (red blood cells) and to evaluate the implications in the practical use of this equipment by nurses when conducting transfusions. Method: an integrative revision of the following scientific databases: Pubmed/Medline, Scopus, the Virtual Library for Health, SciELO, Web of Science and Cochrane. The following descriptors were used: "infusion pumps", "blood transfusion", "transfused erythrocyte" and "hemolyis". There were no restrictions on the scope of the initial data and it was finalized in December 2014. 17 articles were identified in accordance with the inclusion and exclusion criteria. Results: all of the publications included in the studies were experimental in vitro and covered the use of infusion pumps in transfusion therapy. A summary of the data was presented in a synoptic chart and an analysis of it generated the following categories: cellular damage and the infusion mechanism. Conclusion: infusion pumps can be harmful to erythrocytes based on the infusion mechanism that is used, as the linear peristaltic pump is more likely to cause hemolysis. Cellular damage is related to the plasmatic liberation of markers that largely dominate free hemoglobin and potassium. We reiterate the need for further research and technological investments to guide the development of protocols that promote safe practices and that can contribute to future clinical studies.
Keywords Nursing
Infusion Pumps
Erythrocytes
HemolysisWhole-Blood
Hemolysis
Hyperkalemia
Device
Gauge
Language English
Sponsor Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, FAPESP [2012/25284-9]
Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES), Brazil
Grant number FAPESP: 2012/25284-9
Date 2016
Published in Revista Latino-Americana De Enfermagem. Ribeirao preto, v. 24, p. e2763, 2016.
ISSN 1518-8345 (Sherpa/Romeo, impact factor)
Publisher Wiley
Extent e2763
Origin http://dx.doi.org/10.1590/1518-8345.1155.2763
Access rights Open access Open Access
Type Revisão
Web of Science ID WOS:000396277500024
SciELO ID S0104-11692016000100607 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/49260

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