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Hemodynamic oxygenation effects during the bathing of hospitalized adult patients critically ill: systematic review

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) = "Intensive Care Units" and variations, I (intervention) = bathing and variations; O (result) = "Hemodynamic Phenomena" / "Oxygen Consumption" 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.

Baths; Nursing care; Hemodynamic; Evidence-based medicine; Oxymetry; Intensive care units


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