Role of the perfusion nurse in cardiac surgery
DOI:
https://doi.org/10.5327/Z1414-4425202429910Keywords:
Extracorporeal Circulation, Thoracic surgery, Nurses, PerfusionAbstract
Objective: To analyze the role of the perfusionist nurse in cardiac surgery. Method: Exploratory study with a qualitative approach, conducted in a virtual environment from June 1st to June 30th, 2022. The sample consisted of 14 perfusionist nurses, selected intentionally and non-probabilistically. Data were analyzed through Bardin’s content analysis. Results: Two thematic categories emerged: the role of the perfusionist nurse in extracorporeal circulation and the relevance of the nurse’s interaction with team members during cardiac surgery with extracorporeal circulation. The reports identified that the perfusionist nurse performs numerous tasks ranging from nursing history to the preparation and selection of materials, circuits, devices, and machinery for extracorporeal circulation. The interaction of this professional with other team members regarding communication stands out, aiming to minimize risks and achieve positive surgical outcomes for the patient. Conclusion: The activity of the perfusionist nurse is complex and requires rigorous theoretical-practical preparation, recognized specializations by competent bodies, as well as frequent updates even for experienced professionals.
References
Conselho Federal de Enfermagem. Resolução COFEN no 528/2016. Revogada pela resolução COFEN no 667/2021. Normatiza a atuação do Enfermeiro Perfusionista [Internet]. Brasília: COFREN; 2016 [acessado em 17 fev. 2022]. Disponível em: https://www.cofen.gov.br/resolucao-cofen-no-05282016/
Conselho Federal de Enfermagem. Resolução no 667/2021. Atualiza a normatização da atuação do Enfermeiro Perfusionista [Internet]. Brasília: COFREN; 2021 [acessado em 17 fev. 2022]. Disponível em: http://www.cofen.gov.br/resolucao-cofen-no-667-2021_86818.html#:~:text=RESOLVE%3A-,Art.,Perfusionista%20%C3%A9%20privativa%20do%20Enfermeiro
Sociedade Brasileira de Circulação Extracorpórea. Quem Somos. História da sociedade [Internet]. [acessado em 17 fev. 2022]. Disponível em: https://sbcec.com.br/br/index.php/sobre-nos/nossa-historia.html
Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de Práticas em Enfermagem Perioperatória e Processamento de Produtos para Saúde. 8a ed. São Paulo: SOBECC; 2021.
Souza MH, Elias DO. Fundamentos da circulação extracorpórea. 2a ed. Rio de Janeiro: Centro Editorial Alfa Rio; 2006.
Silva IN, Guedes PF, Nunes NS, Freitas VL. As atribuições do enfermeiro perfusionista: circulação extracorpórea. Res Soc Dev. 2022; 11(6):e12511628531. https://doi.org/10.33448/rsd-v11i6.28531
Nascimento FIM, Trindade FR, Branco FMFC, Brandão LFS, Uchôa MBR. Atribuições do enfermeiro perfusionista em cirurgia cardíaca nos hospitais do município de Teresina-PI. R Interd. 2014;7(1):68-75.
Ferrasso S, Salvi ESF, Pompermaier C. Circulação extracorpórea em cirurgia cardíaca: um campo de trabalho para o enfermeiro [Internet]. Anuário Pesquisa e Extensão Unoesc Xanxerê. 2020; 5(1):1-7 [acessado em 22 set. 2022]. Disponível em: https://periodicos.unoesc.edu.br/apeux/article/view/26534/15785
Silva IN, Guedes PF, Nunes NS, Freitas VL. The attributions of the perfusion nurse: extracorporeal circulation (ECC). Res Soc Dev. 2022;11(6):e12511628531. https://doi.org/10.33448/rsd-v11i6.28531 DOI: https://doi.org/10.33448/rsd-v11i6.28531
Nicoletti AM. Bases para elaboração de checklist em circulação extracorpórea. Rev Socied Bras Circul Extrac. 2018;35(1):25-9.
Brasil. Organização das Nações Unidas. Os objetivos do desenvolvimento sustentável no Brasil [Internet]. Brasíli: Nações Unidas Brasil; 2023 [acessado em 17 fev. 2022]. Disponível em: https://brasil.un.org/pt-br/sdgs
Lewis DM, Dove S, Jordan RE. Results of the 2015 perfusionist salary study. J Extra Corpor Technol. 2016;48(4):179-87. PMID: 27994258. DOI: https://doi.org/10.1051/ject/201648179
Nicoletti AM. Perfil dos enfermeiros perfusionistas brasileiros no mercado de trabalho. Enferm Foco. 2020;11(2):154-59. https://doi.org/10.21675/2357-707X.2020.v11.n2.2864 DOI: https://doi.org/10.21675/2357-707X.2020.v11.n2.2864
Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. https://doi.org/10.37689/acta-ape/2021AO02631 DOI: https://doi.org/10.37689/acta-ape/2021AO02631
Bardin L. Análise de conteúdo. Tradução de Luís Augusto Pinheiro. São Paulo: Edições 70; 2016.
Sainath P, Ladeeda V, Jessica L. Perfusionists: the camouflaged healthcare professionals. Braz J Cardiovasc Surg. 2023;38(6):e20220474. https://doi.org/10.21470/1678-9741-2022-0474 DOI: https://doi.org/10.21470/1678-9741-2022-0474
Dias RD, Zenati MA, Rance G, Srey R, Arney D, Chen L, et al. Using machine learning to predict perfusionists' critical decision-making during cardiac surgery. Comput Methods Biomech Biomed Eng Imaging Vis. 2022;10(3):308-12. https://doi.org/10.1080/21681163.2021.2002724 DOI: https://doi.org/10.1080/21681163.2021.2002724
Lopes Junior W, Braga CG, Freire BSM, Costa ACB, Andrade MBT, Chini LT, et al. Documentação do processo de enfermagem: desafios e potencialidades. Contribuiciones a Las Ciencias Sociales. 2023;16(8):9416-41. https://doi.org/10.55905/revconv.16n.8-075 DOI: https://doi.org/10.55905/revconv.16n.8-075
Santos BRF, Borges MS, Moraes HTS, Dias COR, Goncalves DF, Carvalho TS, et al. Systematization of nursing care and implementation of the multidisciplinary team in the preoperative period of cardiac surgery: integrative literature review. Res Soc Dev. 2022;11(5):e3911526770. https://doi.org/10.33448/rsd-v11i5.26770 DOI: https://doi.org/10.33448/rsd-v11i5.26770
Sociedade Brasileira de Circulação Extracorpórea. Regularização dos perfusionistas. Comunicado 001/2017 [acessado em 15 fev. 2024]. Disponível em: https://sbcec.com.br/wp-content/uploads/2023/02/comunicado_001_2017_regularizacao_perfusionistas.pdf
Rocha DAQ, Ferreira AMC, Carvalho Filho EB, Costa LNG. Análise dos efeitos do uso de furosemida em pacientes submetidos a cirurgias cardíacas com o uso de circulação extracorpórea: uma revisão sistemática. Vittalle. 2020;32(3):154-60. https://doi.org/10.14295/vittalle.v32i3.10967
Silva AA, Oliveira LLNS, Silva LAC, Araújo AHIM. Gasometria arterial: métodos e suas aplicabilidades para a enfermagem em Unidade de Tratamento Intensivo (UTI). REAEnf. 2022;17(1):1-9. https://doi.org/10.25248/reaenf.e9334.2022 DOI: https://doi.org/10.25248/reaenf.e9334.2022
Lopes ROP, Castro J, Nogueira CSC, Braga DV, Gomes JR, Silva RC, et al. Complicações do pós-operatório imediato de cirurgia cardíaca eletiva: estudo transversal à luz de Roy. Rev Enf Ref. 2019;4(22):23-32. https://doi.org/10.12707/RIV19042 DOI: https://doi.org/10.12707/RIV19042
Heuer A, Bienstock J, Zhang Y. Simulation-based training within selected allied health professions: an evidence-based systematic review. J Allied Health. 2022;51(1):59-71. PMID: 35239763.
Pawelke C, Merkle F, Kurtovic D, Gierig S, Müller-Plath G. Comparison of a perfusion simulator to a clinical operating room: evaluation of eye tracking data and subjective perception. A pilot study. Perfusion. 2022;37(1):19-25. https://doi.org/10.1177/0267659120974617 DOI: https://doi.org/10.1177/0267659120974617
Bernardo THL, Silva IMF, Lima ST, Thomé ARCS, Soares IP, Bernardo RCC, et al. Identifying the necessary requirements for a safe cardiac surgery checklist. Res Soc Dev. 2021;10(14):e491101421968. https://doi.org/10.33448/rsd-v10i14.21968 DOI: https://doi.org/10.33448/rsd-v10i14.21968
Thomé ARCS, Bernardo THL, Araújo RJS, Costa CRB. Checklist para cirurgia cardíaca segura: revisão integrativa. Res Soc Dev. 2021;10(15):e434101523213. https://doi.org/10.33448/rsd-v10i15.23213 DOI: https://doi.org/10.33448/rsd-v10i15.23213
Dias RD, Riley W, Shann K, Likosky DS, Fitzgerald D, Yule S. A tool to assess nontechnical skills of perfusionists in the cardiac operating room. J Thorac Cardiovasc Surg. 2023;165(4):1462-9. https://doi.org/10.1016/j.jtcvs.2021.06.052 DOI: https://doi.org/10.1016/j.jtcvs.2021.06.052
Riley JB, Searles BE, Darling EM, Oles DM, Aiash H. The effectiveness of three different curricular models to teach fundamental ECMO specialist skills to entry level perfusionists. J Extra Corpor Technol. 2021;53(4):245-50. https://doi.org/10.1182/ject-2100008 DOI: https://doi.org/10.1051/ject/202153245
Boyd DL, Lyle-Edrosolo G. Implementing nurse extracorporeal membrane oxygenation specialists to maintain a sustainable program. Nurse Lead. 2023;21(2):239-43. https://doi.org/10.1016/j.mnl.2022.06.006 DOI: https://doi.org/10.1016/j.mnl.2022.06.006
Dias RD, Kennedy-Metz LR, Srey R, Rance G, Ebnali M, Arney D, et al. Using digital biomarkers for objective assessment of perfusionists' workload and acute stress during cardiac surgery. Bioinform Biomed Eng (2023). 2023;13919:443-54. https://doi.org/10.1007/978-3-031-34953-9_35 DOI: https://doi.org/10.1007/978-3-031-34953-9_35
Hao X, Hu Y, Shao C, Wang X, Li C, Wang H, et al. Prevalence of burnout among perfusionists in China: a nationwide survey. Perfusion. 2023;2676591231194759. https://doi.org/10.1177/02676591231194759 DOI: https://doi.org/10.1177/02676591231194759
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