Abstract
to describe the available evidence on indications, complications, care and alternative strategies in the use of physical restraint in adult patients in Intensive Care Units.Methods: an integrative review conducted in the LILACS, Nursing Database, Índice Bibliográfico Español en Ciencias de la Salud, Scopus and CINAHL databases and the PubMed portal, in the period from June to August 2018. the final selection was of 19 articles, from which the indications, complications, care and alternative strategies were extracted. The studies were conducted between the years 2003 and 2018, with a predominance of the United States; they were mostly classified (58%) in level 6 evidence, being performed by nurses, with multi-professional participation of psychologists, pharmacists, physicians, and nurses. the most common practices regarding physical restriction were described, and the need for the elaboration and implementation of protocols on intervention to support decision making was observed.
Highlights
The Intensive Care Unit (ICU) is a highly complex environment with advanced technological and computerized apparatus, where complex and invasive procedures are performed(1)
For the search of the studies, which occurred in October 2018, two independent reviewers used the following guiding question based on the acronym PICO: “What evidence is available in the literature on the indications, care, complications, and alternative strategies in the use of physical restraint in adult patients admitted to Intensive Care Units?” A third reviewer contributed when there were disagreements at this stage of article selection
This review provides the background for health care professionals on best practice in the use of physical restraint in Intensive Care Units
Summary
The Intensive Care Unit (ICU) is a highly complex environment with advanced technological and computerized apparatus, where complex and invasive procedures are performed(1). Patients admitted to these units, due to certain conditions, may intentionally or unintentionally remove devices and present a high risk of falling, which often leads to the need to use some form of protection to ensure their safety(2). There is data(4) which confirms a higher prevalence of the use of physical restraint within the ICU environment (93.3%), when compared to the medical clinic (50.9%) and the surgical clinic (3.8%)
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