Abstract
ABSTRACTObjectives: 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.
Highlights
Blood transfusion is a therapeutic technology that is commonly used in clinical practices in many different health establishments
In Brazil in 2014 3,127,957 transfusions were carried out, in which concentrated erythrocytes (CH) were the blood components most used, covering 57.98% of all transfusions conducted in outpatient units and hospitals in the country[2]
With reference to the listed categories corresponding to the infusion mechanism, we analyzed the peculiarities in relation to blood transfusions and the chances of cellular damage due to the mechanical force of the equipment
Summary
Blood transfusion is a therapeutic technology that is commonly used in clinical practices in many different health establishments. 85 million blood transfusions are done annually in the world, with 15 million of them being carried just in the United States[1]. In Brazil in 2014 3,127,957 transfusions were carried out, in which concentrated erythrocytes (CH) were the blood components most used, covering 57.98% of all transfusions conducted in outpatient units and hospitals in the country[2]. The implementation of transfusion therapy requires the use of an integrated multidisciplinary team where the following occurs: obtaining blood donors, collection, processing, quality control, distribution, the therapy is prescribed for someone, the transfusion takes place and monitoring the clinical responses[3,4]. Nurses are professionally qualified to plan, execute, coordinate, supervise and watch patients during their transfusion therapy[5]
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