Individualized parameterization of multiparametric monitors alarms in infarcted patients
ABSTRACT Objective: To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction. Method: Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Enfermagem
|
| Series: | Revista Brasileira de Enfermagem |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000300609&lng=en&tlng=en |
| _version_ | 1819032065640759296 |
|---|---|
| author | Allan Peixoto de Assis Francimar Tinoco de Oliveira Flávia Giron Camerini Roberto Carlos Lyra da Silva Camila Mendonça de Moraes |
| author_facet | Allan Peixoto de Assis Francimar Tinoco de Oliveira Flávia Giron Camerini Roberto Carlos Lyra da Silva Camila Mendonça de Moraes |
| author_sort | Allan Peixoto de Assis |
| collection | DOAJ |
| description | ABSTRACT Objective: To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction. Method: Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated and tested in 32 patients using multiparametric monitors. The heart rate, blood pressure, respiratory rate, oxygen saturation and ST segment-monitoring were measured and classified for clinical consistency one hour before and after the intervention, for 64 hours. Results: The protocol obtained Content Validity Index of 0.92. Of the 460 registered alarms, 261 were considered inconsistent before the intervention and 47 after it. The Relative Risk of inconsistent alarms after the protocol was 0.32 (95% CI 0.23-0.43, p <0.0001). Conclusion: The protocol proved to be a protective factor to the appearance of inconsistent clinical alarms of multiparametric monitors. |
| first_indexed | 2024-12-21T06:56:01Z |
| format | Article |
| id | doaj.art-ac1b8fd2ea2b4370b550475524b6e6c6 |
| institution | Directory Open Access Journal |
| issn | 1984-0446 |
| language | English |
| last_indexed | 2024-12-21T06:56:01Z |
| publisher | Associação Brasileira de Enfermagem |
| record_format | Article |
| series | Revista Brasileira de Enfermagem |
| spelling | doaj.art-ac1b8fd2ea2b4370b550475524b6e6c62022-12-21T19:12:20ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-044672360961610.1590/0034-7167-2018-0485S0034-71672019000300609Individualized parameterization of multiparametric monitors alarms in infarcted patientsAllan Peixoto de AssisFrancimar Tinoco de OliveiraFlávia Giron CameriniRoberto Carlos Lyra da SilvaCamila Mendonça de MoraesABSTRACT Objective: To measure the magnitude of the effect of an individualized parameterization protocol for hemodynamic alarms in patients with acute myocardial infarction. Method: Pragmatic clinical trial, open label and single arm, whose intervention was performed through a protocol validated and tested in 32 patients using multiparametric monitors. The heart rate, blood pressure, respiratory rate, oxygen saturation and ST segment-monitoring were measured and classified for clinical consistency one hour before and after the intervention, for 64 hours. Results: The protocol obtained Content Validity Index of 0.92. Of the 460 registered alarms, 261 were considered inconsistent before the intervention and 47 after it. The Relative Risk of inconsistent alarms after the protocol was 0.32 (95% CI 0.23-0.43, p <0.0001). Conclusion: The protocol proved to be a protective factor to the appearance of inconsistent clinical alarms of multiparametric monitors.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000300609&lng=en&tlng=enAlarmas ClínicasMonitor FisiológicoParámetrosInfarto de MiocardioCuidados de Enfermería |
| spellingShingle | Allan Peixoto de Assis Francimar Tinoco de Oliveira Flávia Giron Camerini Roberto Carlos Lyra da Silva Camila Mendonça de Moraes Individualized parameterization of multiparametric monitors alarms in infarcted patients Revista Brasileira de Enfermagem Alarmas Clínicas Monitor Fisiológico Parámetros Infarto de Miocardio Cuidados de Enfermería |
| title | Individualized parameterization of multiparametric monitors alarms in infarcted patients |
| title_full | Individualized parameterization of multiparametric monitors alarms in infarcted patients |
| title_fullStr | Individualized parameterization of multiparametric monitors alarms in infarcted patients |
| title_full_unstemmed | Individualized parameterization of multiparametric monitors alarms in infarcted patients |
| title_short | Individualized parameterization of multiparametric monitors alarms in infarcted patients |
| title_sort | individualized parameterization of multiparametric monitors alarms in infarcted patients |
| topic | Alarmas Clínicas Monitor Fisiológico Parámetros Infarto de Miocardio Cuidados de Enfermería |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000300609&lng=en&tlng=en |
| work_keys_str_mv | AT allanpeixotodeassis individualizedparameterizationofmultiparametricmonitorsalarmsininfarctedpatients AT francimartinocodeoliveira individualizedparameterizationofmultiparametricmonitorsalarmsininfarctedpatients AT flaviagironcamerini individualizedparameterizationofmultiparametricmonitorsalarmsininfarctedpatients AT robertocarloslyradasilva individualizedparameterizationofmultiparametricmonitorsalarmsininfarctedpatients AT camilamendoncademoraes individualizedparameterizationofmultiparametricmonitorsalarmsininfarctedpatients |