Implantação de monitor multiparamétrico com acesso remoto em leito de UTI para cirurgia cardíaca

Abstract

A multiparameter monitor is a device that detects vital signs of the patient and displays the results, without the need for continuous care by the healthcare team. Because it has configurable alarms, the multiparameter monitor provides the necessary support so that your patient is safely monitored without the need for permanent presence of the medical staff. Thus, with the continuous technological transformation of the sector, and the increasingly frequent use of the Internet in daily practices, the adoption of connectivity and remote access to these monitors, besides being a trend, presents itself as an important patient safety tool as well. As a source of control and greater reliability of the healthcare professional. Based on this premise, it was decided to establish a study of implantation of a remote access multi-parameter monitor in ICU in patients who underwent cardiac surgery. The whole relevance of the theme is even greater when we analyze the high degree of complexity and complications of an immediate postoperative (first day), where the patient is often hemodynamically unstable and needs instantaneous and precise adjustments. In the research and with more subsidy given to the surgery team and ICU for the care of this patient and especially during this period, an increased degree of monitoring reliability and patient safety was obtained. The research was technological, experimental, quantitative descriptive and analytical, exploratory and transversal. The study period was one (1) year, where the remote access monitor was implanted in an ICU bed for cardiac surgery, training of health professionals and registration of mobile devices to facilitate access. The data collection used qualitative data with questionnaires to assess the impact of implementation and quantitative as the comparative index of mortality rate in equal periods before and after the introduction of technology in the sector. Descriptive analysis of patients undergoing remote monitoring, as well as health professionals who use the remote system and the comparative statistical analysis between the pre and post-implantation period, verifying the mortality variable. The effectiveness and applicability of the technology was verified in a complex environment, addressing as a sample critical patients in the postoperative period and it becomes widely viable and important for the area of intensive medicine. The conclusion of the study is the finding of high levels of perception of the importance of the implementation of technology observed by health professionals users of the system and research participants, with a strong agreement of 62.5%. The quantitative criterion also showed evidence of potentially important data, such as in relation to the mortality rate, which in the immediate postoperative period showed a reduction in numbers compared to the traditional monitor, falling from 47.37% to 27.78%. The number of deaths before and after implantation did not present significant variation.