Emergency Department and EMS, University Hospital of Amiens, 80000 Amiens, France.
Simulation center SimUSante, University Jules Verne and University Hospital, 80000 Amiens, France.
Anaesthesiol Intensive Ther. 2021;53(5):456-465. doi: 10.5114/ait.2021.111349.
Thoracostomy requires interdisciplinary teamwork. Even though thoracic drainage is a technical surgical procedure, nurses play an important role with major responsibilities during the procedure. This literature review aimed to identify articles related to the interdisciplinary management of thoracostomy. An integrative literature analysis between 2012 and 2019 with a qualitative approach was conducted. An analysis of articles written in English, French, Portuguese, and Spanish was conducted. A search of the PubMed and SCIELO databases was performed using combinations of the terms "Chest Tube; Nursing; Care; Drainage; Insertion". The search terms were included in 11,277 articles. After excluding articles that did not meet the objective of our study, 475 abstracts were analysed. Finally, 19 articles were selected with content focused on nursing care, content related to surgical procedures, and interdisciplinary content. Themes included the following: description of the procedure, interdisciplinary action, quality of the procedure, use of protocols for patient safety, and new technologies. In conclusion, interdisciplinary courses should be encouraged to improve interprofessional teamwork organization. Notwithstanding all these publications, the literature was fragmented into disciplines and isolated analyses. Each medical or nursing discipline addressed the aspects that pertain to its own responsibilities in the execution of the procedure. This review highlighted the need to develop interdisciplinary research and brought a source of rich information that can instrumentalize the creation of optimized processes for the interdisciplinary chest tube insertion.
胸腔穿刺术需要跨学科团队合作。尽管胸腔引流是一项技术性的外科手术，但护士在手术过程中扮演着重要的角色，承担着主要责任。本文献综述旨在确定与胸腔穿刺术跨学科管理相关的文章。采用定性方法对 2012 年至 2019 年的综合文献进行了分析。对英文、法文、葡萄牙文和西班牙文的文章进行了分析。使用“胸腔引流管；护理；护理；引流；插入”的术语对 PubMed 和 SCIELO 数据库进行了搜索。搜索词包含在 11277 篇文章中。排除不符合本研究目的的文章后，对 475 篇摘要进行了分析。最后，选择了 19 篇文章，内容集中在护理、与手术程序相关的内容以及跨学科内容。主题包括以下内容：程序描述、跨学科行动、程序质量、患者安全协议的使用以及新技术。总之，应该鼓励开设跨学科课程，以改善专业间团队合作的组织。尽管有这些出版物，但文献仍然分散在各个学科和孤立的分析中。每个医学或护理学科都讨论了在执行程序时与其自身责任相关的方面。本次综述强调了发展跨学科研究的必要性，并提供了丰富的信息来源，可为优化跨学科胸腔引流管插入过程提供参考。
