Alterazioni dei parametri vitali indotte dalle cure igieniche nel paziente critico: uno studio esplorativo

Hygiene care in critical patients may alter vital signs. Aim of this paper is to measure vital signs and their modifications in critical patients during hygiene care and measure differences with pre and post hygiene values. Method. Vital signs of 6 patients two hours before, during and 90 minutes after hygienic care were measured. Results. During and 2 hours after the end of hygiene a modification of vital signs was observed compared to basic values (mean values during/90 min after, compared to baseline): heart rate +11.20%/ +1.48; systolic blood pressure +22.68%/+1.56; arterial capillary saturimetry -4.31/+0.27, Respiratory frequency +8.10/+2.66, tidal volume +4,04/-7,51, CO ₂ min/vol +5,34/- 22.33, bladder temperature -0.85/-0.60. Conclusions. Hygiene care in critical care patients may significantly alter vital signs. Therefore a strict haemodinamic and respiratory monitoring is warranted as well as protocols for the management of sedation and of vasoactive support.