Papel de enfermería en el cuidado del paciente sometido a tromboendarterectomía pulmonar. Revisión integrativa

Introduction: pulmonary thromboendarterectomy is the treatment of choice and the only potentially curative option for chronic thromboembolic pulmonary arterial hypertension. Objective: To integrate the information available in the scientific literature on nurse involvement in pulmonary thromboendarterectomy. Method: integrative review for which a search of primary articles was carried out in databases such as: CUIDEN, SAGE, Springer, Scholar, Scopus, Taylor and Francis, PubMed, ScienceDirect and LILACS. Search strategies were defined in both English and Spanish, no period was established, a database was built with the information obtained and this was integrated in a narrative way. Results: 8 articles were included, 5 of them were topics reviews. Nurse plays a critical role, participating in the different intervention phases within the surgical context, promoting the patient’s hemodynamic evolution; skillfully detecting problems related to cardiac output, severe changes in pulmonary pressure, ventilatory needs applied to the patient and hydroelectrolytic management; it also dominates the complications that are the cornerstone derived from the procedure. Conclusions: The nurse plays in the processes of understanding the diagnosis, preoperative, intraoperative and postoperative phase; However, there are limitations in the production of knowledge in this event of interest from nursing.