Use of ultrasound by intensive care nurses to assess urinary volume and invasive bladder devices
DOI:
https://doi.org/10.26694/reufpi.v14i1.5482Keywords:
Ultrasound, Nursing Care, Intensive Care Unit, Urinary CatheterizationAbstract
Objective: To describe the experience of the use and applicability of ultrasound by intensive care nurses in the assessment of urinary volume and invasive bladder devices. Method: Experience report on the use of ultrasound by nurses in the adult Intensive Care Unit of a public hospital between July and December 2021, after the participation of about 20 nurses in a theoretical-practical course focused on ultrasound-guided urinary volume assessment. Results: The course covered handling the ultrasound device, assessing and quantifying urinary volume, as well as discussing clinical reasoning and decision-making. In care practice, ultrasound is a tool that has come to be used by nurses to analyze permanent bladder catheter obstruction, urinary retention, cystostomy clearance, and in decision-making regarding tube replacement. Conclusion: It can be concluded that the use of ultrasound by nurses in the Intensive Care Unit is extremely important, as it is a useful, practical, non-invasive, and easy-to-use tool. This tool and approach were only possible after the course [...].
References
Filho De MM, Filha SSC, Viana LMM. O que é ser enfermeiro? O que é ser enfermeiro? Rev Inic Cient e Ext. 2019; 2(2):1-2.
Silva BLG, Alves ES, Fortes AFA. Percepção de estudantes de enfermagem sobre o que é ser enfermeiro. Arq. Ciênc. Saúde Unipar. 2019;23(2). Available from: https://www.revistas.unipar.br/index.php/saude/article/view/6136
Freire GV, Araújo ETH, Araújo EB, Alves LS, Freire ACM, Sousa GF de. Nursing leadership in urgency and emergency services: integrative review. Braz. J. Hea. Rev. 2019;2(3):2029-41. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/1542
De Oliveira MF, Vilar AMA, Silvino ZR. Aplicabilidade do ultrassom portátil para acessos venosos centrais em neonatos críticos: revisão de escopo. Research, Society and Development. 2020;9(8). DOI: http://dx.doi.org/10.33448/rsd-v9i8.6495.
Jesus JA, Balsanelli AP. Competences of the emergency nurse and the product of nursing care: an integrative review. Rev Rene. 2020;21:e43495. DOI: https://doi.org/10.15253/2175-6783.20202143495
Xu X, Akai A, Wei H, Wang S, Pingguan-Murphy B, Erlandsson BE. Advances in Smartphone-Based Point-of-Care Diagnostics. Proceedings of the IEEE. 2015;103(2):236–247. DOI: 10.1109/JPROC.2014.2378776
Nayak S, Blumenfeld NR, Laksanasopin T, Sia SK. Point-of-Care Diagnostics: Recent Developments in a Connected Age. Anal Chem. 2017 Jan 3;89(1):102-123. DOI: https://doi.org/10.1021/acs.analchem.6b04630
Novaes AKB, do Carmo WB, Figueiredo AA, Lopes PC, Dias ZMM, Silva LAL, et al. Point of care kidney ultrasonography and its role in the diagnosis of urinary obstruction: a case report. J Bras Nefrol 2017;39(2):220-223. DOI: https://doi.org/10.5935/0101-2800.20170038
Almeida ACG, Neves ALD, Souza CLB, Garcia JH, Lopes JL, Barros ALBL. Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos. Acta paul. enferm. 2012; 25(3): 471-476. DOI: https://doi.org/10.1590/S0103-21002012000300024
Lopes KR, Nicolussi AC. Vantagens da ultrassonografia de bexiga na mensuração do volume urinário em pacientes críticos: revisão integrativa. Rev.enferm.UERJ. 2021; 29(1):e61972. DOI: https://doi.org/10.12957/reuerj.2021.61972
Silva IC, Schneider C, Silva LF, Silva MTF, Moreira JR. Avaliação de retenção urinária pelo o enfermeiro através da ultrassonografia à beira leito. Revista Enfermagem Atual In Derme. 2023; 97 (3). DOI: https://doi.org/10.31011/reaid-2023-v.97-n.3-art.1852
Varndell W, Topacio M, Hagness C, Lemon H, Tracy D. Nurse-performed focused ultrasound in the emergency department: A systematic review. Australas Emerg Care. 2018 Nov;21(4):121-130. DOI: https://doi.org/10.1016/j.auec.2018.09.003
Itoh T, Gorga S, Hashikawa A, Cranford Thomas J, Hatton C, et al. Point-of-care ultrasound for pediatric endotracheal tube placement confirmation by advanced practice transport nurses. Air Medical Journal. 2020;39(6):448-453. DOI: https://doi.org/10.1016/j.amj.2020.09.004
Soares GM, Wunder AP, Maciel PP, Teixeira TO. Programa de treinamento e monitorização de cateter central de inserção periférica (PICC) guiado por ultrassom. Salão de Extensão. Caderno de resumos. Porto Alegre: UFRGS/PROREXT, 2019.
Heiner JD, Proffitt AM, McArthur TJ. The ability of emergency nurses to detect simulated long bone fractures with portable ultrasound. Int Emerg Nurs. 2011 Jul;19(3):120-4. DOI: https://doi.org/10.1016/j.ienj.2010.08.004
Tosca CF. Punção venosa periférica orientada por ultrassom em crianças e adolescentes: perfil clínico e percepção de enfermeiras. Trabalho de Conclusão de Curso da Residência Integrada Multiprofissional. Hospital de Clínicas de Porto Alegre, 2020.
Conselho Federal de Enfermagem. Resolução 679. Aprova a normatização da realização de Ultrassonografia à beira do leito e no ambiente pré-hospitalar por Enfermeiro. 2021.
Cerrati RN, Beghetto MG. Incidência de retenção urinária e relações entre queixa do paciente, exame físico e ultrassonografia vesical. Rev Gaúcha Enferm. 2021;42. DOI: https://doi.org/10.1590/1983-1447.2021.20200014
Silva IC, Schneider C, Silva LF, Silva MTF, Mreira JR. Avaliação de retenção urinária pelo enfermeiro através da ultrassonografia à beira leito. Rev Enferm Atual In Derme. 2023; ;97(3):e023167. DOI: https://doi.org/10.31011/reaid-2023-v.97-n.3-art.1852
Ortega D, Díaz RD, Hernández MAM, Hernandez MTP, Paredes JV, Gonzalez YC. Impacto de la ecografía volumétrica portátil en el sondaje vesical por retención urinaria en una unidad de medicina interna. Enf Global. 2019;19(1):42-6. DOI: http://dx.doi.org/10.6018/eglobal.19.1.347591
Sozzi, M., Donati, D., Neri, S. (2019). Ultrasound-Guided Nursing. In: Sarti, A., Lorini, F. (eds) Textbook of Echocardiography for Intensivists and Emergency Physicians. Springer, Cham. DOI: https://doi.org/10.1007/978-3-319-99891-6_40
Lopes KR, Jorge BM, Barbosa MH, Barichello E, Nicolussi AC. Use of ultrasonography in the evaluation of urinary retention in critically ill patients. Rev. Latino-Am. Enfermagem. 2023;31:e4026. DOI: https://doi.org/10.1590/1518-8345.6618.4026
Santos VB, Silva WP, Apablaza MFS, Silva TV, Gimenes FRE. The use of point-of-care ultrasound in nurses’ clinical practice as a foundation for patient safety. Rev Bras Enferm.2024(Suppl 2):e77suppl0201. DOI: https://doi.org/10.1590/0034-7167.202477suppl0201pt
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rev Enferm UFPI

This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.