Nursing care for cytoreduction and hyperthermic intraoperative chemotherapy in an Intensive Care Unit: a scoping review.
Aline Branco, Fernanda Cirne Lima Weston, Giovanna da Rosa Soares and 2 others
PMID 39607881WHAT IT FOUND
ICU nursing after cytoreduction and HIPEC has 72 mapped care procedures, including fluids, drains, pain, glucose, temperature, nutrition, mobilization, infection and chemotherapy safety.
Most sources were narrative reviews, not patient outcome trials.
Key findings
01The review included 42 studies, comprising 40 scientific articles and two book chapters.
02It mapped 72 postoperative ICU nursing care needs for patients after cytoreduction and HIPEC.
03Epidural catheter analgesia was recommended as the gold standard for analgesia in 23 studies.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Most included sources were narrative reviews, so the care map rests on low-level evidence rather than patient trials. Few studies used stronger designs or focused specifically on nursing care. The care areas were grouped by the authors, partly based on the main author's ICU experience.
The easy way to misread this
Do not read the 72 mapped care procedures as proven treatments. The review mostly included narrative reviews and reports care cited in the literature, not outcomes from studies that tested them.