PROPOSAL FOR THE PREVENTION OF ADVERSE EVENTS IN GASTROSTOMY FOR ESOPHAGEAL ATRESIA: A LITERATURE REVIEW
DOI:
https://doi.org/10.22370/revmat.1.2025.4196Keywords:
Esophageal atresia, Gastrostomy, adverse events, Maidwifery care, Gastrostomy bundleAbstract
Objective: To develop a comprehensive proposal for the prevention of adverse events in patients with gastrostomy due to esophageal atresia, aiming to improve the quality of midwifery care for neonatal surgical patients.
Methodology: Information was collected from neonatal medical records through systematic and controlled observation, ensuring patient and family anonymity. Additionally, a review of current scientific evidence was conducted to establish strategies and recommendations for gastrostomy care in neonates.
Results: A lack of standardization in midwifery care for neonates with gastrostomy due to esophageal atresia was identified, which may increase the risk of adverse events. The literature review suggests that implementing bundles (sets of standardized interventions) enhances patient safety, reduces complications, and optimizes the quality of care. Their application would help structure care more effectively, reduce variability in clinical practices, and strengthen the role of midwives in managing these patients.
Conclusions: The role of midwives is essential in providing comprehensive and high-quality care for neonates with gastrostomy due to esophageal atresia. The incorporation of bundles has proven to be an effective strategy in reducing adverse events and standardizing care, benefiting both the patient and their family.
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References
MINSAL. Atresia Esofágica. En: Guías Nacionales de Neonatología. [citado el 1 de junio de 2023]. Disponible en: http://www.neopuertomontt.com/guiasneo/atresiaesofagica.pdf
MINSAL. Guías Nacionales de Neonatología. [citado el 20 de mayo de 2023]. Disponible en: https://diprece.minsal.cl/wrdprss_minsal/wp-content/uploads/2015/10/2005_Guia-Nacional-de-neonatologia.pdf; 2005
Vargas-Innocenti P. Restricción de crecimiento intrauterino: llamado a un consenso nacional sobre el diagnóstico y manejo de esta patología. Rev Chil Obstet Ginecol [Internet]. 2022;87(3). Disponible en: http://dx.doi.org/10.24875/rechog.m22000048
WHO. Methods and data sources for country-level causes of death [Internet]. Who.int. 2020 [citado el 4 de junio de 2023]. Disponible en: https://cdn.who.int/media/docs/default-source/gho-documents/global-health-estimates/ghe2019_cod_methods.pdf
Bocian S, Loyola CM, Benitez-Romero M, Friis CM, Granato A, Penberthy J, et al. Standards of clinical nursing practice and role delineations in the gastroenterology setting. Gastroenterol Nurs [Internet]. 2020;43(3): E129–41. Disponible en: http://dx.doi.org/10.1097/SGA.0000000000000535
Amaya Luengas S. Conceptos y análisis de eventos adversos [Internet]; [citado 13 de junio de 2023]. Disponible en: https://d1wqtxts1xzle7.cloudfront.net/59993721/02_Seguridad_del_Paciente_conceptos_y_analisis_de_eventos_adversos20190712-41637-45c7cr-libre.pdf
Muñoz M M, Kilchemmann F C, Román N A, Baeza W B. Prevalence of congenital malformations in newborns in the Araucanía region. Andes Pediatr [Internet]. 2022;93(3):383–91. Disponible en: http://dx.doi.org/10.32641/andespediatr.v93i3.3854
Trastornos congénitos [Internet]. Who.int. [citado el 12 de junio de 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/birth-defects
Moya Díaz JL. Informe de transparencia. Comunicación personal por correo electrónico; 2023.
Guefand Ch. M. Patología quirúrgica neonatal orientación diagnóstica y aportes de la cirugía mínimamente invasiva. Revista médica Clínica las Condes. junio de 2009;745–57.
Dres S, Rodríguez C, Rabasa MM. ASPECTOS PERIOPERATORIOS EN CIRUGÍA NEONATAL. medicina infantil. 191d. C.;3.
Fundación para la Salud Materno Infantil. Del recién nacido con patología quirúrgica [Internet]. Revista de Enfermería. Org.ar; [citado 12 de junio de 2023]. Disponible en: https://www.fundasamin.org.ar/archivos/Cuidados%20perioperativos%20del%20recien%20nacido%20con%20patologia%20quirurgica.pdf
Barón Ruiz I, Jordán García I, Pociello Almiñana N, Castañón García-Alix M, Palomeque Rico A. Atresia de esófago long-gap : repercusión del momento de la extubación en la evolución. An Pediatr (Barc) [Internet]. 2006 [citado el 12 de junio de 2023];65(4):384–5. Disponible en: https://www.analesdepediatria.org/es-atresia-esofago-long-gap-repercusion-articulo-13092495?referer=buscador
Nazer H J, Ramírez C, Cifuentes O L. Atresia de Esófago y sus Asociaciones Preferenciales[title] [title language="en"]Esophageal atresia and related malformations. Rev Chil Pediatr [Internet]. 2011 [citado el 12 de junio de 2023];82(1):35–41. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062011000100005
Sadler TW. Langman. Embriologia Medica. 15a ed. Filadelfia, PA, Estados Unidos de América: Lippincott Williams and Wilkins; 2023.
Boardman J, Groves A, Ramasethu J. Avery Y Macdonald. Neonatologia. 8a ed. Baltimore, MD, Estados Unidos de América: Wolters Kluwer Health; 2022.
Rothenberg S, Holcomb GW, Murphy P, Peter S. Esophageal atresia and tracheaesophageal fistula malformations. Philadelphia: W B Saunders Company; 2020.
Carlos FA, Marianela CD, Juan AV, Jean MBB, Patricio GF, Juan PAC. Atresia esofágica. Manejo quirúrgico en el Hospital Clínico Regional de Valdivia [Internet]. Uach.cl. 2002 [citado el 12 de junio de 2023]. Disponible en: http://revistas.uach.cl/pdf/cuadcir/v16n1/art04.pdf
Hidalgo Marrero Y, Trinchet Soler RM, Camué Luis R, Gonzáles Álvarez G, Gonzáles Diéguez HE, Ramírez Quintana A. Guía de Práctica Clínica en atresia esofágica. Rev cubana Pediatr [Internet]. 2022 [citado el 12 de junio de 2023];94(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312022000300009&lng=es
Spitz L. Oesophageal atresia. Orphanet J Rare Dis [Internet]. 2007;2(1):24. Disponible en: http://dx.doi.org/10.1186/1750-1172-2-24
Dres. Susana Rodríguez, Cecilia Rabasa, Marcelo Martínez Ferro. ASPECTOS PERIOPERATORIOS EN CIRUGIA NEONATAL. medicina infantil. 1998;3:188; 191.
Alberti D, Boroni G, Corasaniti L, Torri F. Esophageal atresia: pre and post-operative management. J Matern Fetal Neonatal Med [Internet]. 2011;24 Suppl 1(sup1):4–6. Disponible en: http://dx.doi.org/10.3109/14767058.2011.607558
Tokarska K, Rogula W, Tokarz A, Tarsa M, Urban W, Górecki W. Guidelines for treatment of esophageal atresia in the light of most recent publications. Pol Przegl Chir [Internet]. 2022;95(1):39–45. Disponible en: http://dx.doi.org/10.5604/01.3001.0015.8208
van Lennep M, Singendonk MMJ, Dall’Oglio L, Gottrand F, Krishnan U, Terheggen-Lagro SWJ, et al. Oesophageal atresia. Nat Rev Dis Primers [Internet]. 2019 [citado el 12 de junio de 2023];5(1):26. Disponible en: https://www.nature.com/articles/s41572-019-0077-0
Rajan A, Wangrattanapranee P, Kessler J, Kidambi TD, Tabibian JH. Gastrostomy tubes: Fundamentals, periprocedural considerations, and best practices. World J Gastrointest Surg [Internet]. 2022;14(4):286–303. Disponible en: http://dx.doi.org/10.4240/wjgs.v14.i4.286
Boeykens K, Duysburgh I, Verlinden W. Prevention and management of minor complications in percutaneous endoscopic gastrostomy. BMJ Open Gastroenterol [Internet]. 2022;9(1). Disponible en: http://dx.doi.org/10.1136/bmjgast-2022-000975
Academy of Nutrition and Dietetics. (2015). Gastrostomy Tube Feeding: Introduction, Indications, Patient Management, and Potential Complications. Journal of the Academy of Nutrition and Dietetics, 115(8), 1325-1339.
National Institute for Health and Care Excellence (NICE). (2019). Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition. Recuperado de https://www.nice.org.uk/guidance/ng32
Bocian S, Loyola CM, Benitez-Romero M, Friis CM, Granato A, Penberthy J, et al. Standards of clinical nursing practice and role delineations in the gastroenterology setting. Gastroenterol Nurs [Internet]. 2020;43(3):E129–41. Disponible en: http://dx.doi.org/10.1097/SGA.0000000000000535
Resar R, Griffin FA, Haraden C, Nolan TW. Using Care Bundles to Improve Health Care Quality [Internet]. Cambridge (MA): Institute for Healthcare Improvement; 2012. [citado el 12 de junio de 2023]. Disponible en: https://www.ihi.org/resources/Pages/IHIWhitePapers/UsingCareBundles.aspx
Compher C, Bingham AL, McCall M, Patel J, Rice TW, Braunschweig C, et al. Guidelines for the provision of nutrition support therapy in the adult critically ill patient: The American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr [Internet]. 2022;46(1):12–41. Disponible en: http://dx.doi.org/10.1002/jpen.2267
Ruffolo LI, Pulhamus M, Foito T, Levatino E, Martin H, Michels J, et al. Implementation of a gastrostomy care bundle reduces dislodgements and length of stay. J Pediatr Surg [Internet]. 2021;56(1):30–6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0022346820306941
Keffer LE. Implementation of a standardized gastrostomy tube Discharge Bundle for neonates. 2021 [citado el 23 de junio de 2023]; Disponible en: https://archive.hshsl.umaryland.edu/handle/10713/15748
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