(Postoperativer) Durstlöscher gesucht

Perioperatives Durstgefühl von Intensivpatienten ist ein bislang vernachlässigtes Thema – dabei geben viele Patienten Mundtrockenheit und Durstgefühl als postoperative Beschwerden an. Der folgende Beitrag identifiziert die Auslöser und Risikofaktoren, zeigt, wie die Symptome gemessen werden können, und gibt Empfehlungen, wie sich Abhilfe schaffen lässt. Der Beitrag hat beim 27. Intensiv-Pflegepreis den 5. Platz belegt.

Publikationsverlauf

Artikel online veröffentlicht:
03. Januar 2025

• Literatur

• 1 Gois C F L. et al Stress factors for patients undergoing cardiac surgery. Invest Educ Enferm 2012; 30 (03) 312-319
• 2 Lombardo V. et al How caregivers view patient comfort and what they do to improve it: A French survey. Ann Intensive Care 2013; 3 (01) 19
• 3 Hueppe M, Alms A, Bremerich D. et al Der Anästhesiologische Nachbefragungsbogen für Patienten in der Herzanästhesie. Anaesthesiologie 2005; 54 (07) 655-66
• 4 Lin R, Li H, Chen L. et al Prevalence of and risk factors for thirst in the intensive care unit: An observational study. J Clin Nurs 2023; 32 3–4 465-76
• 5 Thomson W. Dry mouth and older people. Aust Dent J 2015; 60 (Suppl1) 54-63
• 6 Tereza DM, Baldasso GM, Paes RS. et al Evaluation of the protocol for thirst management using ice popsicles in the immediate postoperative period: A pilot study in southern Brazilian hospital. An Acad Bras Ciênc 2021; 93 (04) e20201260
• 7 Martins PR, Fonseca LF, Rossetto EG. et al Developing and validating the perioperative thirst discomfort scale. Rev Esc Enferm USP 2017; 51: e03240
• 8 Femiano F, Rullo R, di Spirito F. et al A comparison of salivary substitutes versus a natural sialogogue (citric acid) in patients complaining of dry mouth as an adverse drug reaction: A clinical, randomized controlled study. Oral Surg Oral Med Oral Pathol Oral Radiol 2011; 112 (01) 15-20
• 9 Martín-Piedra MA, Aguilar-Salvatierra A, Herrera D. et al Effectiveness of a recent topical sialogogue in the management of drug-induced xerostomia. J Clin Exp Dent 2011; 3 (04) e268-273
• 10 Villa A, Connell C, Abati S. Diagnosis and management of xerostomia and hyposalivation. Ther Clin Risk Manag 2015; 11: 45-51
• 11 Lysik D, Niemirowicz-Laskowska K, Bucki R. et al Artificial saliva: Challenges and future prospectives for the treatment of xerostomia. Int J Mol Sci 2019; 20: 3199
• 12 Femiano F, Rullo R, di Spirito F. et al A comparison of salivary substitutes versus a natural sialogogue (citric acid) in patients complaining of dry mouth as an adverse drug reaction: A clinical, randomized controlled study. Oral Surg Oral Med Oral Pathol Oral Radiol 2011; 112 (01) 15-20
• 13 Scully C. Drug effects on salivary glands and saliva. Oral Dis 2003; 9: 165-76
• 14 Waldréus N, van der Wal MHL, Hahn RG. et al Thirst trajectory and factors associated with persistent thirst in patients with heart failure. J Card Fail 2014; 20 (09) 689-95
• 15 Wolff A, Joshi RK, Ekström J. et al A Guide to medications inducing salivary gland dysfunction, xerostomia, and subjective sialorrhea: A systematic review. Drugs R D 2017; 17: 1-28
• 16 Hu J, Andablo-Reyes E, Mighell A. et al Dry mouth diagnosis and saliva substitutes – a review from textural perspective. J Texture Stud 2021; 52 (02) 141-56
• 17 Oztas M, Oztas B. Effect of spray use on mouth dryness and thirst of patients undergoing major abdominal surgery: A randomized controlled study. J Perianesth Nurs 2022; 37: 214-20
• 18 Ngo D, Thomson W. Dry mouth – an overview. Singapore Dent J 2015; 36: 12-7
• 19 Kvalheim S, Marthinussen MC, Haugen DF. et al Randomized controlled trial of the effectiveness of three different oral moisturizers in palliative care patients. Eur J Oral Sci 2019; 127: 523-30
• 20 Chanques G, Nelson J, Puntillo K. Five patient symptoms that you should evaluate every day. Intensive Care Med 2015; 41: 1347-50
• 21 Lin R, Chen H, Chen L. et al Effects of a spray-based oropharyngeal moisturizing programme for patients following endotracheal extubation after cardiac surgery: A randomized, controlled three-arm trial. Int J Nurs Stud 2022; 130: 104214
• 22 Puntillo K, Arai SR, Cooper BA. et al A randomized clinical trial of an intervention to relieve thirst and dry mouth in intensive care unit patients. Intensive Care Med 2014; 40 (09) 1295-302
• 23 do Nascimento L, Arrabal Garcia AK, Ferrari Conchon M. et al Concept analysis of perioperative thirst for the development of a new nursing diagnosis. Rev Bras Enferm 2021; 74 (01) e20200065
• 24 Dale CM, Carbone S, Gonzalez AL. et al Recall of pain and discomfort during oral procedures experienced by intubated critically ill patients in the intensive care unit: A qualitative elicitation study. Can J Pain 2020; 4 (03) 19-28
• 25 Prendergast V, Kleiman C, King M. The bedside oral exam and the Barrow oral care protocol: Translating evidence-based oral care into practice. Intensive Crit Care Nurs 2013; 29: 282-90
• 26 do Nascimento L, Arrabal Garcia AK, Ferrari Conchon M. et al Advances in in the management of perioperative patients’ thirst. AORN J 2020; 111 (02) 165-79
• 27 Hug M. Mukositis: Die Qual im Mund. Pharmazeutische Zeitung 2016; 36. Im Internet: t1p.de/jfn9a; Stand: 25.10.2024
• 28 Mutters N, Neubert TR, Nieth R. et al The role of Octenidol, Glandomed and chlorhexidine mouthwash in the prevention of mucositis and in the reduction of the oropharyngeal flora: A double-blind randomized controlled trial GMS HIC. 2015; 10.
• 29 Deutsches Netzwerk für Qualitätsentwicklung in der Pflege DNQP. Expertenstandard Förderung der Mundgesundheit in der Pflege. Sonderdruck einschließlich Kommentierung und Literaturstudie, Osnabrück; 2021
• 30 Alnouri N. Chlorhexidin; 23.10.2019. Im Internet: t1p.de/53zdq; Stand: 25.10.2024
• 31 Momm F, Meßmer MB, Kirste S. et al Xerostomie: Verbesserte Linderung durch ein Spray mit pflanzlichen Polysacchariden. HNO 2010; 58: 680-5
• 32 Sinjari B, Feragalli B, Cornelli U. et al Artificial saliva in diabetic xerostomia (ASDIX): Double blind trial of Aldiamedâ versus placebo. J Clin Med 2020; (09) 2196
• 33 Arrabal Garcia AK, Fahl Fonseca L, Aroni P. et al Strategies for thirst relief: Integrative literature review. Rev Bras Enferm 2016; 69 (06) 1215-22
• 34 Sayadi L, Khadem E, Nasiri E. Comparing the effects of menthol-cold water and Psyllium on thirst and xerostomia among patients in intensive care unit. AACC 2021; 7 (01) 25-32
• 35 Conchon M, Fonseca L. Efficacy of an ice popsicle on thirst management in the immediate postoperative period: A randomized clinical trial. J Perianesth Nurs 2018; 33 (02) 153-61
• 36 Atashi V, Yazdannik A, Mahjobipoor H. et al The effects of Aloe vera-peppermint (Veramin) moisturizing gel on mouth dryness and oral health among patients hospitalized in intensive care units: A triple-blind randomized placebo-controlled trial. J Res Pharm Pract 2018; 7 (02) 104-10
• 37 Arrabal Garcia AK, Fahl Fonseca L, Furuya RK. et al Effect of chewing gum on thirst: An integrative review. Rev Bras Enferm 2019; 72 (02) 484-93
• 38 Wu C, Xu YJ, Wang TG. et al Effects of a swallowing and oral care intervention for patients following endotracheal extubation: A pre- and post-intervention study. Crit Care 2019; 23 (01) 350
• 39 Liang T, Li S, Peng Y. et al Oral hydration 1 hour after extubation is safe and effective in cardiac surgery patients: A randomized trial (März 2022). Im Internet: t1p.de/ep22y; Stand: 25.10.2024
• 40 Gottlieb J, Capetian P, Hamsen U. et al S3-Leitlinie: Sauerstoff in der Akuttherapie beim Erwachsenen. Version 1.0 – Juni 2021, AWMF-Registernummer: 020–021. Im Internet: t1p.de/ogq6c; Stand: 25.10.2024
• 41 van Rooyan F, Soltész K. Nichtinvasive Beatmung – die Erfahrung aus einem Jahrhundert. Lübeck: Broschüre von Drägerwerk AG & Co. KGaA; 2015
• 42 Cerpa F, Cáceres D, Romero-Dapueto C. et al Humidification on ventilated patients: Heated humidifications or heat and moisture exchangers?. Open Respir Med J 2015; 9: 104-111
• 43 Al Ashry H, Modrykamien A. Humidification during mechanical ventilation in the adult patient. Biomed Res Int 2014; 2014: 715434
• 44 Eng S, Jaarsma T, Lupón J. et al Thirst and factors associated with frequent thirst in patients with heart failure in Spain. Heart Lung 2021; 50: 86-91
• 45 Moreira Serato V, Fahl Fonseca L, Birolim MM. et al Package of menthol measures for thirst relief: A randomized clinical study. Rev Bras Enferm 2019; 72 (03) 600-8
• 46 Plank C, Pöllabauer M, Hufnagel S. Förderung der Mundgesundheit in der Pflege, Expertenstandard. Version 1.0, Pflegedienst, LMU Klinikum; 2022; basierend auf: Deutsches Netzwerk für Qualitätsentwicklung in der Pflege DNQP. Expertenstandard Förderung der Mundgesundheit in der Pflege. Sonderdruck einschließlich Kommentierung und Literaturstudie, Osnabrück; 2021
• 47 Sato K, Okajima M, Taniguchi T. Association of persistent intense thirst with delirium among critically ill patients: A cross-sectional study. J Pain Symptom Manage 2019; 57 (06) 1114-9
• 48 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). S3-Leitlinie – Analgesie, Sedierung und Delirmanagement in der Intensivmedizin (DAS-Leitlinie 2020). AWMF-Registernummer: 001/012; März 2021. Im Internet t1p.de/0myfv Stand: 25.10.2024.