Casajús G, Mañas A, Arís MJ, Colomera M, Costa J, Fabra R, Hernández C, Ros M, Guardia N. Anestesia local con lidocaína alcalinizada previo a cateterización cardíaca. Enferm Cardiol 2000; 20:19:21.

Casajús G, Mañas A, Arís MJ, Colomera M, Costa J, Fabra R, Hernández C, Ros M, Guardia N.

Local anesthesia with alkalinised lidocaine previous to cardiac catheterization.

The subcutaneous infiltration of a local anaesthetic, previous to cardiac catheterization is perceived as unpleasant by most of the patients. Local anaesthetics may be painful when (intra-dermally) or subcutaneously injected, due to mechanisms which are related to PH, liposolubility and the presence of additives or preservers in the preparation. In our place of work, we alkalinise the PH of the standard solution of lidocaine (PH=4-6) with the association of bicarbonate (PH=7,2-7,6) with the aim of reaching a decrease of the painful feeling and we evaluate and compare the results in two different groups of pacients submitted to a first diagnosis of cardiac catheterism.

First Award on the 21st Spanish Congress of Nursing in Cardiology, Barcelona, 2000.

López Ferrer MT, Osca Lluch J.   Análisis de la literatura internacional sobre enfermería en cardiología durante el periodo 1990-1999. Enferm Cardiol 2000; 20:22-27.

López Ferrer MT, Osca Lluch J.

The documents published about nursing in cardiology which are collected in the Medline files between 1990 and 1999 are analysed. The following topics are observed: distribution for years, countries, languages, types of documents, topics treated and journals in which the studies are published. At the same time the different institutions, productivity and the rate of colaboration of authors are analysed. We conclude that nursing in cardiology is still a young discipline: the volume of registered records is still small, despite the length of period covered, although we can observe that there is a rising tendency. We do not find many specialised magazines on this theme, the proportion of revision is lesser than in other areas and the colaboration rate among authors is also lower. In general the scientific documentation in cardiologic nursing follows the same steps as medical literature in general: research is carried out in hospitals and universities, there is a dominance English language as the medium of spread of results and the journals in which works are published follow the Bradford distribution.

Burgos Naranjo RM, Cano Peregrina MA, García Córdoba C, Lage López A, López Pelegrí M.  Visitas de familiares a pacientes en la unidad de cuidados coronarios. Opinión de todos los implicados. Enferm Cardiol 2000; 20:28-39.

Burgos Naranjo RM, Cano Peregrina MA, García Córdoba C, Lage López A, López Pelegrí M.

The aim of this study is to know the opinions of the patient, relatives and health professionals (doctors and nurses in the centre) in relation to the rules and visit timetables of relatives to patients admitted in the Coronary Unit (CCU) of the CSUB.  This is a descriptive cross-sectonial study. The survey included 109 patients, 99 visitors, 38 nurses and 17 doctors (total: 269).  Data were collected through a questionnaire made by the researchers. Results were measured by an instrument adapted to our environment; the questionnaire was made up of two different parts: the first part consisted of 20 items which were grouped in 3 categories (rules, environment/atmosphere and positive and negative aspects of the visits). In the second part, consisting of 5 items, the preferences of the interviewed people in relation to timetables and rules were reflected. The research was carried out between February and May 1996.  Most of the interviewed people (88%) said that they are beneficial and that the negative aspects represented are scarce. 56% would agree with a more flexible timetable. As to the measure of isolation required to visitors in order to access the patient rooms, more than 80% of patients and visitors said that this is a most convenient measure and 85% of the total agree with the fact that the health staff should restrict visits whenever it is considered to be necessary.

Cano Sanz L, González Martínez A, Julià i Serra C. Autoevaluación del trazado de los electrocardiogramas. Enferm Cardiol 2000; 20:40-42.

Cano Sanz L, González Martínez A, Julià i Serra C.

As nurses in the Coronary Unit, we are conscious that Electrocardiogram (ECG) is a routine procedure in our working area and being the nurse the ultimate responsible for the quality of the ECG, the following questions are posed:
What do we understand by a ‘correct register’?
What do we have to do in order to achieve this?
After revising the bibliography and in the absence of valid quality rules which may define the quality of electrocardiographic registers, we decided to elaborate some criteria which might serve as a basis to compare the obtained registers. Without any doubt, nursers need to know what we do, what means we use and what results are obtained. With procedure, we shall be able to detect deficiencies and determine the corrective measures.

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