[Modifications of vital signs during hygiene care in intensive care patients: an explorative study].
Hygiene care in critical patients may alter vital signs. Aim of this paper is to measure vital signs and their modifications in critical patients during hygiene care and measure differences with pre and post hygiene values.


METHODS
Vital signs of 6 patients two hours before, during and 90 minutes after hygienic care were measured.


RESULTS
During and 2 hours after the end of hygiene a modification of vital signs was observed compared to basic values (mean values during/90 min after, compared to baseline): heart rate +11.20%/ +1.48; systolic blood pressure +22.68%/+1.56; arterial capillary saturimetry -4.31/+0.27, Respiratory frequency +8.10/+2.66, tidal volume +4,04/-7,51, CO2 min/vol +5,34/- 22.33, bladder temperature -0.85/-0.60.


CONCLUSIONS
Hygiene care in critical care patients may significantly alter vital signs. Therefore a strict haemodinamic and respiratory monitoring is warranted as well as protocols for the management of sedation and of vasoactive support.
Lucchini
Alberto
A
Dipartimento Medicina perioperatoria e terapie intensive - Terapia intensiva generale, AO S. Gerardo, Monza-Università Milano-Bicocca.
Giacovelli
Matteo
M
Elli
Stefano
S
Gariboldi
Roberto
R
Pelucchi
Giulia
G
Bondi
Herman
H
Brambilla
Daniela
D
D000328:Adult; D000368:Aged; D001794:Blood Pressure / Q000502:physiology; D003422:Critical Care; D016638:Critical Illness; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D006920:Hygiene; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D009732:Nursing Care; D011187:Posture; D056152:Respiratory Rate / Q000502:physiology; D013599:Systole / Q000502:physiology; D013997:Time Factors; D055986:Vital Signs
D006993:Hypnotics and Sedatives