ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 4 (2023), ORGANIZATION AND LEGAL ISSUES
No. 4 (2023)
ORGANIZATION AND LEGAL ISSUES

Physical restraints practice in adult intensive care units: a review

Published 30.10.2023
Vladimir I. Gorbachev
Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia
https://orcid.org/0000-0001-6278-9332
N.V. Bragina
Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia
https://orcid.org/0000-0001-6131-8184
E.S. Netesin
Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia
https://orcid.org/0000-0002-4100-5516
I.L. Petrova
Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia
https://orcid.org/0000-0001-8616-0416
S.V. Gorbachev
Russian Medical Academy of Continuous Professional Education, Irkutsk, Russia
https://orcid.org/0000-0003-3084-6165
PDF_2023-4_112-124 (Russian)

Keywords

physical restraint
fixation devices
intensive care
fixation of the patient

How to Cite

1.
Gorbachev V.I., Bragina N.V., Netesin E.S., Petrova I.L., Gorbachev S.V. Physical restraints practice in adult intensive care units: a review. Annals of Critical Care. 2023;(4):112-124. doi:10.21320/1818-474X-2023-4-112-124
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Abstract

OBJECTIVE: To describe the available evidence on indications, complications, care and alternative strategies in the use of physical restraint in adult patients in Intensive Care Units. MATERIALS AND METHODS: An integrative review conducted in the Cochrane, PubMed, Scopus, LILACS, Nursing Database and the eLibrary portal. The search was performed on the queries: “physical restriction”, “fixation devices in intensive care”, “patient safety”, “fixation of the patient”. RESULTS: The final selection was of 93 articles, from which the indications, complications, care and alternative strategies were extracted. CONCLUSIONS: The most common practices regarding physical restraints in Russia and foreign countries were described, and the need for the elaboration and implementation of protocols on intervention to support decision — making was observed.

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