Assistência de Enfermagem ao paciente com SEPSE em unidade de terapia intensiva.

Abstract

Introduction: Sepsis is a serious and potentially fatal condition that occurs when the body responds in a dysregulated manner to an infection, leading to multiple organ failure. Objective: To analyze, in the scientific literature, the nursing care provided to patients with sepsis in Intensive Care Units (ICUs). Methodology: This study is characterized as an Integrative Literature Review (ILR) with a qualitative approach, based on scientific materials published in online databases. The Health Sciences Descriptors (DeCS) used were: ―Intensive Care Units,‖ ―Sepsis,‖ and ―Nursing,‖ combined using the Boolean operator AND through the CAPES Platform and the Virtual Health Library (VHL). The data from all selected studies are presented in synoptic tables throughout the results section. Results and Discussion: The findings highlight that nursing plays a crucial role in the management of sepsis in ICUs, especially in interventions such as continuous monitoring, early antibiotic administration, and care of invasive devices. The implementation of protocols such as the Surviving Sepsis Campaign and the Nursing Care Systematization (SAE) has shown significant improvements in clinical outcomes. However, challenges were identified, including work overload, communication failures, institutional resistance, and gaps in clinical knowledge. These issues underscore the need for continuous training and institutional support to ensure safe, agile, and humanized care for septic patients. Conclusion: Nursing plays a key role in the management of sepsis, particularly in early identification and rapid intervention. Nevertheless, persistent challenges such as workload and lack of training emphasize the importance of investing in continuing education and well-structured protocols to ensure safe and effective care.