Introduction: Home-based cardiac telerehabilitation (HBCTR) is a multidisciplinary intervention aimed at optimizing functional, psychological, and social recovery in patients undergoing percutaneous coronary intervention (PCI). This rehabilitation model serves as an effective alternative to traditional center-based rehabilitation, providing a cost-effective and clinically advantageous approach. Methods: Following PRISMA guidelines, we conducted a systematic literature search across multiple databases (PubMed, CINAHL, Cochrane, Scopus, Web of Science). We included randomized controlled trials (RCTs), cohort, and observational studies assessing telerehabilitation in post-PCI patients. Primary outcomes focused on health-related quality of life (HRQoL) and adherence, while secondary outcomes included functional capacity (6 min walk test, VO₂max), cardiovascular risk factor control, and psychological well-being. Risk of bias was assessed using the Cochrane RoB 2.0 and ROBINS-I tools. Results: A total of 3575 articles were identified after removing duplicates, of which 877 were selected based on title and abstract, and 17 met the inclusion criteria, with strong RCT representation ensuring robust evidence synthesis. HBCTR was associated with significant improvements in exercise capacity, with increases in VO₂max ranging from +1.6 to +3.5 mL/kg/min and in 6 min walk distance from +34.7 to +116.6 m. HRQoL scores improved significantly, with physical and mental component scores increasing by +6.75 to +14.18 and +4.27 to +11.39 points, respectively. Adherence to telerehabilitation programs was consistently high, often exceeding 80%, and some studies reported reductions in hospital readmissions of up to 40%. Wearable devices and smartphone applications facilitated self-monitoring, enhancing adherence and reducing readmissions. Several studies also highlighted improvements in anxiety and depression scores ranging from 10% to 35%. Conclusions: HBCTR is a promising strategy for rehabilitation and quality-of-life improvement after PCI. It offers a patient-centered solution that leverages technology to enhance long-term outcomes. By integrating structured telerehabilitation programs, healthcare systems can expand accessibility, promote adherence, and improve equity in cardiovascular care.

Background/Objectives: Point-of-care ultrasound (POCUS) is increasingly used in intensive care units (ICUs) as a rapid bedside diagnostic tool supporting timely clinical assessment. The impact of nurse-performed POCUS on clinical management, procedural performance, and professional practice in adult ICUs has not yet been systematically synthesized. This review aimed to evaluate the integration of nurse-performed POCUS into nursing care and its effects on technical, decision-making, and professional outcomes. Methods: A systematic review was conducted in accordance with PRISMA 2020 and the JBI Manual for Evidence Synthesis. PubMed, Scopus, CINAHL, and Web of Science were searched without time restrictions. Original studies were included if they involved adult ICU patients and evaluated POCUS performed by nurses, reporting clinical, procedural, or professional outcomes. Methodological quality was assessed using JBI and MMAT checklists according to study design. Results: Eleven studies were included. The results were synthesized into four primary domains: (1) support for the clinical decision-making process, (2) technical performance and procedural outcomes, (3) diagnostic accuracy, and (4) professional autonomy, training, and sustainability of competencies. Nurse-performed POCUS was associated with management changes in 26–67% of assessments and improved first-attempt success in ultrasound-guided peripheral venous access. Diagnostic accuracy was acceptable when supported by structured training, with no reported increase in complications. Conclusions: Nurse-performed POCUS in adult ICUs appears safe and practice-enhancing, supporting decision-making and selected procedural outcomes. Further multi-center controlled studies are required to clarify its impact on major clinical endpoints and long-term outcomes.

Introduzione: l’insufficienza respiratoria acuta viene generalmente definita come la nuova insorgenza di un disturbo clinicamente importante. Può essere ipossica, ipercapnica oppure mista. Tra le metodiche di trattamento dell’insufficienza respiratoria acuta di tipo ipossiemica, rientra l’utilizzo dell’ossigenoterapia convenzionale, che permette di aumentare la frazione di ossigeno inspirato (FiO2) utilizzando semplici interfacce. Una valida alternativa, è rappresentata dall’utilizzo delle cannule nasali ad alto flusso (HFNC), in quanto offre la possibilità di avere flussi di gas sempre più elevati, umidificati e riscaldati. Materiali e Metodi: verrà condotta una ricerca preliminare per verificare la presenza di precedenti revisioni sull’argomento e successivamente, una revisione della letteratura sulla comparazione delle cannule nasali ad alto flusso rispetto alla ventilazione non invasiva a pressione positiva nei pazienti critici gravemente ustionati e con insufficienza respiratoria acuta. Risultati: i risultati che emergeranno, potrebbero potenzialmente contribuire a perfezionare le attuali teorie sulle indicazioni all’utilizzo delle HFNC nel paziente ustionato. Discussione: le implicazioni future per la ricerca e per la pratica clinica, dovranno avere un approccio sempre più orientato e mirato nell’utilizzo di interfacce efficaci nel migliorare la compliance del paziente in termini di miglioramento degli scambi gassosi, confortevoli in termini di riduzione delle lesioni da pressione causate dall’utilizzo prolungato.

BACKGROUND: Point-of-care ultrasound (POCUS) is increasingly used in critical care to support real-time clinical decision-making. Although traditionally performed by physicians, recent advances have enabled nurses to integrate POCUS into their practice. In the intensive care unit (ICU), where timely and accurate assessments are critical, POCUS performed by nurses can improve diagnostic accuracy, guide clinical interventions, and improve patient outcomes. However, the overall impact of this practice has not yet been systematically evaluated. Aim: This systematic review aims in terms of clinical decision-making, diagnostic accuracy, timeliness of care, and patient-related outcomes. MATERIALS AND METHODS: The protocol follows the PRISMA-P 2015 guidelines and is registered in PROSPERO (N. CRD420251114795). A comprehensive literature search will be conducted in four databases: PubMed, Scopus, CINAHL, and Web of Science. The review will include primary peer-reviewed studies involving adult ICU patients and assessing POCUS performed by nurses. The quality of the study will be evaluated using the JBI Critical Appraisal Tools. Data will be synthesized narratively and quantitatively, where possible. EXPECTED RESULTS: This review will provide a structured synthesis of existing evidence on nurse-led POCUS in intensive care. It will explore its clinical utility and influence on decision-making, care quality, and patient outcomes. DISCUSSION: Findings are expected to inform clinical practice, training strategies, and policy development to integrate nurse-performed POCUS into ICU protocols. This review may also identify gaps in the literature to guide future research.

Introduction. Optimizing a self-care approach to support health maintenance in patients with aortic valve stenosis (AVS) who require minimally invasive transcatheter aortic valve implantation (TAVI) before and after the procedure could promote faster and more effective recovery. Additionally, this methodology may improve the perceived health-related quality of life (HRQoL) in the patients undergoing treatment, contributing to better overall outcomes through health promotion practices and disease management. This review's primary objective is to investigate self-care's effectiveness in enhancing quality of life. Methods and materials. The literature review protocol follows PRISMA guidelines and uses the PIO framework for search terms. Studies will be identified through significant databases (PubMed, Scopus, CINAHL, Web of Science, and Cochrane Library). Methodological quality and bias risk will be assessed with JBI Critical Appraisal Tools. This review protocol has been registred on PROSPERO (No. CRD420250655531). Results. The emerging findings could potentially contribute to refining current theories on the indications for using self-care interventions to improve the HRQoL of patients undergoing TAVI. Discussion and conclusions. Future implications for research and clinical practice should adopt an increasingly targeted and focused approach in using self-care interventions to enhance the health-related quality of life of patients undergoing TAVI, both in terms of symptom recognition and disease management pre- and post-procedure. This systematic review will comprehensively examine the effects of the implementation of self-care methodologies on improving the quality of life in post-TAVI patients.