Examinando por Autor "Alarcon Yauri, Jhonatan Israel"

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    Effectiveness of the recruitment maneuver to reduce mortality in patients with acute respiratory distress syndrome
    (Universidad Privada Norbert Wiener, 2019-02-17) Alarcon Yauri, Jhonatan Israel; Uturunco Vera, Milagros Lizbeth
    Objective: To systematize the evidence on the effectiveness of the recruitment maneuver to decrease mortality in patients with acute respiratory distress syndrome (ARDS). Material and Methods: This is a systematic observational and retrospective review, critically analyzed and using the GRADE evaluation system to identify the level of evidence in the articles. The articles were published in the following databases: SCIELO, EPISTEMONIKOS, SCIENCEDIRECT, PUBMED, and RESEARCHGATE. Of the 10 articles systematically reviewed, 30% (3/10) are meta-analyses, 20% (2/10) are systematic reviews, 40% (4/10) are randomized controlled trials, and 10% (1/10) is quasi-experimental. Results: 60% (6/10) (17, 18, 19, 22, 23, 24) indicate that the recruitment maneuver is effective in reducing mortality in patients with ARDS. 40% (4/10) (16, 20, 21, 25) indicate that the recruitment maneuver is not effective in reducing mortality in these patients. Conclusion: The study concluded that the recruitment maneuver is effective in reducing mortality in patients with ARDS, due to alveolar reopening, improving the ventilation/perfusion ratio, and promoting gas exchange.