Examinando por Autor "Almeyda Pachas, Milagros Soledad"

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Acceso abierto
Effectiveness of the control of pneumotaponing pressure for the decrease of complications of patients with endotraqueal tube subjected to mechanical ventilation in the icu
(Universidad Privada Norbert Wiener, 2019-08-04) Almeyda Pachas, Milagros Soledad; Cárdenas de Fernández, María Hilda
Objective: To systematically analyze the evidence from studies conducted on the effectiveness of pneumothorax pressure control to reduce complications in patients with endotracheal tube undergoing mechanical ventilation in the ICU. Material and method: The population is comprised of a review of 20 bibliographic articles, from which a sample of 10 articles was taken. The studies were found in the following databases: Cochrane, Lilacs, Scielo, Medline Pubmed, all of which were analyzed according to the Grade scale to determine the strength and quality of evidence. These studies correspond to the methodological design of systematic reviews 20%; clinical trial with 30%; meta-analysis with 10% and cohort studies with 40%. Results: Of the articles, 20% indicate that pressures greater than 30cm H2O cause morphological changes in the tracheal mucosa, therefore, acute complications such as dysphonia, sore throat, tracheal rupture, among other chronic cases, 20% indicate that the use of the aneroid manometer is essential for its. 30% indicate that continuous monitoring is important in the prevention of bronchial microaspirations and 20% indicate that it did not cause a strong impact in the prevention of VAP. According to 20%, it points out that in the prevention of nosocomial pneumonia, the measurement of pneumothorax is effective and enhances other general measures in the prevention of VAP. Conclusions: Of the 10 articles systematically reviewed, 8 articles show the effectiveness of pneumothorax control and conclude its importance in reducing complications in patients undergoing mechanical ventilation.