Examinando por Autor "Ganto Yarasca, Rosario"

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Acceso abierto
Effectiveness of a closed suction system compared to an open suction system in the hemodynamic changes of patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Barzola Sanchez, Willy Manuel; Ganto Yarasca, Rosario; Bonilla Asalde, César Antonio
Objectives: To systematize the evidence on hemodynamic changes in patients on mechanical ventilation as a result of using closed versus open suction systems. Materials and Methods: Systematic review, observational, and retrospective study. The research was restricted to full-text articles, and the selected articles were critically reviewed using Jover's evaluation to determine their level of evidence. Results: A variety of related studies were reviewed. In the final selection, 10 articles were chosen, with 3 articles each from Brazil and Iran, 2 from Turkey, and 1 from Australia and the Netherlands. Conclusions: The studies analyzed provide evidence on the efficacy of a closed suction system compared to an open suction system in hemodynamic changes in patients on mechanical ventilation. 60% (6/10) of the studies demonstrated an impact on hemodynamic changes, while 40% (4/10) did not report significant changes in either system. Consensus recommendations and specialist opinions emphasize the importance of monitoring hemodynamic changes during the suction procedure, regardless of whether a closed or open system is used, to prevent complications. The closed suction system is recommended as safer, and it is clarified that nursing staff should not perform suction as part of a routine due to potential adverse effects.
Acceso abierto
Efficacy of a closed suction system compared with open suction system on hemodynamic changes in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Ganto Yarasca, Rosario; Bonilla Asalde, César Antonio
Objectives: Systematize the evidence on hemodynamic changes in patients with mechanical ventilation as a consequence of the use of the closed aspiration system and the open aspiration system. Methodology: Observational and retrospective systematic review, the research has been restricted to articles with full text, the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: After the review, very diverse related research was obtained. In the final selection, 10 articles were selected corresponding to Brazil and Iran with 3 articles each, Turkey with 2 and Australia and Holland with 1 article each comparatively. Conclusions: It was shown that in the studies analyzed there is evidence on the effectiveness of a system closed suction system compared to the open suction system in the hemodynamic changes of patients with mechanical ventilation, 60% (6/10) demonstrated an incidence in hemodynamic changes, while 40% (4/10) do not accept hemodynamic changes or no significant changes were recorded in the use of both systems. Recommendations from consensus and specialists suggest the importance of monitoring hemodynamic changes that may occur in patients during the aspiration procedure, regardless of whether it is performed with the closed system or the open system to prevent complications. They recommend the closed aspiration system as safer. And they clarify that nursing staff should not perform aspiration as part of a scheduled routine due to possible adverse effects.