Examinando por Autor "Gutierrez Yali, Renzo Yván"

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    Effectiveness of the high-flow nasal cannula compared to conventional oxygen therapies to decrease the reintubation rate in patients in the mechanical ventilation weight process in the emergency critical unit
    (Universidad Privada Norbert Wiener, 2019-08-04) Gutierrez Yali, Renzo Yván; Macedo Pumalloclla, Daniel; Bonilla Asalde, César Antonio
    Objective: To systematize the evidence on the efficacy of high-flow nasal cannula compared with conventional oxygen therapies to reduce the reintubation rate in patients undergoing weaning from mechanical ventilation. Material and Methods: Observational and retrospective systematic review of original articles, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of articles published in the following databases: Sciencedirect, Scielo, PubMed, Epistemonikos, and Researchgate. Of the 10 articles systematically reviewed, 30% (n= 3/10) are meta-analyses, 60% (n= 6/10) are randomized controlled trials and 10% (n= 1/10) are cohort studies and come from the countries of China (30%), followed by Spain (20%), Canada (10%), Korea (10%), Thailand (10%), Israel (10%), and Italy (10%). Results: 90% (n=19/10) indicate that high-flow nasal cannula is more effective than conventional oxygen therapies to decrease the reintubation rate in patients being weaned from mechanical ventilation. 10% (n=1/10) indicate that high-flow nasal cannula has similar efficacy to conventional oxygen therapies to decrease the reintubation rate in patients being weaned from mechanical ventilation in critical units. Conclusion: High-flow nasal cannula is effective in reducing the rate of reintubation in patients undergoing weaning from mechanical ventilation.