Examinando por Autor "Justiniani Quíspe, Sindy Eliana"

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    Effectiveness of head elevation in brain-injured patients to reduce intracranial pressure in the intensive care unit
    (Universidad Privada Norbert Wiener, 2019-01-06) Justiniani Quíspe, Sindy Eliana; Espinoza Robles, Roy; Glenni Garay, Zarely Zabeli
    Objective: To systematize the evidence on the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit. Material and Methods: A systematic review of international research articles was conducted, obtained through searches in databases such as Epistemonikos, NCBI, PubMed, Elsevier, SciELO, ScienceDirect, and BVSALUD, which were selected and analyzed using the GRADE system to determine the level of evidence. Articles were searched using DECS and MeSH descriptors for Spanish and English, respectively. Regarding the origin of the articles, 30% (3/10) are from the United States, and 70% (7/10) are from China, Spain, Turkey, Germany, Indonesia, the United Kingdom, and Russia, respectively. Results: 80% (8/10) of the articles studied define the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit, while 20% (2/10) report it as ineffective. Conclusions: It is found that 8 out of the 10 pieces of evidence studied conclude that head elevation is effective in patients with brain injury to reduce intracranial pressure in the intensive care unit, and 2 out of 10 pieces of evidence require further studies to achieve effectiveness in its application.