Examinando por Autor "Rojas Ore, Rocio Katty"

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    Effectiveness of high-flow nasal cannula in patients with bronchiolitis for improving clinical outcomes
    (Universidad Privada Norbert Wiener, 2019-06-30) Navarro Avalos, Cristina; Rojas Ore, Rocio Katty; Rivera Lozada De Bonilla, Oriana
    Objective: Systematize and analyze the evidence on the effectiveness of the use of high-flow nasal cannula in patients with bronchiolitis. Material and Methods: 10 scientific articles published in different databases were taken, the GRADE system was used to classify the quality of evidence and estimate the strength of recommendation, the studies come from: Australia, Norway, USA, Spain and Atlanta. Of the 10 articles, 20% (n= 2/10) are systematic reviews, 20% (n= 2/10) are randomized controlled studies and 60% (n= 6/10) are cohort studies. Results: With the High Flow Nasal Cannula (HFNC) oxygen saturation improves in the first 12 hours, the need for intubation in patients with bronchiolitis is reduced by 8.4%; There is a 12% rate of escalation of care in infants with HFNC due to failure; Those older than 12 months respond well, as do infants with bronchiolitis, to the use of HFNC; 13% of failure is due to metabolic failures; Of the total failures, 28% go to CPAP and 11% to be intubated. Conclusion: Of the 10 articles, 9/10 determine that the use of HFNC in patients with bronchiolitis is effective in improving the clinical picture, managing to reduce R.F., increase oxygen P/A, decrease HR and increase O2 saturation. . And 1/10 points out that it is not effective, since the study had a limited population, there is a lack of more studies that guarantee the effectiveness of the high-flow nasal cannula in emergencies.