Examinando por Materia "Apoyo Vital Cardíaco Avanzado"
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Ítem Acceso abierto Efficacy of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest.(Universidad Privada Norbert Wiener, 2018-03-25) Mora Sangama, Carolina Noemi; Calsin Pacompia, WilmerObjective: To systematically analyze the evidence on the effectiveness of postural exercises to reduce cervicalgia in office workers. Materials and methods: A systematic observational and retrospective review, the search was restricted to articles with full text, and selected articles underwent a critical reading, using the Grade System evaluation to identify their level of evidence. Results: In the final selection, 10 articles were chosen, of which 40% (4/10) came from Canada, 20% (2/10) from Australia, and 10% from Thailand, the United Kingdom, Spain, and Colombia, respectively. The results show that 50% (5/10) of the articles analyzed systematically indicate that postural exercises are effective in reducing cervicalgia in office workers, 20% (2/10) show that postural exercises are not effective in reducing cervicalgia in office workers, and 30% (3/10) of the studies report that more research should be conducted before drawing firm conclusions about the effectiveness of postural exercises for reducing cervicalgia in office workers. Conclusions: It was found that 5 out of 10 systematically reviewed scientific articles demonstrate the effectiveness of postural exercises in reducing cervicalgia in office workers.Ítem Acceso abierto Efficacy of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest.(Universidad Privada Norbert Wiener, 2018-03-25) Chacon Rosado, Edward Cleymer; Mora Sangama, Carolina Noemi; Calsin Pacompia, WilmerObjective: To systematize the evidence on the effectiveness of manual chest compression versus mechanical chest compression in the resuscitation of patients in out-of-hospital cardiac arrest. Materials and Methods: The population consisted of 35 studies and the sample was 10 studies. A review of scientific articles on the effectiveness of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest was conducted. It included 05 Systematic Reviews and Meta-analyses, 01 Systematic Review, 03 Randomized Controlled Trials, and 01 Experimental Study. 20% of the evidence found came from China, 20% from the Netherlands, another 20% from England, and 10% from Canada, Singapore, Germany, and the United States, respectively. The search was carried out in the Lilacs, Pubmed, Medline, and Cochrane Plus databases. Results: Of the 10 articles reviewed, 90% (n=09/10) agreed that there is insufficient scientific evidence to conclusively demonstrate that either of the interventions, manual chest compression or mechanical chest compression in the resuscitation of patients with sudden cardiac arrest, is superior to the other. One study, 10% (n=1/10), concluded that mechanical chest compression is superior to manual chest compression in terms of achieving return of spontaneous circulation in cardiopulmonary resuscitation, as the odds of return of spontaneous circulation were more than 1.6 times higher. Conclusions: It is confirmed that neither intervention is superior; both mechanical chest compression and manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest are equally effective. However, it is relevant to strengthen manual chest compression due to its cost-effectiveness for the patient, healthcare service providers, and emergency mobile units managing this type of emergency.
