Examinando por Materia "Atención Perioperativa"

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Acceso abierto
Effectiveness of preoperative fasting in the prevention of perioperative complications
(Universidad Privada Norbert Wiener, 2017-08-05) Calero López, Yanina Margot; Sullca Quispe, Katia Milagro; Rivera Lozada de Bonilla, Oriana
Objective: To evaluate the evidence on the effectiveness of preoperative fasting in the prevention of perioperative complications. Materials and Methods: This is an observational and retrospective systematic review, which synthesizes the results of multiple primary studies. It is an essential part of evidence-based nursing due to its rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The systematic review of 10 scientific articles on the effectiveness of preoperative fasting in the prevention of perioperative complications was conducted using the following databases: Pubmed, Medline, Elsevier, and Cochrane Plus, including articles with the following study types and designs: meta-analysis (1), experimental (1), cohort (3), descriptive cross-sectional (3), and analytical cross-sectional (2). Results: Of the articles analyzed, 60% show that patients with prolonged fasting present perioperative complications, so it is recommended to reduce the duration of prolonged fasting. Additionally, 40% show that healthcare teams should be trained and follow the guidelines of the American Society of Anesthesiologists (ASA). Therefore, 100% of the articles conclude that preoperative fasting is not associated with and is not effective in preventing perioperative complications. Conclusions: The 10 articles reviewed show that preoperative fasting is not associated with and is not effective in preventing perioperative complications, and therefore, guidelines regarding the duration of total fasting and the amount of intake allowed in the preoperative period should be modified.
Acceso abierto
Effectiveness of warming devices in the prevention and maintenance of temperature in inadvertent hypothermia in the peri- and postoperative period in surgical patients.
(Universidad Privada Norbert Wiener, 2018-07-08) Armas Vicharra, Noemi Berta; Ayala Balbin, Wendy del Carmen; Rivera Lozada de Bonilla, Oriana
Objective: To evaluate the evidence on the effectiveness of warming devices in the prevention and maintenance of temperature during inadvertent hypothermia in the perioperative period in surgical patients. Results: Fifty percent (n = 5/10) indicate the effectiveness of warming devices in preventing and maintaining temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients, while the other 50% (n = 5/10) show concordance but do not provide evidence of effectiveness as it was not measured. Conclusion: Half of the studies (5/10) indicate the effectiveness of warming devices in preventing and maintaining temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients. The remaining 5/10 indicate concordance with the use of warming devices in the prevention and maintenance of temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients.
Acceso abierto
Efficacy of supplemental oxygen therapy to reduce surgical site infections in perioperative patients
(Universidad Privada Norbert Wiener, 2020-02-16) Uculmana Villagomez, Rosa Corina; Rengifo Barrón, Delia Auristela; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of supplemental oxygen therapy to reduce surgical site infection in perioperative patients. Material and Methods: Retrospective and observational systematic review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following information sources Elsevier, Scielo, PubMed and Epistemonikos. Of the 10 articles systematically reviewed, 100% were of high quality as described below: 60% (n= 6/10) are meta-analysis, 10% (n= 1/10) are systematic reviews and 30% (n= 3/10) are randomized controlled trials and belong to the countries of the United States (40%), followed by Denmark (10%), England (10%), China (10%), France (10%), Italy (10%) and Israel (10%). Results: 60% (n=6/10) indicate that supplemental oxygen therapy is effective in reducing surgical site infection in perioperative patients. 40% (n=4/10) indicate that supplemental oxygen therapy is not effective in reducing surgical site infection in perioperative patients. Conclusion: Supplemental oxygen therapy is effective in reducing surgical site infection in perioperative patients.