Examinando por Materia "Bélgica"

Mostrando 1 - 4 de 4

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Aspiration of subglottic secretions as an effective alternative for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2020-02-29) Costa Pisfil, Erika Amavila; Elías Garcia, Karen Pamela; Avila Vargas Machuca, Jeannette Giselle
Objectives Systematize evidence on the effectiveness of subglottic aspirations for reducing pneumonia in patients with mechanical ventilation. Materials and Methods: Observational and retrospective systematic review, the search was based exclusively on articles with full text, and the chosen studies were subjected to a critical reading, based on the GRADE evaluation to identify their level of evidence. In the selection, 10 articles were chosen, of which 20% (2/10) correspond to the United States, 20% (2/10) Australia, 10% (1/10) to India, 20% (2/10) ) Canada, 10% (1/10) China, 10% (1/10) France and 10% (1/10) Belgium. Of these there are 2 systematic reviews, 4 meta-analyses, 3 clinical trials and 1 control study, all of high quality. Results: Of the 10 articles reviewed, 100% (10/10) demonstrated that aspiration of subglottic secretions reduces the incidence of pneumonia and edema problems compared to tracheal aspirations. Conclusions: It was shown that aspiration of subglottic secretions is effective in reducing the risk of pneumonia associated with mechanical ventilation.
Acceso abierto
Effectiveness of bundles to reduce bloodstream infections in patients with central lines in critical units
(Universidad Privada Norbert Wiener, 2019-09-29) Navarro Asencios, Carlos Alfredo; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of bundles to reduce bloodstream infections in patients with a central line in critical units. Material and methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Sciencedirect, PubMed, Researchgate. Of the 10 articles systematically reviewed, 30% are of high quality as described below: 30% (n= 3/10) are meta-analyses and 70% (n= 7/10) are of medium quality represented by 50% (n= 5/10) are cohort studies and 20% (n= 2/10) are quasi-experimental and come from the countries of the Netherlands (20%), Taiwan (20%) followed by Belgium (10%), Korea (10%), Chile (10%), Australia (10%), Colombia (10%), and Thailand (10%). Conclusion: Bundles are effective in reducing bloodstream infections in patients with central lines in critical units.
Acceso abierto
Effectiveness of CPR video recording in learning feedback of health personnel
(Universidad Privada Norbert Wiener, 2019-09-22) Huamaccto Ochante, Emma Flor; Celestino Calle, Luz Verhonica; Matta Solis, Hernán Hugo
Objective: Systematize the evidence on the effectiveness of CPR video recording in learning feedback from health personnel Material and methods: A systematic review of international research is carried out, obtained through databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo, which have been analyzed using the grade system to locate the degree of evidence. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 40% (4/10) of the reviewed articles correspond to the USA, 20% (2/10) correspond to Australia and 40% (4/10) correspond to Belgium, Italy, China and Malaysia respectively. Results: 100% (10/10) of the evidence indicates that video-recorded CPR is effective in learning feedback from health personnel. Conclusions: 10 out of 10 evidence demonstrates CPR video recording is effective in learning feedback from health personnel.
Acceso abierto
Effectiveness of the practice in the frequency of use of chlorhexidine administration for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-11-12) Estrada Galdos, Margarita; Quiroz Ramos, Luz Kimberlin; Bonilla Asalde, César Antonio
Objective: Systematize the evidence about the effectiveness of the practice in the administration of chlorhexidine for the prevention of pneumonia in patients with mechanical ventilation. Material and methods: Regarding the effectiveness in preventing pneumonia with oropharyngeal decontamination with chlorhexidine 3 times a day or more compared to 1 and 2 times a day in patients with mechanical ventilation, they were found in the following databases: Researchgate, PubMed, Data Cochrane Library, Wiley, ScienceDirect, Springer Link. Of 10 articles systematically reviewed, 4 are systematic meta-analysis reviews (40%), 3 are systematic reviews (30%}, 1 is a randomized controlled clinical trial (10%}, 1 is a quasi-experimental (10%) and 1 is a cohort study {10%). These come from Italy, Belgium, Colombia and Australia {10% each), Spain and Brazil (20%), China (30%). Results: 50% of the articles reviewed do not find differences in effectiveness, with a frequency of use of chlorhexidine of 1 to 2 times a day versus 3 times or more, while the other 50% reveal in favor of the use of Chlorhexidine is three times more effective in oropharyngeal decontamination. Conclusion: The use of chlorhexidine in oropharyngeal decontamination is effective for the prevention of pneumonia, however, 50% of the evidence indicates that its effectiveness is not related to practices in the frequency of use.