Examinando por Materia "Bronchiolitis"

Mostrando 1 - 4 de 4

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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.
Acceso abierto
Effectiveness of nebulization with hypertonic saline solution in the treatment of bronchiolitis in hospitalized infants and toddlers to reduce bronchiolitis scores and length of hospital stay
(Universidad Privada Norbert Wiener, 2018-07-08) Carbajal Mayhua, Edith Marlene; Avila Vargas Machuca, Jeannette Giselle
The objective of the research is to analyze the evidence on the effectiveness of nebulization with hypertonic saline in the treatment of bronchiolitis in hospitalized infants and infants for the reduction of bronchiolitis scores and length of hospital stay. The observational and retrospective Systematic Review methodology was used, the search was restricted to 10 full-text scientific articles published in Spanish, English and Portuguese, no older than 10 years. The selected articles were subjected to a critical reading to identify their level of evidence. Finding as a result that 90% of articles show that nebulization with Hypertonic Saline Solution is effective in the treatment of bronchiolitis, reducing severity scores and hospital stay in infants and infants. Also the remaining 10% only show a reduction in hospital stay. Likewise, the effectiveness is demonstrated when compared with normal saline solution and in another case with the use of Epinephrine.
Acceso abierto
Effectiveness of respiratory techniques to improve clinical status in infants with acute bronchiolitis
(Universidad Privada Norbert Wiener, 2020-01-25) Esteban Sotomayor, Magaly Edith; Pulache Bernal, Fanny Marylin; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the evidence on the effectiveness of respiratory techniques to improve the clinical status in infants with acute bronchiolitis. Material and methods: The systematic review of 10 scientific articles from the following database Scielo, Pubmed, Epistemonikos, all analyzed according to the Grade scale to determine their strength and quality of evidence. Results: 80% of the evidence shows effectiveness in terms of respiratory techniques: vibrations, prolonged slow expiration, nebulization with 3% hypertonic saline solution, aspiration of secretions and postural drainage and 20% conclude that vibrations and percussion can cause vomit. Conclusion: 8 out of 10 evidence points to the different respiratory techniques: vibrations, aspiration of secretions, nebulization, postural drainage and prolonged slow expiration are effective in improving respiratory rate and clinical status in infants. In 2 out of 10 evidence they conclude that vibrations are not recommended since they can cause vomiting in our infants with acute bronchiolitis.
Acceso abierto
Efficacy of Nebulization with 3% Hypertonic Solution Versus 0.9% Saline Solution in Children Under 2 Years of Age With Bronchiolitis
(Universidad Privada Norbert Wiener, 1905-07-09) Marcelo Avalos, Mónica Jesús; Maylle Antaurco, Teodosia Carmen; Gamarra Bustillos, Carlos
Objective: To evaluate the effectiveness of the use of 3% hypertonic solution versus 0.9% saline solution in children under 2 years of age with bronchiolitis who receive nebulizations. Materials and methods: The type of study is a systematic review, and this is of literature published during the period 2011-2016, 10 articles were selected, subjected to a critical reading, using the GRADE SYSTEM to identify the degree of evidence and strength recommendation of each article. 70% of the articles show that there is effectiveness of a 3% hypertonic solution, since it reduces hospital stay, admission rate, shorter oxygen therapy time, lower economic cost and fewer side effects compared to saline solution 0.9 %. Conclusions: Our study demonstrates a firm evidence base for the use of 3% hypertonic solution in bronchiolitis in children under two years of age, being more effective compared to 0.9% saline solution.