Examinando por Materia "Cannula"

Mostrando 1 - 10 de 10

Acceso abierto
Effectiveness of high-flow nasal cannula compared to conventional oxygen therapy to reduce reintubation in post-extubated patients
(Universidad Privada Norbert Wiener, 2019-11-03) Valverde Ruiz, Stefany Yurico; Mancco Hurtado, Anghelo Jiampier; Matta Solis, Eduardo Percy
Objective: To systematize evidence on the effectiveness of high-flow nasal cannulas compared to conventional oxygen therapy for reducing reintubation in post-extubated patients. Materials and Methods: A systematic, observational, and retrospective review with critical reading, using the GRADE system to assess evidence quality. The studies were retrieved from Epistemonikos, PubMed, Researchgate, and Scielo. Results: Among the 10 reviewed articles, 50% (5/10) were meta-analyses, 30% (3/10) were randomized controlled trials, and 20% (2/10) were of moderate quality. Results: 60% (6/10) indicated that high-flow nasal cannulas are more effective than conventional oxygen therapy for reducing reintubation in post-extubated patients. 20% (2/10) found no difference between the two methods. Conclusion: 60% of the studies confirm that high-flow nasal cannulas are more effective than conventional oxygen therapy for reducing reintubation in post-extubated patients.
Acceso abierto
Effectiveness of high-flow nasal cannula in neonatal and pediatric patients with respiratory failure
(Universidad Privada Norbert Wiener, 2019-01-06) Jesús Quispe, Mónica Karina; Vargas Santa Cruz, Héctor Daniel; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the effectiveness of the high-flow nasal cannula in neonatal and pediatric patients with respiratory failure. Material and Method: In the studies carried out, 6 systematic reviews, 1 randomized controlled study, 1 meta-analysis, 1 prospective observational clinical study, 1 cohort study were investigated, as evidenced in the following database: Epistemonikos, PubMed, Cochrane MEDLINE; They were analyzed according to the grading scale to determine their strength and quality of evidence. Results: Regarding the reviews of the 10 articles on the use of high-flow nasal cannula, 90% (9/10) show effectiveness in terms of its use in neonatal and pediatric patients with respiratory failure and one and 10% (1 /10) concludes that it is not effective since they report that more studies are still needed in pediatric children. Conclusions: the study concluded that the 10 articles reviewed, 9 of 10 show the effectiveness of the use of the high-flow nasal cannula in neonatal and pediatric patients with respiratory failure, it is safe and well tolerated because it relieves respiratory work by reducing fatigue of the respiratory muscles achieving clinical improvement in neonatal and pediatric patients, but 1 out of 10 concludes that it is not effective and that more studies are still required in pediatric children.
Acceso abierto
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 oxygenation of high-flow cannulas to prevent mechanical intubation in acute hypoxemic respiratory failure in COVID-19 patients in the intensive care unit
(Universidad Privada Norbert Wiener, 2021-11-14) Gallegos Romaní, Flor De María; Cárdenas de Fernández, María Hilda
Of the 10 articles reviewed, 80% (8/10) highlight the effectiveness of high-flow cannula oxygenation to avoid mechanical intubation in acute hypoxemic respiratory failure in patients with covid-19 in the intensive care unit, 10% (1/10) show that noninvasive mechanical ventilation reduces intubation and the other 10% (1/10) agree that both procedures are safe and effective. According to this review, it can be concluded that Intensive Care Unit specialists should reinforce their knowledge on the proper and initial practice of HFNC before requiring forced intubation, since the positive pressure system generated probably reduces the level of infection contagion of patients in the ICU and mortality.
Acceso abierto
Effectiveness of the high-flow nasal cannula compared to conventional oxygen therapies to decrease the reintubation rate in patients in the mechanical ventilation weight process in the emergency critical unit
(Universidad Privada Norbert Wiener, 2019-08-04) Gutierrez Yali, Renzo Yván; Macedo Pumalloclla, Daniel; Bonilla Asalde, César Antonio
Objective: To systematize the evidence on the efficacy of high-flow nasal cannula compared with conventional oxygen therapies to reduce the reintubation rate in patients undergoing weaning from mechanical ventilation. Material and Methods: Observational and retrospective systematic review of original articles, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of articles published in the following databases: Sciencedirect, Scielo, PubMed, Epistemonikos, and Researchgate. Of the 10 articles systematically reviewed, 30% (n= 3/10) are meta-analyses, 60% (n= 6/10) are randomized controlled trials and 10% (n= 1/10) are cohort studies and come from the countries of China (30%), followed by Spain (20%), Canada (10%), Korea (10%), Thailand (10%), Israel (10%), and Italy (10%). Results: 90% (n=19/10) indicate that high-flow nasal cannula is more effective than conventional oxygen therapies to decrease the reintubation rate in patients being weaned from mechanical ventilation. 10% (n=1/10) indicate that high-flow nasal cannula has similar efficacy to conventional oxygen therapies to decrease the reintubation rate in patients being weaned from mechanical ventilation in critical units. Conclusion: High-flow nasal cannula is effective in reducing the rate of reintubation in patients undergoing weaning from mechanical ventilation.
Acceso abierto
Effectiveness of the treatment with the high-flow nasal cannula versus continuous positive pressure device on the airplane in the newborn with respiratory difficulty
(Universidad Privada Norbert Wiener, 2019-08-04) Navarro Villazana, Eliana Norma; Rojas Perez, Evelyn Lorena; Arevalo Marcos, Rodolfo Amado
Objective: To systematize the efficacy of high flow nasal cannula (HFNC) versus airway CPAP in newborns with respiratory distress. Materials and methods: This is a quantitative, retrospective, cross-sectional systematic review. The population consisted of 18 articles, with a final selection of 10 articles, which are published in English and Spanish no more than 10 years old in the following scientific search engines: Scielo, Cochrane plus, Dialnet, Pubmed, and Ebsco. Results: 70% conclude that HFNC compared to airway CPAP provides equal efficacy in the treatment of newborns with respiratory distress, 20% indicate that its effectiveness compared to the other device cannot be determined due to the lack of research with a larger randomized trial sample, and on the other hand, 10% conclude that HFNC is less effective than the CPAP system. Conclusions: It is concluded that 7 of their articles demonstrate the similarity in terms of efficacy in the treatment of newborns with some type of respiratory difficulty, highlighting the lower production of injury at the nasal level.
Acceso abierto
Effectiveness of the use of high-flow nasal cannula in improving the clinical picture in patients with chronic obstructive pulmonary disease (COPD)
(Universidad Privada Norbert Wiener, 2021-08-22) Rodríguez Villanueva, José Luis; Arevalo Marcos, Rodolfo Amado
Systematize and analyze the evidence on the effectiveness of the use of high-flow nasal cannula in improving the clinical picture in patients with Chronic Obstructive Pulmonary Disease (COPD). Material and Method: It was developed through the systematic review of scientific articles based on the PICO methodology. These articles maintained as their main theme: effectiveness of the use of high-flow nasal cannula in improving the clinical picture in patients with Chronic Obstructive Pulmonary Disease (COPD). The primary sources were searched in the different databases and scientific portals -PubMed, Scielo and Google academic-; which were subsequently analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed, 10% (n=1/10) are meta-analyses, 10% (n=1/10) are systematic reviews, 10% (n=1/10) are multicenter randomized controlled trials , 20% (n=2/10) are Controlled Trials, 50% (n=5/10) are controlled and randomized trials. Conclusions: In 9 of the 10 articles (90%) it is evident that the use of high-flow nasal cannula is efficient in improving the clinical picture of patients with Chronic Obstructive Pulmonary Disease (COPD).
Acceso abierto
High-flow cannula and irox index in patients with covid-19 in a level III hospital in Lima, 2022
(Universidad Privada Norbert Wiener, 2023-05-04) Castro Soplin, Karen Lissette; Martínez Cautín, Noemí Esther
The acute condition caused by COVID-19 and its rapid spread led to the collapse of many healthcare systems. The shortage of resources, such as mechanical ventilators, prompted many to opt for high-flow nasal cannula (HFNC) as an alternative means to assist critically ill patients. This device is a non-invasive support that delivers oxygen at high flows, with appropriate temperature and humidity, and can provide oxygen fractions of up to 100%. Additionally, it has certain physiological effects that benefit patients. Predicting the success of the high-flow cannula will allow us to avoid delaying intubation, where delays can increase mortality. The ROX index serves as a tool to evaluate HFNC.
Acceso abierto
Oxygen therapy and level of inflammation in patients with acute respiratory distress syndrome at Hospital Nacional Almanzor Aguinaga Asenjo - Essalud, 2022
(Universidad Privada Norbert Wiener, 2023-05-31) Torres Coronel, Harley Davidson; Diaz Mau, Aimee Yajaira
High-flow nasal cannula oxygenation improves ventilatory parameters in Acute Respiratory Distress Syndrome (ARDS), reducing the respiratory period, cardiac period, oxygen demand (O2), capillary oxygen saturation (SpO2), and oxygen partial pressure (PaO2), while not affecting pH20 and CO2 results. Most studies with significant scientific evidence regarding the use of High-Flow Nasal Cannulas (HFNC) have been conducted in adult patients with hypoxemic respiratory failure in critical care units. This is the reason for my interest in conducting this research, considering that high-flow oxygenation is frequently used in hospitalized patients at the National Almanzor Aguinaga Asenjo Hospital (HNAAA). This research aims to determine whether there is a relationship between HFNC oxygen therapy and the level of inflammation in patients with ARDS.
Acceso abierto
Wake prono and high flow cannula in patients with acute respiratory failure covid-19 in a Lima Hospital, 2021
(Universidad Privada Norbert Wiener, 2023-02-03) Gutierrez Garcia, Carla Alejandra; Cautín Martinez, Noemi Esther
COVID-19 is caused by the new coronavirus known as SARS-CoV-2. Early management of the disease, when its progression was not yet known, involved implementing emergency strategies for respiratory rescue of these patients, such as Prone Vigil, which is an awake prone position that facilitates better gas redistribution at the pulmonary level, particularly oxygen, as well as the use of high-flow nasal cannula, a device for oxygen therapy that uses high flows of humidified air to improve oxygenation in hypoxemic respiratory failure. This disease showed its worst form, with mortality rates exceeding 60% among patients admitted to critical units who were on mechanical ventilation. Therefore, the hypothesis of this project aims to investigate the relationship between Prone Vigil and high-flow nasal cannula in patients with acute respiratory failure due to COVID-19 at a hospital in Lima, 2021.