Examinando por Materia "Catheterization"
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Ítem Acceso abierto Effectiveness of Cateterismo for the insertion of the ultrasonido- cuide radial arterial Cateterismo in criticas patients.(Universidad Privada Norbert Wiener, 2020-02-29) Rabanal Zegarra, Ángel Alexander; Caján Rocca, Etelvina Carmen; Rivera Lozada de Bonilla, OrianaObjective: To systematize the evidence on catheterization for the insertion of the radial arterial catheter guided by ultrasound in critically ill patients. Materials and methods: This study is a systematic review. The population consisted of a total of 35 articles, of which 10 accredited and indexed scientific studies made up the sample, the instruments were found in the PubMed, Scielo, EBSCO databases. For the study of the articles, the GRADE system was used, this system evaluated the quality of evidence and strength of recommendation in the present study. Results: According to the study evidence in this research, 10 articles were studied, of which: finally at the end of the systematic review of the articles, of 100%, 60% correspond to China and 10% to the USA, the United Kingdom, Denmark and France, each respectively. Regarding the designs and types of studies, 50% correspond to Clinical Trials, 30% to meta-analysis and 20% to systematic review. Conclusions: It is concluded that the 10 articles analyzed show that ultrasound-guided radial arterial catheterization was effective because it was considered to have a lower probability of injury and greater assertiveness when placing a catheter.Ítem Acceso abierto Effectiveness of nursing intervention for pain management during peripheral venous access in hospitalized children(Universidad Privada Norbert Wiener, 2020-02-16) Chavez Quispe, Jacqueline; Collazos Flores, Cecil Lucyana; Cárdenas de Fernández, María HildaObjective: Systematize evidence on the effectiveness of nursing intervention for pain management during peripheral cannulation in hospitalized children. Materials and Methods: The design is a systematic review, the population was made up of 20 scientific articles and the sample was 10 scientific articles. The selected articles were subjected to critical reading and the GRADE system was used. Results: According to the research design, 10% are systematic review, 60% (6/10) clinical trials, 20% quasi-experimental and 10% double-blind randomized study; 80% are of high quality and 20% are of moderate quality. Conclusions: Of the 10 articles reviewed, 100% demonstrate that the nursing intervention is effective in reducing pain, pain management during peripheral line cannulation in children, since it reduces the fear and anxiety that children may feel, such as parents during this procedure.Ítem Acceso abierto Effectiveness of the Buttonhole technique compared to the ladder technique in reducing complications from cannulation in adult patients with end-stage renal disease undergoing hemodialysis(Universidad Privada Norbert Wiener, 2018-12-02) Briones Alvarado, Gilda Cynthia; García Alegre, Jessica Juliana; Matta Solis, Hernán HugoThe systematic review was carried out in the following databases: Epistemonikos, Scielo, Pubmed, which allowed us to find 10 scientific evidence. Of which, 50% (5/10) is a systematic review type, 40% (4/10) is a randomized controlled study type and 10% (1/10) is a meta-analysis. 10% of the evidence found comes from Holland, Spain, China and the United States, 20% of the evidence comes from the United Kingdom, Australia and Canada. Results: 60% (6/10), (11, 12, 15, 18, 19 and 20), indicate that the buttonhole method is more effective than the ladder method to reduce complications due to cannulation in adult patients with chronic kidney disease. terminal on hemodialysis. 30% (3/10) of the authors (14, 16 and 17) consider that the buttonhole method is associated with complications such as local and systemic infections, pain, hematoma of the arteriovenous fistula compared to the ladder technique in patients adults on hemodialysis. 10% (1/10) of the authors (13) do not support the preferential use of the buttonhole technique over the ladder technique. Conclusion: The buttonhole technique is more effective than the ladder technique to reduce complications due to arteriovenous fistula cannulation in adult patients with end-stage chronic kidney disease on hemodialysis.Ítem Acceso abierto Effectiveness of ultrasound in the placement of catheters for hemodialysis in patients with chronic renal failure(Universidad Privada Norbert Wiener, 2018-08-12) Quiñonez Rodriguez, Mayra Daniela; Pinedo Flores, Milagros Gretel; Calsin Pacompia, WilmerObjective: Analyze and systematize the evidence on the effectiveness of ultrasound in the placement of catheters for hemodialysis in patients with chronic renal failure. Materials and Methods: The type and design of the study was quantitative and systematic review respectively, 10 scientific articles made up the population and sample, of 100%, 40% correspond to Spain, 10% correspond to the United Kingdom, 10% Uruguay, 10 % Paraguay, 10% USA, 10% Mexico and 10% Iran. 70% corresponds to a clinical trial, 20% corresponds to a descriptive study and 10% to a retrospective observational study, in relation to the design and type of study. Results: We found in 100% (10/10) of the studies that the use of ultrasound was effective. Conclusions: It was concluded that the use of ultrasound in the placement of catheters for hemodialysis in patients with chronic renal failure is effective, because it has significant beneficial effects, being successful on the first attempt, reducing the risk of arterial puncture and hematomas. , in addition to facilitating the insertion of central lines, reducing complications for the operators who perform the punctures, as well as reducing morbidity and helping with difficult punctures.Ítem Acceso abierto Effectiveness of using vein visualization devices for proper venous cannulation in patients with complicated venous access treated in the emergency department(Universidad Privada Norbert Wiener, 2019-12-01) Palomino Quispe, Vilma Yobana; Huarancca Meza, Katherin; Arevalo Marcos, Rodolfo AmadoObjective: Systematize the evidence on the effectiveness of the use of vein visualization devices for correct venous cannulation in patients with complicated venous access treated in an emergency. Material and Methods: A systemic review of international research articles is carried out, which have been obtained by searching the databases: Epistemonikos, PubMed, Elsevier, Scielo, and Science Direct, which have been chosen and analyzed using the Grade System. to locate the respective degree of evidence. The search for articles was carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. Results: It is observed that when evaluating the articles, the result was that 30% (3/10) of the articles reviewed correspond to Spain, 30% (3/10) of the articles reviewed correspond to Mexico, 20% (2/10) corresponds to the United States, and 20% (2/10) corresponds to Brazil. Conclusions: It is found that 10 of the 10 evidences studied conclude that the effectiveness is high, the use of the vein visualization device helps correct venous cannulation in patients with complicated venous access treated in an emergency.Ítem Acceso abierto Efficacy of arterial cannulation by ultrasound versus cannulation by palpation in critically ill patients in reducing insertion time(Universidad Privada Norbert Wiener, 2020-07-26) Fuertes Coronado, Shirley Hayda; Marcapiña Guaygua, Evelin Noelia; Pretell Aguliar, Rosa MaríaObjective: To systematize the available studies on the efficacy of arterial cannulation by ultrasound versus cannulation by palpation in critically ill patients. Materials and methods: The study responds to the quantitative approach, systematic review design, population 21 articles and the sample of 10 studies, studies were located in the Cochrane Plus, Lilacs, Pubmed, Scielo, Elsevier, Epistemonikos databases. A critical and intensive assessment of each study was performed, from which the quality of the evidence and the strength of recommendation for each study were determined through the GRADE method. Results: According to the results obtained from the systematic review carried out in the present study, of the 10 articles systematically reviewed, 30% (n = 3/10) are systematic reviews, 70% (n = 7/10) are randomized controlled trials; and the articles come from the countries of the USA with 40%, Denmark 10%, India 10%, Thailand 20% and Japan 10% respectively. Finally, from the results obtained from the systematic review, of the total of 10 articles reviewed (17,18,19,20,21,22,23,24,25,26), 100% (n= 10/10) show that there is sufficient scientific evidence to suggest a statistically significant difference in the effectiveness of arterial cannulation by ultrasound versus cannulation by palpation in reducing catheter insertion time in critically ill patients. Conclusion: Arterial cannulation by ultrasound is the most effective in reducing catheter insertion time compared to arterial cannulation by palpation in critically ill patients.Ítem Acceso abierto Efficacy of internal jugular central venous catheterization compared with subclavian venous catheterization in reducing complications in emergencies(Universidad Privada Norbert Wiener, 2021-11-07) Tipte Mateo, Laura Ivón; Torres Chaupín, Geraldine Jennifer; Arevalo Marcos, Rodolfo AmadoObjective: To systematize the evidence on the efficacy of internal jugular central venous catheterization compared to subclavian venous catheterization in reducing complications in emergencies. Materials and methods: The type of study was a systematic review, the population consisted of 50 articles and the sample was 10 articles, the instrument was carried out by the attached databases Scielo, Pubmed, EBSCO host, ElSevier science, Journal of Surgical Education, the GRADE system was used for the evaluation of the articles, the criteria were strength of recommendation and quality of evidence. Results: 100% of the articles correspond to the countries of China, Japan, France, South Korea, Germany, Turkey, USA and Brazil. Regarding the designs and types of studies, 30% correspond to retrospective, 30% to prospective, 20% meta-analysis, 10% randomized controlled trial and 10% controlled cases. Ten articles were analyzed, and most studies agree that internal jugular venous catheterization is more effective than subclavian catheterization, since there are fewer complications and success rates in the first placement attempt, compared to subclavian catheterization, where there is a higher incidence of infections, pneumothorax, and thrombosis. Conclusions: 70% of the studies show the effectiveness of internal jugular venous catheterization, because it is useful in anticoagulated patients; in the event of a hematoma, the neck can be compressed relatively easily; it is rare for pneumothorax or hemothorax to occur; it is a useful route in the case of patients with respiratory disorders; it was associated with reduced risks of complications, and 30% indicate that cannulation of the subclavian vein was effective, since there were no cases of thrombosis or infection in this group; and mechanical complications were not significantly different between the internal jugular vein and the subclavian vein.Ítem Acceso abierto Efficacy of local anesthesia in reducing pain in patients with a prescription for bladder catheterization, in emergencies(Universidad Privada Norbert Wiener, 2020-02-08) Murgueytio Atuncar, Sheyla Johana; Torres Aragón, Victor Hugo; Arevalo Marcos, Rodolfo AmadoObjective: Systematize available studies on the effectiveness of local anesthesia in reducing pain in patients with a prescription for bladder catheterization in an emergency. Materials and methods: The study responds to the quantitative approach, systematic review design, population 19 articles and the sample of 10 studies, studies were located in the Cochrane Plus, Lilacs, Pubmed, Scielo, Epistemonikos, Intramed databases. A critical and intensive assessment of each study was carried out, the quality of the evidence and the strength of recommendation for each study were determined through the GRADE method. Of 10 articles reviewed, 80% (8/10) were randomized clinical trials, 20% (2/10) Meta-analysis. The evidence found comes from the United States (40%), Canada (20%), Israel (20%), Singapore (10%) and Australia (10%). Results: Of the evidence found, 60% (n=6/10) indicate that local anesthesia is effective in reducing pain in patients prescribed bladder catheterization; while 40% (n=4/10) demonstrate that local anesthesia is not effective in reducing pain in patients prescribed bladder catheterization. Conclusion: local anesthesia is effective in reducing pain in patients prescribed bladder catheterization.Ítem Acceso abierto Efficacy of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention(Universidad Privada Norbert Wiener, 2020-02-16) Erribari Sulluchuco, Mirtha Nitza; Giraldo Vicente, Betzabé Maira; Gamarra Bustillos, CarlosObjective: Systematize the evidence on the effectiveness of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention. Materials and Methods: A retrospective systematic review was carried out, which summarizes the findings of various primary studies. These investigations are an important part of evidence-based nursing to answer clinical questions. Thus, it was restricted to documents using the GRADE system, which allowed the recommendation power to be strengthened. Subsequently, the selected investigations were subjected to critical analysis. Results: Finally, 10 articles were selected, carried out in the present study, the active heating methods are efficient, although some seem to be more efficient than others. Better findings were obtained when warming was extended to the preoperative stage to reduce the occurrence of perioperative hypothermia. For this reason, intervention measures are necessary in order to prevent hypothermia and maintain normal temperature before and during the operation. Conclusions: Active warming methods were shown to be effective in maintaining perioperative normothermia. Being an effective measure (efficient and effective), since it increases body temperature and thermal comfort, patient satisfaction and facilitates venous cannulation, it reduces bleeding, infection of the surgical wound, mechanical ventilation time, use of fluids, vasodilators, morphine and antibiotics, blood pressure and cardiac disorders, reduces hospitalization time and costs. Warming during the intraoperative period is sufficient to effectively prevent hypothermia, both at this stage and in the postoperative period.Ítem Acceso abierto Level of knowledge and practices of the nursing professional on the management of the Port-A-Cath catheter at the Regional Institute of Neoplastic Diseases - Concepción 2022(Universidad Privada Norbert Wiener, 2022-12-11) Salcedo Mateo, Milagro Katia; Fernández Rengifo, Werther FernandoIntroduction: The long-term port-a-cath catheter in oncology patients is essential where cytostatic therapy is initiated and is easy for different laboratories since the extraction of a blood sample can help relieve pain, protect peripheral pathways and help avoid the frustrating trauma of constant catheterization in this subcutaneous device, it is for exclusive use by nursing, which is why said nursing professional must have the necessary knowledge to provide the necessary care. Objective: is to “Determine the level of knowledge and nursing practices on the management of the Port-A-Cath catheter at the Regional Institute of Neoplastic Diseases - Concepción 2022. Methods: The research will be a “hypothetical deductive method”, with quantitative approaches and variables of this research will be given in statistical testing according to interpretation, this study is applied, since it will seek to solve the problems raised from a scientific point of view, it is cross-sectional and its design is non-experimental. Population and sample: it is a census sample of 60 nurses, for this study the Microsoft Excel program, SPPS version 21, will be used, the results will be provided in graphs and/tables.
