Examinando por Materia "Choque Traumático"

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    Effectiveness of endotracheal suction in a closed circuit compared to an open circuit to reduce complications in mechanically ventilated trauma patients in shock
    (Universidad Privada Norbert Wiener, 2020-01-05) Ñiquen Villoslada, Carla Teresa; Arevalo Marcos, Rodolfo Amado
    Objective: Systematize evidence of closed-circuit endotracheal aspiration compared to open-circuit to reduce complications in patients with mechanical ventilation in trauma shock. Material and Method: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system found in the following database: PubMed, Redalyc, Cochrane, Lylacs, Scielo. Of the 10 articles systematically reviewed with the period 2008 – 2018, 60% (n=6/10) are a systematic review, 10% (n=1/10) are a prospective randomized study, 10% (n=1/10 ) experimental study, 10% (n=1/10) randomized crossover study and 10% (n=1/10) clinical trial, of which had different origins such as: Brazil (30%), China (10%), Japan (10%), Iran (10%), USA (10%), Colombia (10%), Sweden (10%) and Australia (10% ). Results: the evidence found at 100% (n=10/10) indicates that the use of a closed endotracheal suction system has fewer complications than the open system in patients with mechanical ventilation. Conclusion: according to the evidence analyzed from 10 100% scientific articles, 70% conclude that there are greater complications in the open endotracheal aspiration system than the closed endotracheal aspiration system in patients with mechanical ventilation and 30% do not compare their effectiveness in the use of both endotracheal suction circuits.