Examinando por Materia "Complications"

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Acceso abierto
Complications associated with the use of non-invasive mechanical ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease in the adult emergency service
(Universidad Privada Norbert Wiener, 2020-01-05) Espinoza Pizarro, Judith; Arevalo Marcos, Rodolfo Amado
Objective: Systematize evidence on the complications associated with the use of NIV in patients with exacerbated COPD, thus putting into practice the appropriate application of nursing care in these patients, for the prevention of these complications. Material and Methods: The quantitative observational and retrospective systematic review was used, which were subjected to critical selection, the Grade evaluation system was used, the degree of evidence of the 10 articles systematically reviewed was identified. Results: 100% (n= 10/10) determined that there are complications associated with the use of non-invasive mechanical ventilation in patients with exacerbated COPD, the most notable being: lacerations on the forehead and nose (70%), discomfort, being responsible 12 to 30% of NIV failures, gastric distention, dry eyes and mouth. Conclusion: There are complications associated with the use of NIV in patients with exacerbated COPD: lacerations, on the forehead and nose, and they are related to the patient and ventilator interface at the time of placing the mask on the patients, dry eyes and mouth, feeling of claustrophobia, anxiety, restlessness, gastric distension, aspiration pneumonia.
Acceso abierto
Epidemiological characteristics and factors associated with cesarean section at the Maternal and Child Center José Carlos Mariátegui from August 2016 to July 2017
(Universidad Privada Norbert Wiener, 2018-01-15) Rojas Morón, Miriam Danaiz; Vargas Arzubiaga, Carla Stephany; Rodriguez Chávez, Carlos Leonidas
Caesarean section is a common surgical intervention in the world that allows saving human lives; it is performed without clinical indications. The general objective is the epidemiological characteristics and factors associated with cesarean section. Furthermore, it was a non-experimental, observational, mixed, retrospective cross-sectional research. The sample consisted of 122 medical records. The results were analyzed in the statistical program SPSS version 21, finding an incidence of 45.97% of dystocic births. With respect to epidemiological characteristics, age, 27.87% of patients are between 30-34 years old and 8.2% are between 15-19 years old. Regarding parity, 38.52% of patients have second digestion and 3.28% are highly multiparous. Marital status: 36.07% are cohabiting and 30.33% are married. Level of education: 37.7% of patients have secondary school and 19.67% have higher education. Occupation: 54.9% are independent and only 11.48% are students. Origin 66.39% are from the coastal area and 0.82% are from abroad In maternal factors associated with cesarean section, 48.36% had a previous cesarean section and 1.64% had soft tissue dystocias. In relation to fetal factors associated with cesarean section, 55.74% did not have any fetal indication for cesarean section and 1.64% had malformations. In relation to mixed factors associated with cesarean section, 95.9% did not have any mixed indication for cesarean section and 0.82% had preeclampsia. Finally, in anesthetic, infectious, surgical and hemorrhagic complications, 100% did not have any of them.