Examinando por Materia "Controlled Clinical Trial"

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Acceso abierto
Efficacy of the buttonhole puncture technique for arteriovenous fistula in hemodialysis
(Universidad Privada Norbert Wiener, 1905-07-09) Bellido Roque, Liz Maria; Bonilla Asalde, César Antonio
Materials and methods: Systemic review type design study. The population is made up of 10 articles no older than 5 years published in English and Spanish in the database: Pubmed, Scielo, Journal Medical and Cochrane Plus, Likelink. Results: Of the total of 10 articles, 50% (n=5) are systematic reviews, 10% (n=1) are randomized controlled clinical trials, 10% (n=1) are cohort, 20% (n=2) They are analytical cross-sectional, 10% (n=1) are cases and controls. Of the 60% (n=06/10) of the articles in general, they show that the buttonhole puncture technique for arteriovenous fistula is effective compared to other techniques, in patients with chronic kidney disease on hemodialysis. Conclusion: 60% (n=06/10) of the articles show that the buttonhole puncture technique is effective, compared to other techniques, in patients with chronic kidney disease and arteriovenous fistula on hemodialysis, of which 20% corresponds to the minor hemostasis time, 29% to a decrease in pain and 11% to a decrease in infections. Of the remaining 40% of the articles, it is observed that the Buttonhole puncture technique has not been shown to be effective, with one of the most notable data referring to the decrease in infections with 27%.
Acceso abierto
Efficacy of the prone position used in the patient with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Choque Madueño, Dreysi Eliyana; Campos Taquire, Giovanna Victoria; Avila Vargas Machuca, Jeannette Giselle
Objective: To evaluate the effectiveness of the prone position used in patients with Acute Respiratory Distress Syndrome in the Intensive Care Unit. Materials and Methods: Systematic observational and retrospective review, the search was restricted to articles with full texts and the selected articles were subjected to critical reading. In the final selection, 12 articles were chosen, we found that 42% (05) correspond to the United States, we found 25% (03) in France and 17% (2) in Korea, while only 8% (01) we found Canada and Colombia respectively. . Most of the Meta-analysis studies have been studied with 50%. Among the systematic reviews we find 8.3% in Colombia, controlled clinical trials 33.3% in the United States, France, and we have 8.3% case-control studies belonging to France. Results: In the articles we found that 46.6% (08) affirm that the prone position reduces mortality in patients with Acute Respiratory Distress Syndrome in the prone position, we found 8.3% (01) affirm that the prone position is also safe in patients obese and improves oxygenation more than in non-obese patients and 8.3%(01) affirm that patients with Acute Respiratory Distress Syndrome In the prone position, the cardiac index improved. Conclusions: Of the total number of articles analyzed, 83.3% of the reviewed research affirm that there is effectiveness of the prone position used in patients with acute respiratory distress syndrome in the intensive care unit, there is a better redistribution of gas volume in the lung. , improving the ventilation/perfusion ratio, thus reducing mortality and increasing the survival benefit of patients who were prone.