Examinando por Materia "Critical Illness"

Mostrando 1 - 12 de 12

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Critical review: Effect of omega-3 supplementation on clinical outcomes in critically ill adult patients
(Universidad Privada Norbert Wiener, 2024-04-17) Peña Zúñiga, Pilar; Ponce Castillo, Diana Antonia
Early nutritional intervention in critically ill patients has shown several benefits, including reduced complications and improved clinical outcomes in patients at nutritional risk. This secondary research, titled "Critical Review: Effect of Omega-3 Supplementation on Clinical Outcomes in Adult Critically Ill Patients," aimed to investigate the benefits of omega-3 supplementation in critically ill adults. The clinical question was: What is the effect of omega-3 supplementation on clinical outcomes (mortality and hospital stay) in critically ill adult patients? Evidence-based nutrition (NuBE) methodology was used. The search for information was conducted in PUBMED, BIBLIOTECA VIRTUAL EN SALUD, COCHRANE LIBRARY, SEVIER, DYNAMED, SPRINGER, WILEY ONLINE LIBRARY, KARGER, with 43 articles found, and 10 were selected for critical reading evaluation using the CASPE tool. The randomized clinical trial titled "The Effect of Omega-3 Supplementation on Clinical and Biochemical Parameters in Critically Ill COVID-19 Patients: A Randomized Controlled Trial" was selected. The critical commentary concluded that omega-3 supplementation could have beneficial effects on the immune system of patients with viral infections and improve several parameters of respiratory and renal function in critically ill COVID-19 patients. However, further clinical studies are needed to validate these findings.
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Critical review: efficacy of early initiation of enteral nutrition in the critically ill adult patient in the intensive care unit (ICU)
(Universidad Privada Norbert Wiener, 2020-09-18) Paucar Quichua, Sandra Katherine; Bohórquez Medina, Andrea Lisbet
The present secondary research titled as a critical review: Efficacy of early initiation of enteral nutrition in critically ill adult patients in the intensive care unit (ICU) aimed to determine the effectiveness of early initiation of enteral nutrition in critically ill adult patients. in the intensive care unit (ICU). The clinical question was: What is the effectiveness of early initiation of enteral (tube) nutrition in the critically ill adult patient in the intensive care unit (ICU)? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in Science Direct, PubMed, Scielo, finding 40 articles, being selected 09 that have been evaluated by the CASPe critical reading tool, finally selecting the cohort study titled Early versus late enteral nutrition in care units. intensive which has a level of IC evidence and a strong degree of recommendation, according to the expertise of the researcher. The critical commentary allowed us to conclude that early enteral nutrition (EN) has great relevance in reducing mortality; Therefore, they recommend the early introduction of enteral nutrition (EN) as another priority in the care of critically ill patients.
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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, Oriana
Objective: 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.
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Effectiveness of glycemic control for the prevention of adverse events during the administration of insulin infusion in critical patients with hyperglycemia.
(Universidad Privada Norbert Wiener, 2020-02-22) Claros Quichiz, Stephany; Basurto Santillán, Ivan Javier
Objective: To systematize the studies investigated on the effectiveness of glycemic control for the prevention of adverse events during insulin infusion administration in critically ill patients with hyperglycemia. Material and method: A review of 10 articles on the effectiveness of glycemic control for the prevention of adverse events during insulin infusion administration in critically ill patients with hyperglycemia, found in the following databases: Medline, Cochrane, Lilacs, Medline, Scielo, and PubMed. These articles were analyzed using the GRADE scale to determine their quality and strength. Results: A total of 10 articles were analyzed, 90% (9/10) of which follow the methodological design of systematic reviews and meta-analyses, and 10% (1/10) follow the methodological design of a prospective observational study. 50% refer to hypoglycemic states, 30% indicate that hypoglycemia can be prevented with trained staff, 10% suggest that treatment should be based on physiological diversity, and 10% indicate improved prognosis with a risk of hypoglycemia. Conclusions: In 5 of the 10 articles on the effectiveness of glycemic control, it is indicated that the risk of hypoglycemia is present in most of the studies. In 3 of the 10 articles, nurses are urged to research, train, and adhere to protocols for managing hyperglycemia. In 1 of the 10 articles, it is indicated that glycemia improves if the patient is treated according to their physiological diversity. In 1 of the 10 articles, it is evidenced that prognosis improves but increases the risk of hypoglycemia.
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Effectiveness of heat and moisture exchangers versus heated humidifiers in preventing ventilator-associated pneumonia in critically ill patients
(Universidad Privada Norbert Wiener, 2019-11-03) Arce Moreno, Lesly Estefany; Lengua Anicama, Vanessa Elizabeth; Matta Solis, Hernan Hugo
Objective: To systematize evidence on the effectiveness of heat and moisture exchangers versus heated humidifiers for preventing ventilator-associated pneumonia in critically ill patients. Materials and Methods: A systematic, observational, and retrospective review with a quantitative approach, using the GRADE evaluation system to assess evidence quality. The studies were retrieved from PubMed, Scielo, Epistemonikos, and Sciencedirect. Results: Of the 10 articles reviewed, 30% (n=3) were meta-analyses, 20% (n=2) were systematic reviews, 40% (n=4) were randomized controlled trials, and 10% (n=1) were cohort studies. The studies came from Brazil (40%), Australia (20%), Turkey (20%), China (10%), and Italy (10%). The findings showed that 50% (n=5) of the articles indicated heat and moisture exchangers were more effective than heated humidifiers for preventing ventilator-associated pneumonia in critically ill patients. 30% (n=3) indicated no significant difference, and 20% (n=2) suggested no difference between the two methods. Conclusion: Heat and moisture exchangers are more effective than heated humidifiers for preventing ventilator-associated pneumonia in critically ill patients.
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Effectiveness of intraosse vascular access in critical patients with difficult emergency venous access
(Universidad Privada Norbert Wiener, 2019-08-04) Ayala Ramos, Anibal Bruno; Mucha Berrospi, Liliana María; Uturunco Vera, Milagros Lizbeth
Objective: To systematize the evidence on the effectiveness of intraosseous vascular access in critically ill patients with difficult venous access in the Emergency Department. Materials and methods: Systematic review, using the GRADE evaluation system that identified the quality of evidence and strength of recommendation of each study in the databases: Scielo, Pubmed, Elvesier, BVS. 80% (8/10) are systematic reviews, 20% (2/10) are retrospective studies. Likewise, 80% (8/10) of the studies are of high quality of evidence and strong strength of recommendation, 20% (2/10) are of low quality of evidence and very weak strength of recommendation. 40% (4/10) of the studies were from the United States, another 30% (3/10) from the United Kingdom, 30% (3/10) from Spain. Results: All the articles reviewed systematically 100%, indicate the effectiveness of intraosseous vascular access in critical patients with difficult venous access in the Emergency Room. Conclusions: The articles reviewed show that the intraosseous route is effective, it is an alternative of choice for vascular access in critical and emergency patients since it offers safety, it is superior to the endotracheal and intramuscular routes, it can be used during patient resuscitation, it is a fast-acting route, it has few complications and it is complementary to venous vascular access when it is difficult to obtain.
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Effectiveness of metabolic control in diabetic patients in critical care units for managing hyperglycemia
(Universidad Privada Norbert Wiener, 2018-12-16) Vigo Trujillo, Mariela; Samaniego Huancas, Dexi Margoth; Calsin Pacompia, Wilmer
Objective: Systematize the evidence of the effectiveness of metabolic control in diabetic patients of critical units in the management of hyperglycemia. Materials and Methods: The type of research is quantitative, the study design is a systematic review, the population was 35 articles, and the sample was 10 scientific articles published and indexed in scientific databases, 100% of the articles. , 20% correspond to Mexico, 30% Spain, 10% England, 10% China, 10% Chile and 20% Holland. In relation to the designs and types of studies, 40% are systematic reviews, 10% meta-analysis, 30% prospective descriptive, 10% quasi-experimental, 10% observational descriptive. The search instrument was a database: Cochrane Library, NCBI, Scielo, Epistemonikos, Elsevier, PubMed, Wiley Online Library, and EBSCO. To evaluate the articles, the GRADE method was used, which evaluated the quality of evidence and the strength of recommendation. Results: 70% of the studies show the effectiveness of metabolic control in diabetic patients in critical units in the management of hyperglycemia and 30% show that it was not effective because it had no impact on mortality. Conclusions: It was concluded that 70% of the studies show the effectiveness of metabolic control in diabetic patients in critical units in the management of hyperglycemia, because it is useful to reduce the variability of blood glucose, contributes to a significant decrease in glycemic concentrations, contributing to improving metabolic control, and 30% show that it was not effective because it had no impact on mortality. In addition, very weak glucose control is associated with weak recovery and should be avoided, which causes a poor glycemic control.
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Effectiveness of non-invasive blood pressure measurement versus invasive measurement for accuracy of blood pressure in critically ill emergency patients
(Universidad Privada Norbert Wiener, 2020-03-08) Cruz Jimenez, Angelica del Rosario; Arevalo Marcos, Rodolfo Amado
OBJECTIVE: Systematize the evidence on the effectiveness of non-invasive blood pressure measurement versus invasive blood pressure in critically ill emergency patients. MATERIAL AND METHOD: The research design used was a systematic review. The population was made up of the search for 22 articles, from which selection criteria were established. The sample was made up of 10 articles, which were selected from scientific databases, using keywords in their search RESULTS: According to origin, 10% (1/10) come from India, 10% (1/10) come from from the USA, 10% (1/10) come from the Czech Republic, 10% (1/10) come from Italy, 10% (1/10) come from China, 10% (1/10) come from Canada, 10% (1/10) come from Ecuador, 10% (1/10) come from Japan, 10% (1/10) come from Germany, 10% (1/10) come from Austria. According to the research design, 30% (3/10) are experimental, 50% (5/10) are prospective observational designs, 10% (1/10) are retrospective observational designs and 10% (1/10) are observational designs. retrospective. 70% (7/10) evidence similar effectiveness of invasive blood pressure measurement compared to non-invasive measurement in critically ill emergency patients. 20% (2/10) evidence greater effectiveness of non-invasive blood pressure measurement compared to invasive measurement in critically ill emergency patients. 10% (1/10) evidence greater effectiveness of invasive blood pressure measurement compared to non-invasive measurement in critically ill emergency patients. CONCLUSIONS: There is evidence of similar effectiveness of invasive blood pressure measurement compared to non-invasive measurement in critically ill emergency patients.
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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 María
Objective: 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.
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Mental load of the nurse and critical patient care in the intensive care unit of the Edgardo Rebagliati Martins Hospital, Lima - 2022.
(Universidad Privada Norbert Wiener, 2022-04-17) Salazar Ayarza, Maria del Pilar; Pretell Aguliar, Rosa María
Research carried out with the objective of determining the relationship between the mental load of the nursing professional and the care of the critical patient in the intensive care unit of the Edgardo Rebagliati Martins Hospital, period 2022. Descriptive method, cross-sectional with a quantitative approach, in a sample of 91 nursing professionals. Two surveys were applied by means of an empirical questionnaire on "mental load" and "Questionnaire on the care of the critical patient. Technique and instruments: it will consist of the application, to the selected sample, of structured surveys, the first survey related to mental load, the second survey related to the care of the critical patient, which will be done virtually through a web link, and through this technique information will be collected on the procedures that make up the structure of the study. To process the data, data will be collected through Microsoft Excel programs, where descriptive results will be obtained, through tables and graphs; Likewise, we will work with the SPSS program, which will provide us with the statistical results, in this way we will obtain the descriptive and inferential results of the study.
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Needs of the relatives of patients hospitalized in the intensive care unit of the Ate Vitarte emergency hospital, 2021
(Universidad Privada Norbert Wiener, 2021-10-31) Cueva Olivera, Gian Oliver; Fernández Rengifo, Werther Fernando
The patient who enters an intensive care unit generally subjects the family to a complicated situation and both go through a context of hopelessness, loneliness, helplessness and anguish due to the fear of a bad future. The objective of the study is to identify the needs of the relatives of critical patients admitted to the intensive care unit (ICU) of the Ate Vitarte Emergency Hospital, 2021 The research is applied, with a quantitative approach, with a cross-sectional descriptive observational design. The population will be the primary family caregivers of patients admitted to the ICU service of the Ate Vitarte Emergency Hospital. For convenience, a non-probabilistic intentional sample of 80 subjects will be taken for analysis. The technique is the survey, the instrument to be used will be the scale called "Inventory of Needs of Family Members of Patients in Intensive Care - INEFCI" modified, adapted and validated by Colombian researchers, it has 30 items distributed in four dimensions: communication, information, emotional support and spiritual support. The instrument has a Cronbach's Alpha reliability coefficient of 0.86.
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Use of the pain-indicating behavior scale for the assessment of pain in critically ill, non-communicative patients subjected to mechanical ventilation.
(Universidad Privada Norbert Wiener, 2022-04-17) Chochoca Vásquez, Susana Paola; Fernández Rengifo, Werther Fernando
systematic review of studies of international origin was carried out, located through the scientific search engines: NCBI, Scopus, PubMed, Scielo, and Elsevier, which were evaluated through the grade system in order to determine the level or degree of evidence. The search was carried out applying DECs and MESH descriptors in Spanish and English respectively. 80% (8/10) of the evaluated studies come from Spain, and the remaining 20% (2/10) from Chile and Brazil respectively. Results: 90% (10/10) of the evidence indicates that the use of the pain indicator behavior scale is effective for assessing pain in critically ill, non-communicative patients on mechanical ventilators, and 10% (1/10) of the evidence indicates that the use of the pain indicator behavior scale is not effective. Conclusions: 09 out of 10 evidences show that the use of the pain indicator behavior scale (is effective for assessing pain in critically ill, non-communicative patients on mechanical ventilators, and 01 out of 10 of the evidences indicate that the use of the pain indicator behavior scale is not effective.