Examinando por Materia "Drainage"

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Effectiveness of percutaneous transhepatic biliary drainage versus endoscopic biliary drainage to reduce complications in preoperative patients with perihilar cholangiocarcinoma
(Universidad Privada Norbert Wiener, 2018-12-02) Otiniano Nonato, Luz Aurora; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of percutaneous transhepatic biliary drainage versus endoscopic biliary drainage to reduce complications in preoperative patients with perihilar cholangiocarcinoma. Material and Methods: Orderly, analytical and summary review of quantity from an analytical perspective through the Grade parameter in order to identify certainties found in the subsequent reference group.: Epistemonikos, PubMed, Scielo, Elsevier, Sciencedirect. In the 10 articles systematically reviewed, 50% (n= 5/10) are meta-analysis, 30% (n= 3/10) are randomized controlled trials and 20% (n= 2/10) are cohort studies. According to the data obtained from the organized analysis included in this work, they come from nations such as: Korea (20%), China (20%), Japan (10%), France (10%), Netherlands (10%), Canada (10%) USA (10%) and Australia (10%). Results: Textually of the traces found, 60% (n=6/10) (20, 21, 22,23 25, 27) indicate that DBTP is more effective than DBE while 20% (n=2/ 10) (24.28) indicate that DBE is more effective than DBTP, and 20% (n=2/10) (19.26) indicate that both DBTP and DBE have similar complications in preoperative patients with perihilar cholangiocarcinoma. Conclusion: 6 out of 10 articles showed that percutaneous transhepatic biliary drainage is more effective than endoscopic biliary drainage and should be performed as the first option, 2 of the 10 articles showed that endoscopic biliary drainage is more effective than percutaneous transhepatic biliary drainage for reduce days of prolonged hospital stay and 2 of 10 investigations demonstrated that endoscopic biliary drainage with percutaneous transhepatic biliary drainage have similar complications in preoperative patients with perihilar cholangiocarcinoma
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Effectiveness of prophylaxis with drainage versus without drainage in abdominal surgery in preventing complications
(Universidad Privada Norbert Wiener, 2019-08-18) Halire Paredes, Ana Maria; Hurtado Quintanilla, Karolina Lourdes; Calsin Pacompia, Wilmer
Objective: Systematize the evidence about the effectiveness of prophylaxis with drainage versus without drainage in abdominal surgery in the prevention of complications. Materials and Methods: The type of research was quantitative, the study design was a systematic review, the population was 23 articles and the sample was 10 articles published in the following databases: Scielo, Pubmed, Elvesier and Medline, using the GRADE system which evaluated the quality of evidence and the strength of recommendation. Results: In the present study it is evident that 100% of the articles reviewed systematically indicate the effectiveness of prophylaxis of the use of drainage in abdominal surgeries in the prevention of complications Conclusions: 10 out of 10 of the studies show the effectiveness of prophylaxis with drainage in abdominal surgeries in the prevention of complications, it is effective because: 50% demonstrate its effectiveness in anastomotic leak, the most serious postoperative complication, 30% demonstrate its effectiveness because it reduces the rate of patient mortality during the postoperative period and 20%, there is a better postoperative recovery, it is a useful procedure and reduces complications in the patient.
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Effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-09-29) Murga Aranda, Oskar Luis; Aliaga Estrada, Judith Yessica; Arevalo Marcos, Rodolfo Amado
Objective: To systematically analyze the available evidence from studies carried out on the “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.” material and method: The systematic review of the 10 scientific articles found; “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.”, were found in the following databases Cochrane, Lilacs, Scielo, Medline Pubmed, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence, Results: Of the 10 articles reviewed correspond to the methodological design of the study, 10% (1/10) randomized controlled trial, 20% (2/10) meta-analysis, 20% (2/10) observational study, 20% (2/10) retrospective study and 30% (3/10) case study. Of the 10 articles systematically reviewed, 90% (9/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit. Conclusions: Of the 10 articles reviewed, 100% (10/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.
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Efficacy of chest tube drainage versus needle aspiration in reducing hospital stay in patients with primary spontaneous pneumothorax
(Universidad Privada Norbert Wiener, 2019-09-01) Perales Cerrón, Karina Edith; Barrientos Jauregui, Henrry Alexander; Matta Solis, Hernan Hugo
Objective: Systematize the evidence on the effectiveness of chest tube drainage versus needle aspiration to reduce hospital stay in patients with primary spontaneous pneumothorax. Material and Methods: Systematic observational and retrospective review, subjected to critical reading and applying the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Sciencedirect, Cochrane, Researchgate, Pubmed. Of the 10 articles systematically reviewed, 10% (n= 1/10) are meta-analyses, 50% (n= 5/10) are systematic reviews, 20% (n= 2/10) are randomized clinical trials and the 20% (n= 2/10) are cohort studies and come from the countries of China (10%), Australia (10%), Korea (10%), France (10%), Netherlands (10%), United States (10%), Poland (10%), Norway (10%), Japan (10%) and Spain (10%). Results: 100% indicate the aspiration with a needle is more effective than chest tube drainage in reducing hospital stay in patients with primary spontaneous pneumothorax. Conclusion: Needle aspiration is more effective in reducing hospital stay in patients with primary spontaneous pneumothorax, indicating 100% (n=10/10).
Acceso abierto
Spiritual perspective and anxiety level of the cancer patient undergoing percutaneous drainage october - november, INEN 2018.
(Universidad Privada Norbert Wiener, 2019-03-12) Moreno Alarcon, Marco Antonio; Lozano Ingaroca, Carol Milagros; Matos Valverde, Carmen Victoria
Objective: To determine the relationship between spiritual perspective and anxiety level in cancer patients undergoing percutaneous drainage at the National Institute of Neoplastic Diseases, 2018. Material and Methods: Descriptive, correlational, cross-sectional, non-probabilistic study with convenience sampling. The sample consisted of 62 patients. The technique used was an interview, and the instruments were the Spiritual Perspective Scale developed by Pamela Reed and the Hamilton Anxiety Scale. The data collected were transcribed into the IBM SPSS Statistics 23 program for statistical processing. Results: Regarding the spiritual perspective variable, it was found that 98.4% had a high spiritual perspective, followed by 1.6% with a moderate spiritual perspective. On the other hand, when referring to the level of anxiety, it was found that 53.2% (45 respondents) had a low level of anxiety, 24.2% had no anxiety, and 22.6% had high anxiety, demonstrating a relationship between spiritual perspective and anxiety level in cancer patients undergoing percutaneous drainage at the National Institute of Neoplastic Diseases, 2018 (Spearman's Rho 0.007). Conclusion: Cancer patients undergoing percutaneous drainage present a high spiritual perspective. These findings indicate the need to include this spiritual phenomenon, based on practices and beliefs, as a tool to enable an optimal quality of life for cancer patients.