Examinando por Materia "Edema"
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Ítem Acceso abierto Aspiration of subglottic secretions as an effective alternative for the prevention of pneumonia in patients with mechanical ventilation(Universidad Privada Norbert Wiener, 2020-02-29) Costa Pisfil, Erika Amavila; Elías Garcia, Karen Pamela; Avila Vargas Machuca, Jeannette GiselleObjectives Systematize evidence on the effectiveness of subglottic aspirations for reducing pneumonia in patients with mechanical ventilation. Materials and Methods: Observational and retrospective systematic review, the search was based exclusively on articles with full text, and the chosen studies were subjected to a critical reading, based on the GRADE evaluation to identify their level of evidence. In the selection, 10 articles were chosen, of which 20% (2/10) correspond to the United States, 20% (2/10) Australia, 10% (1/10) to India, 20% (2/10) ) Canada, 10% (1/10) China, 10% (1/10) France and 10% (1/10) Belgium. Of these there are 2 systematic reviews, 4 meta-analyses, 3 clinical trials and 1 control study, all of high quality. Results: Of the 10 articles reviewed, 100% (10/10) demonstrated that aspiration of subglottic secretions reduces the incidence of pneumonia and edema problems compared to tracheal aspirations. Conclusions: It was shown that aspiration of subglottic secretions is effective in reducing the risk of pneumonia associated with mechanical ventilation.
