Examinando por Materia "Gases"

Mostrando 1 - 4 de 4

Acceso abierto
Effectiveness of heated gases in patients with artificial airways to maintain adequate temperature and humidity
(Universidad Privada Norbert Wiener, 2019-06-30) Lucho Salvador, William Alberto; Bedun Tamata, Ayerin Claudia; Rivera Lozada De Bonilla, Oriana
Method: A systematic review of the 10 selected scientific articles on the effectiveness of heated gases in patients with artificial airways to maintain appropriate temperature and humidity was conducted. These articles were found in the following databases: PubMed, Scielo, Cochrane, LILACS, and Medline. All articles were evaluated using the GRADE scale to determine their quality and strength of evidence. Results: Of the 10 articles studied, 33.3% (3/10) were systematic review designs, 20% (2/10) were experimental trials, 10% (1/10) were cohort studies, 33.3% (3/10) were experimental studies, and 10% (1/10) were case-control studies. Conclusions: Of the 10 articles evaluated (10/10), 100% demonstrate the effectiveness of using heated gases in patients with artificial airways.
Acceso abierto
Effectiveness of local anesthesia in pain management during arterial blood gas sampling in emergency department patients
(Universidad Privada Norbert Wiener, 2018-12-16) Vargas Montoya, Luz Gabriela; Calsin Pacompia, Wilmer
Objective: Systematize evidence on the effectiveness of local anesthesia in pain management in arterial blood gas sampling in emergency unit patients. Materials and methods: Systematic observational and retrospective quantitative review, critically selected, using the GRADE evaluation system, found in the database of: Cochrane Library, Scielo, Medical Journal, Pubmed, Online Library, and EBSCO. Of the 10 articles selected under the systematic analysis, 40% (n= 4/10) are systematic reviews, 60% (n=6/10) are randomized clinical trials. The results obtained in this study come from different nations. Results: the evidence found 70% (n=7/10) indicates that the effective local anesthetic to manage pain when taking arterial gases is the administration of subcutaneous or infiltrated lidocaine. Conclusions: 7 of 10 articles reviewed agree that the most effective local anesthetic for arterial blood gas sampling is the administration of subcutaneous lidocaine, due to its faster action and better access on the market in addition to the cost, 3 articles It indicates the use of another anesthetic such as ointments and patches, but its action takes time and is effective only in older adults.
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.
Acceso abierto
Knowledge and management of oxygen therapy in nurses of the adult emergency service of the Hipólito Unanue National Hospital 2022
(Universidad Privada Norbert Wiener, 2022-07-10) Alayo Esparza, Elvia Soledad; Gamarra Bustillos, Carlos
Currently, oxygen therapy is a frequently used and effective therapeutic form used to treat ventilation/perfusion deficiencies, gas exchange and hypoventilation that cause hypoxemia. However, it is unknown if its effectiveness is linked to the management or practice of the nursing professional. Objective: Determine the relationship between the level of knowledge in oxygen therapy and management by nurses in adult patients in the emergency service Hospital Nacional Hipólito Unanue Lima 2022. Method: The research method was deductive, whose research approach is quantitative. The type of research is also applied, with the research design being non-experimental, transversal, correlational and descriptive model. The population is made up of 30 nurses from the emergency service of the Hipólito Unanue National Hospital and the sample will be equal to the population, that is, 30 nurses from the emergency service of the Hipólito Unanue National Hospital. The instrument used is the questionnaire, considering the Likert scale to obtain quantitative data, with 15 items for each variable. To obtain reliability, the Cronbach's alpha coefficient was calculated, resulting in 0.939 for the variable: Level of knowledge in oxygen therapy, a high reliability result, and for the variable: Management by nurses in adult patients, 0.948, a high reliability result. . Finally, the schedule and budget for the development of the research project were determined.