Examinando por Materia "Heart Arrest"

Mostrando 1 - 18 de 18

Acceso abierto
Effectiveness of adrenaline in the management of cardiac arrest.
(Universidad Privada Norbert Wiener, 2018-01-27) Facundo Carrillo, Xiomara Greys; Araujo Huamani, Carina; Matta Solis, Hernan Hugo
Objective: Analyze the available evidence from studies conducted on the effectiveness of adrenaline in the management of cardiac arrest. Methodology: A systematic review of 10 scientific articles on the effectiveness of adrenaline in cardiac arrest management was conducted, found in the following databases: Scielo, Medline, and Pubmed. Additionally, a critical selection was made using the GRADE evaluation system to identify the level of evidence. The search was limited to full-text articles. Results: Of the 10 articles systematically reviewed, 90% (9/10) demonstrate the effectiveness of adrenaline in cardiac arrest; 10% (1/10) of the articles state that there is insufficient data to determine the effectiveness of adrenaline in the management of cardiac arrest; thus, further studies are needed to determine the effectiveness of adrenaline in cardiac arrest management. Conclusions: Of the 10 articles reviewed, 9 demonstrate the effectiveness of adrenaline in cardiac arrest. Furthermore, we found that the administration of adrenaline was beneficial, as it aids in the return of spontaneous circulation during resuscitation maneuvers, being a part of the cardiopulmonary resuscitation protocol.
Acceso abierto
Effectiveness of adrenaline in the management of cardiac arrest.
(Universidad Privada Norbert Wiener, 2018-01-27) Araujo Huamani, Carina; Facundo Carrillo, Xiomara Greys; Matta Solis, Hernán Hugo
Objective: To analyze the available evidence from studies on the effectiveness of adrenaline in the management of cardiac arrest. Methodology: This is a systematic review of 10 scientific articles found on the effectiveness of adrenaline in cardiac arrest management, retrieved from the following databases: Scielo, Medline, Pubmed, and subjected to critical selection using the Grade evaluation system to identify the level of evidence. The search was restricted to full-text articles. Results: Of the 10 articles reviewed systematically, 90% (9/10) demonstrate the effectiveness of adrenaline in cardiac arrest, while 10% (1/10) report insufficient data to determine the effectiveness of adrenaline in cardiac arrest management. Therefore, further studies are needed to determine the effectiveness of adrenaline in managing cardiac arrest. Conclusions: Of the 10 articles reviewed, 9 demonstrate the effectiveness of adrenaline in cardiac arrest. It was also found that adrenaline administration was beneficial, as it aids in the return of spontaneous circulation during resuscitation efforts and is part of the cardiopulmonary resuscitation protocol.
Acceso abierto
Effectiveness of cardiopulmonary resuscitation on the probability of survival in emergency cardiac arrest patients
(Universidad Privada Norbert Wiener, 2019-09-01) Biviano Camones, Jorge Ernesto; Arevalo Marcos, Rodolfo Amado
Objective: To classify investigations related to cardiopulmonary resuscitation (CPR) in the probability of survival in patients with cardiac arrest in emergency. Materials and Methods: Systematic observational and retrospective study, the exploration was directed towards complete scientific articles and they were subjected to a critical review, using the Grade evaluation to identify the level of evidence; getting 10 items. Of 100% of these studies, 40% correspond to Colombia and China, and 60% to Cuba, South Korea, the United States and Spain. All of them were found in the following databases: Cochrane, Pubmed, Scielo, Google Scholar. All of these articles belong to the quantitative type and due to their research design they are systematic reviews, randomized controlled studies and analytical cross-sectional studies. Results: Of the 10 articles chosen, 100% showed that CPR is effective in the survival of the adult patient in an emergency or during an emergency. Conclusions: CPR is effective in survival when the signs and symptoms that precede cardiorespiratory arrest are recognized and act immediately to perform chest compressions immediately.
Acceso abierto
Effectiveness of hypothermia to prevent neurological deterioration in post-cardiac arrest patients
(Universidad Privada Norbert Wiener, 2019-10-13) Felix Pinedo, Diana Katherin; Andia Pullo, Ruth Janeth; Matta Solis, Hernan Hugo
Objective: To establish how job satisfaction is related to the performance of nurses in the emergency service at the EsSalud Hospital, Lima 2022. Materials and methods: Quantitative study, applied type, non-experimental or observational design, cross-sectional, and correlational scope, considering a population of 160 nurses and a sample of 113 nurses. Two instruments with acceptable validity and reliability criteria will be applied. The instrument measuring job satisfaction consists of 27 items and includes seven dimensions: administrative policy, relationship with authorities, physical and material conditions, social relationships, personal development, labor and/or remuneration benefits, and task performance. Meanwhile, the questionnaire measuring job performance consists of 28 items and includes four dimensions: personal development and training, responsibility, motivation and leadership, and teamwork. Descriptive analysis will include tables according to quantity and percentage, and inferential analysis will use the Spearman’s Rho coefficient.
Acceso abierto
Effectiveness of manual versus mechanical compressions in patients with a cardiac stop in the extrahospital
(Universidad Privada Norbert Wiener, 2019-04-07) Montoya Zarate, Milagros; Gamboa Arias, Patricia Silvana; Gamarra Bustillos, Carlos
Objective: To systematize the evidence on the effectiveness of manual versus mechanical chest compressions in patients with out-of-hospital cardiac arrest. Material and Methods: This research study is both qualitative and quantitative, with a systematic review, meta-analysis, experimental, and cohort design. The following databases were used as instruments: Pubmed, Journal Archives, and Ovid Insights. Results: A search of 10 scientific articles was conducted, which were considered the population for the study. Of these, 5 (50%) were systematic reviews, 3 (30%) were meta-analysis cases, 1 (10%) was experimental, and 1 (10%) came from cohort cases. 60% of the articles demonstrate the effectiveness of manual versus mechanical compressions in patients with out-of-hospital cardiac arrest, 30% show the effectiveness of mechanical compressions in patients with out-of-hospital cardiac arrest, and 10% of the studies were inconclusive. Conclusions: Based on the totality of the articles presented, 6 out of 10 conclude that manual compressions are more effective than mechanical compressions in out-of-hospital cardiac arrest. Of these articles, 4 out of 10 conclude the effectiveness of mechanical compressions compared to manual, and 1 out of 10 articles is inconclusive.
Acceso abierto
Effectiveness of rapid response systems in reducing hospital mortality
(Universidad Privada Norbert Wiener, 1905-07-09) Vilela Cruz, Miguel Fabrisius; Calsin Pacompia, Wilmer
Objectives: Determine the effectiveness of rapid response systems in reducing hospital mortality. Materials and methods: The methodology was based on a systematic review, meta-analysis and the search for international articles with full text, the most important ones according to level and degree of evidence were included. Results: In the final selection, 10 articles were chosen, 80% (8) from the United States, 20% (2) from England. Where the majority of the articles analyzed with 80% affirm that there is effectiveness in rapid response systems in reducing hospital mortality. Conclusions: It was evident that in the 8 research articles reviewed there is effectiveness in rapid response systems in reducing hospital mortality. It was shown that there is efficacy in terms of: reduction in unexpected hospital mortality, rates of cardiac arrest and/or unexpected death, reductions in in-hospital code rates.
Acceso abierto
Effectiveness of the use of the public automatic defibrillator in survival after out-of-hospital cardio-respiratory arrest
(Universidad Privada Norbert Wiener, 2019-08-25) Brito Velasquez, Rocio; Quispe Vargas, Estefania Brenda; Matta Solis, Hernán Hugo
Objective: Analyze and systematize the studies carried out on the effectiveness of the use of the public automatic defibrillator in survival after out-of-hospital cardio-respiratory arrest. Material and methods: The systematic analysis of the 10 scientific articles located on the effectiveness of defibrillation in public access on survival after cardiac arrest outside the hospital, were found in the following databases Cochrane, Scielo, Lilacs, Medline, Pubmed, in their entirety they correspond to the methodological design of systematic reviews, Meta-analysis and Cohort studies. Results: of the 10 articles reviewed, 30% (3/10) correspond to systematic reviews, 20% (2/10) correspond to systematic reviews and meta-analysis and 50% (5/10) correspond to Cohort studies. . From the articles systematically reviewed, the effectiveness of publicly accessible defibrillation on survival after out-of-hospital cardiac arrest is evident. Conclusion: Of the 10 articles systematically reviewed, 9/10 show the effectiveness of defibrillation in public access on survival after out-of-hospital cardiac arrest and 1/10 report that more research needs to be done to demonstrate effectiveness.
Acceso abierto
Effectiveness of therapeutic hypothermia compared to normothermia for neuroprotection in post-cardiac arrest patients
(Universidad Privada Norbert Wiener, 2017-12-03) Félix Saavedra, Flor de María; Flores Chipana, Ciprian; Pretell Aguilar, Rosa Maria
Objective: To systematize the evidence on the effectiveness of therapeutic hypothermia compared to normothermia for neuroprotection in post-cardiac arrest patients. Methodology: An observational and retrospective systematic review, where the search was restricted to full-text articles, and the selected articles underwent critical reading using the GRADE evaluation system to determine their level of evidence. In the final selection, 10 articles were chosen, of which 60% were meta-analyses and 20% were systematic reviews with high evidence quality and strong recommendation strength. Of these, 30% (3) were from China, 10% (1) from Austria, 10% (1) from the United States, and 10% (1) from India. Regarding systematic reviews, 10% (1) were from the USA and 10% (1) from China. With 20% being clinical trials and cohort studies with moderate evidence quality and weak recommendation strength, 10% (1) were from Portugal and 10% (1) from the United States. Results: Among the reviewed evidence, 70% affirm that therapeutic hypothermia contributes to neuroprotection in post-cardiac arrest patients, while 30% suggest that therapeutic hypothermia does not provide any benefit in neurocritical post-cardiac arrest patients. Conclusions: The best-reviewed evidence demonstrates that therapeutic hypothermia reduces neurological damage after cardiac arrest in neurocritical patients.
Acceso abierto
Effectiveness of therapeutic hypothermia compared to normothermia for neuroprotection in post-cardiac arrest patients
(Universidad Privada Norbert Wiener, 2017-12-03) Félix Saavedra, Flor de María; Flores Chipana, Ciprian; Pretell Aguilar, Rosa Maria
Objective: To systematize the evidence on the effectiveness of therapeutic hypothermia compared to normothermia for neuroprotection in post-cardiac arrest patients. Methodology: An observational and retrospective systematic review, where the search was restricted to full-text articles, and the selected articles underwent critical reading using the GRADE evaluation system to determine their level of evidence. In the final selection, 10 articles were chosen, of which 60% were meta-analyses and 20% were systematic reviews with high evidence quality and strong recommendation strength. Of these, 30% (3) were from China, 10% (1) from Austria, 10% (1) from the United States, and 10% (1) from India. Regarding systematic reviews, 10% (1) were from the USA and 10% (1) from China. With 20% being clinical trials and cohort studies with moderate evidence quality and weak recommendation strength, 10% (1) were from Portugal and 10% (1) from the United States. Results: Among the reviewed evidence, 70% affirm that therapeutic hypothermia contributes to neuroprotection in post-cardiac arrest patients, while 30% suggest that therapeutic hypothermia does not provide any benefit in neurocritical post-cardiac arrest patients. Conclusions: The best-reviewed evidence demonstrates that therapeutic hypothermia reduces neurological damage after cardiac arrest in neurocritical patients.
Acceso abierto
Effectiveness of therapeutic hypothermia to reduce complications in pediatric patients after cardiorespiratory arrest
(Universidad Privada Norbert Wiener, 2021-02-07) Collantes Zegarra, Johana; Cornejo Ricaldi, Ayleen Griselle; Pretell Aguilar, Rosa María
Objective: Systematize the available evidence from studies carried out on the effectiveness of therapeutic hypothermia to reduce complications in pediatric patients after cardiorespiratory arrest. Material and methods: The type of study is descriptive, the design of a systematic review was obtained from the following databases Pubmed, Scielo, Wolters Kluwer, Google academic, Wiley One library, Dialnet, Epistemonikos. Of the 10 articles reviewed, 40% (n=4/10) are cohort studies, another 40% (n=4/10) are randomized controlled trials and 20% (n=2/10) are systematic reviews, According to the quality of the evidence, it was found to be high at 60%. According to the strength of recommendation, it is strong at 60% and moderate recommendation at 40%, according to the country where the investigations were carried out, they correspond to the USA 80%, Korea 10% and Taywan 10%. Results: According to the evidence reviewed, 20% (n= 2/10) affirm the effectiveness of therapeutic hypothermia to reduce complications in pediatric patients after cardiorespiratory arrest while 80% (n= 8/10) affirm that therapeutic hypothermia does not provides no benefit in pediatric patients post cardiorespiratory arrest. Conclusions: It is concluded that 2 of 10 evidence reviewed demonstrate the effectiveness of therapeutic hypothermia to reduce complications in pediatric patients after cardiorespiratory arrest and 8 of 10 evidence indicate that therapeutic hypothermia does not provide any benefit in pediatric patients after cardiorespiratory arrest.
Acceso abierto
Efficacy of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest.
(Universidad Privada Norbert Wiener, 2018-03-25) Mora Sangama, Carolina Noemi; Calsin Pacompia, Wilmer
Objective: To systematically analyze the evidence on the effectiveness of postural exercises to reduce cervicalgia in office workers. Materials and methods: A systematic observational and retrospective review, the search was restricted to articles with full text, and selected articles underwent a critical reading, using the Grade System evaluation to identify their level of evidence. Results: In the final selection, 10 articles were chosen, of which 40% (4/10) came from Canada, 20% (2/10) from Australia, and 10% from Thailand, the United Kingdom, Spain, and Colombia, respectively. The results show that 50% (5/10) of the articles analyzed systematically indicate that postural exercises are effective in reducing cervicalgia in office workers, 20% (2/10) show that postural exercises are not effective in reducing cervicalgia in office workers, and 30% (3/10) of the studies report that more research should be conducted before drawing firm conclusions about the effectiveness of postural exercises for reducing cervicalgia in office workers. Conclusions: It was found that 5 out of 10 systematically reviewed scientific articles demonstrate the effectiveness of postural exercises in reducing cervicalgia in office workers.
Acceso abierto
Efficacy of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest.
(Universidad Privada Norbert Wiener, 2018-03-25) Chacon Rosado, Edward Cleymer; Mora Sangama, Carolina Noemi; Calsin Pacompia, Wilmer
Objective: To systematize the evidence on the effectiveness of manual chest compression versus mechanical chest compression in the resuscitation of patients in out-of-hospital cardiac arrest. Materials and Methods: The population consisted of 35 studies and the sample was 10 studies. A review of scientific articles on the effectiveness of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest was conducted. It included 05 Systematic Reviews and Meta-analyses, 01 Systematic Review, 03 Randomized Controlled Trials, and 01 Experimental Study. 20% of the evidence found came from China, 20% from the Netherlands, another 20% from England, and 10% from Canada, Singapore, Germany, and the United States, respectively. The search was carried out in the Lilacs, Pubmed, Medline, and Cochrane Plus databases. Results: Of the 10 articles reviewed, 90% (n=09/10) agreed that there is insufficient scientific evidence to conclusively demonstrate that either of the interventions, manual chest compression or mechanical chest compression in the resuscitation of patients with sudden cardiac arrest, is superior to the other. One study, 10% (n=1/10), concluded that mechanical chest compression is superior to manual chest compression in terms of achieving return of spontaneous circulation in cardiopulmonary resuscitation, as the odds of return of spontaneous circulation were more than 1.6 times higher. Conclusions: It is confirmed that neither intervention is superior; both mechanical chest compression and manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest are equally effective. However, it is relevant to strengthen manual chest compression due to its cost-effectiveness for the patient, healthcare service providers, and emergency mobile units managing this type of emergency.
Acceso abierto
Efficacy of prehospital therapeutic hypothermia in improving survival and neurological outcomes in patients with cardiac arrest
(Universidad Privada Norbert Wiener, 2019-08-25) Gamero Usca, Jose Luis; Matta Solis, Hernán Hugo
Objective: To systematically analyze the evidence regarding the effectiveness of pre-hospital therapeutic hypothermia to improve survival and neurological outcomes in patients with cardiac arrest. Material and methods: The present study is qualitative with a study design of a systematic review of 10 scientific articles on the effectiveness of prehospital therapeutic hypothermia to improve survival and neurological outcomes in patients with cardiac arrest. These articles were analyzed according to the Grade system. to determine their strength and quality of evidence and were found in the following databases: PubMed, Sciencedirect, Scielo, Epistemonikos. Results: Of the 10 articles reviewed, it was concluded that only 20% point out the effectiveness of pre-hospital therapeutic hypothermia in post-cardiac arrest patients, which shows an improvement in survival with good neurological results of patients upon hospital discharge. On the other hand, 80% of the articles reviewed indicate a series of limitations. Conclusion: The articles reviewed point out that the evidence does not support the administration of pre-hospital therapeutic hypothermia to patients with cardiac arrest where optimal temperature was not achieved by pre-hospital hypothermia due to short transport time. and limited cold liquid.
Acceso abierto
Efficacy of therapeutic hypothermia in reducing the risk of mortality in adults with cardiac arrest
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Blas, Zully Janneth; Orbegoso Escobedo, Claudia Vanessa; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of therapeutic hypothermia to reduce the risk of mortality in adults with cardiac arrest. Material and methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The population was made up of the bibliographic review of 13 scientific articles published and indexed in the Scielo, Pubmed, Medline, Lilacs databases, no older than ten years and that respond to articles published in the Spanish language. This work makes it clear that 92 percent (12 studies) prove that the use of therapeutic hypothermia is effective after cardiac arrest; while 8 percent (1 study) show that it is not effective. Conclusions: The studies reviewed show that therapeutic hypothermia in intensive care units is associated with a relative reduction in hospital mortality in patients with cardiac arrest, therefore we can affirm that therapeutic hypothermia is effective in reducing mortality in patients with cardiac arrest. cardiac, a stable temperature of 32-34°C must be maintained for 24 hours
Acceso abierto
Knowledge and application of the cardiopulmonary resuscitation protocol in nurses of the emergency service of the Víctor Ramos Guardia Hospital, Huaraz - 2024
(Universidad Privada Norbert Wiener, 2024-03-03) Águila Maza, Shirley Meliza; Fernández Rengifo, Werther Fernando
Introduction: Cardiopulmonary resuscitation (CPR) is an emergency procedure performed to save the life of a person who has suffered cardiorespiratory arrest (CRA). CPR combines mouth-to-mouth breathing and chest compressions to provide oxygen to the brain and heart. Objective: "To determine how knowledge is related to the application of the cardiopulmonary resuscitation protocol in nurses of the emergency department of the Víctor Ramos Guardia Hospital, Huaraz - 2023". Methods: Following the hypothetical-deductive method, under a quantitative approach, an applied research of non-experimental design, correlational and cross-sectional level will be carried out in a census sample of 65 nurses to whom a survey will be applied to know their knowledge about the CPR protocol with an international questionnaire that has a proven validity; in the same way the application of the CPR protocol will be measured with a checklist through observation in a clinical simulation context. The results will be analyzed using statistical programs such as SPSS 26. The results will be presented and discussed in tables and figures.
Acceso abierto
Knowledge and practices of adult cardiopulmonary resuscitation in nurses of the urgent and emergency service of a hospital in Cerro de Pasco, 2022
(Universidad Privada Norbert Wiener, 2022-08-21) Sinche Melendez, Liz Pilar; Mori Castro, Jaime Alberto
This is a quantitative study with a descriptive, correlational design. The population and sample are composed of nurses who work in the emergency and urgent care services. The variable of CPR knowledge will be assessed with a questionnaire, while the variable of CPR practices will be measured with an observation guide. Finally, measures of central tendency and the Student t test will be used for data analysis, while the research background and the state of the art of the study will be taken into account for the interpretation and discussion of the results.
Acceso abierto
Level of knowledge in basic life support that nursing graduates who work in DIRIS Lima Norte health establishments have in the district of Comas 2020
(Universidad Privada Norbert Wiener, 2021-08-22) Bustamante Carrasco, José Luis; Basurto Santillán, Ivan Javier
In the world the incidence of cardiac arrest is high. In our country, heart diseases occupy second place among the causes of death. In the city of Lima, the average time it takes for a victim in cardiac arrest to receive life support is 17.2 minutes, after 10 minutes it is generally the prognosis is bad. Health centers and posts, due to their proximity to families, could respond more quickly to this type of emergency, which is why the professional nursing staff who work in these health establishments must be constantly trained and updated in basic life support, guaranteeing an adequate and quick response. The objective is to determine the level of knowledge about basic life support that nursing graduates who work in health centers and posts of the DIRIS Lima Norte in the district of Comas have. This research will have a quantitative approach, in terms of methodological design, it is a cross-sectional descriptive research. A questionnaire-type data collection instrument will be used, prepared based on the basic life support guidelines of the American Heart Association 2015, its 2018 and 2020 updates.
Acceso abierto
Neuroprotective efficacy of therapeutic hypothermia in patients post-cardiac arrest
(Universidad Privada Norbert Wiener, 2018-07-08) Celis Garcia, Erika Mabel; Calsin Pacompia, Wilmer
Systematic observational, retrospective and quantitative review, where the GRADE evaluation system was used to identify the degree of evidence and the strength of recommendation of each article found in the following databases: Scielo, Pubmed, Elvesier, Medline, BVS. 60% (n=6/10) are systematic reviews, 10% (n= 1/10) experimental studies, 20% (n= 2/10) case control, 10% (n= 1/10) cohort study . Likewise, 70% (n=7/10) are of high quality with a strong strength of evidence and 30% (n=3/10) are of moderate quality with a weak strength of evidence. Originating 40% in the USA, 20% in Spain, 10% in Austria, 10% in Canada, 10% in the Czech Republic, and 10% in Germany. Results: all the articles systematically reviewed (n=10/10) indicate a neuroprotective effectiveness of therapeutic hypothermia in post-cardiorespiratory arrest patients. Conclusions: 7/10 of the articles show an improvement in the neurological probabilities of the patients, another 7/10 a better survival to hospital discharge and 4/10 show that there is a decrease in mortality and an improvement in the morbidity of the patient. patient.