Examinando por Materia "Hipotermia"

Mostrando 1 - 20 de 26

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Effectiveness of "Plastic Wrap" in preventing hypothermia in preterm newborns
(Universidad Privada Norbert Wiener, 2018-09-02) Malpartida Recines, Sandra Liliana; Palacios Saquicoray, Magaly Ina; Rivera Lozada De Bonilla, Oriana
Objective: Systematize the evidence on the effectiveness of Plastic Wrap in preventing hypothermia in premature newborns. Material and Methods: Systematic review of 10 selected articles, using the Pubmed, Elsevier, Science Direct, Redalyc, Cochrane, Researchgate database. It is a quantitative study with a systematic experimental and cohort design. Results: The effectiveness of Plastic Wrap in preventing hypothermia in premature newborns. We found that 100% (n = 10/10) of the articles evidence the effectiveness of Plastic Wrap in preventing hypothermia in premature newborns. The effectiveness in preventing hypothermia in premature newborns together with other devices represents 50% (n=5/10), making skin-to-skin contact and using heat-transmitting mattresses that keep premature newborns warmer, which leads to stable temperatures upon admission to neonatal units and less hypothermia. Conclusion: Plastic Wrap demonstrates effectiveness in preventing hypothermia in premature newborns.
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Effectiveness of forced air to reduce hypothermia in intraoperative patients
(Universidad Privada Norbert Wiener, 2020-12-27) Suni Suni, Jackeline Cecilia; Vera Ortiz, Maryori; Pretell Aguilar, Rosa Maria
Objective: Systematize the evidence on the effectiveness of forced air to reduce hypothermia in patients intraoperatively. Methodology: randomized clinical trials published between 2019 and 2015, which were obtained from different national and international research databases that had as their main study topic the effectiveness of forced air to prevent intraoperative hypothermia. Results: 80% of the evidence says that forced air is more effective and the other 20% shows that forced air is not effective in reducing hypothermia in patients in the perioperative period. Conclusions: 8/10 evidence concludes that forced air is more effective in maintaining the thermoregulation of the patient undergoing surgery intraoperatively while 2/10 evidence concludes that active heating intraoperatively is associated with control measures in the temperature in the environment providing adequate temperature and skin heating to the surgical patient being related to forced air.
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Effectiveness of heated and humidified CO2 for reducing intraoperative hypothermia in patients undergoing laparoscopic surgery
(Universidad Privada Norbert Wiener, 2021-11-07) Jesús Arias, Henry Ramón; Bastidas Solis, Miriam Cecilia
Objective: To analyze and systematize the evidence on the effectiveness of heated and humidified CO2 for reducing intraoperative hypothermia in patients undergoing laparoscopic surgery. Materials and methods: The type of research was quantitative, the study design was a systematic review, the population was 45 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a search in the databases: Cochrane Library, Scielo, PubMed and EBSCO, for the evaluation of the articles the GRADE system was used which evaluated the quality of evidence and the strength of recommendation. Results: Of the 100% articles, 10% correspond to Canada, 10% France, 20% Australia, 10% United Kingdom, 20% New Zealand, 10% Sweden, 10% Austria and 10% Germany. In relation to the designs and types of studies, 50% were randomized clinical trials, 20% systematic review, 20% meta-analysis and 10% retrospective. Conclusions: It was concluded that 60% of the studies showed that heated and humidified carbon dioxide (CO2) was effective in reducing intraoperative hypothermia in patients undergoing laparoscopic surgery, reducing postoperative pain, reducing the consumption of analgesics, therefore reducing the cost per patient, improving patient survival and patients had fewer adverse effects and 40% showed that carbon dioxide (CO2) was not effective since it was not able to show significant changes in the intraoperative body temperature of patients operated on with this gas and there was fogging of the chamber.
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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.
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Effectiveness of induced hypothermia in the treatment of hypoxic-ischemic encephalopathy in newborns
(Universidad Privada Norbert Wiener, 2018-08-12) Flores Gonzales, Evelyn Kathyuska; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of induced hypothermia in the treatment of hypoxic-ischemic encephalopathy in neonates. Materials and Methods: The study type is quantitative retrospective, with a systematic observational review design, which compiles results from various primary investigations as an essential part of evidence-based nursing due to its strict methodology, describing relevant studies to answer precise clinical practice questions. The instruments were the following databases: Lipecs, Lilacs, Scielo, Cochrane Plus, PubMed, Medline, Epistemonikos, and SCOPUS. The final selection consisted of 10 published scientific articles. The search was limited to full-text articles, and the selected ones were subjected to a thorough reading, using the GRADE method for recommendation strength evaluation. It was found that 40% of the studies came from Spain, 10% from Uruguay, 10% from London, 10% from China, 10% from Argentina, 10% from Canada, and 10% from Brazil. Regarding the designs and types of studies, 60% were meta-analyses, 20% were systematic reviews, 10% were retrospective observational studies, and 10% were retrospective descriptive studies. Results: 90% of the studies conclude that the treatment is effective, combined with supportive measures and an established protocol, while 10% report that in low- and middle-income countries, mortality has not decreased, and sequelae were not reduced due to inadequate equipment and training. Conclusions: In 9 out of 10 articles, it is concluded that hypothermia as a treatment for hypoxic-ischemic encephalopathy is effective, reducing mortality and alleviating long-term sequelae that the neonate may present.
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Effectiveness of the forced air warming system in the prevention of hypothermia in the perioperative period
(Universidad Privada Norbert Wiener, 2017-11-10) Guzman Ore, Ruth; Portocarrero Pavlich, Victoria Dora; Pretell Aguliar, Rosa María
Objective: To analyze and systematize the evidence on the effectiveness of forced air warming systems in the prevention of hypothermia during the perioperative period. Materials and methods: The systematic review includes 14 scientific articles identified in the following databases: Lilacs, Lipecs, PubMed, Medline, Ebsco, Cochrane Plus, and Scielo. Of the 14 pieces of evidence, 71% (10/14) are systematic reviews and 29% (4/14) are meta-analyses. All the studies have high evidence quality and strong recommendation strength. Results: 79% (n=11/14) of the systematically reviewed articles show that forced air warming systems are effective in preventing hypothermia during the perioperative period. 21% (n=3/14) of the reviewed articles disagree, stating that with the advent of new technologies used in active cutaneous warming systems, further research is needed to confirm systems that showed superiority when compared to forced air warming systems, as well as systems with a reduced number of studies developed so far. Conclusions: The effectiveness of forced air warming systems in preventing hypothermia during the perioperative period has been demonstrated.
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Effectiveness of the use of polyethylene bags for the prevention of hypothermia in premature and low birth weight newborns
(Universidad Privada Norbert Wiener, 1905-07-09) Hernández Julca, Bertha Gladys; Pérez Franco, Sandra Jesús; Remuzgo Artezano, Anika
Objective: Determine the effectiveness of the use of polyethylene bags for the prevention of hypothermia in premature and low birth weight newborns. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, together with the intensive bibliographic search algorithm and the PICO strategy. Results: 10 articles were obtained as a population, of which 100% (10/10) demonstrated that the use of the polyethylene bag to prevent hypothermia in premature and low birth weight newborns is effective; We also point out that of these, 20% correspond to the United States as well as those from Mexico, while 10% are from Uruguay, Canada, Thailand, Zambia, Brazil and England respectively. Therefore, it is concluded to consider the use of polyethylene bags as an additional effective and safe intervention to prevent hypothermia in premature and low birth weight newborns. Conclusions: 100% (10/10) of scientific articles have shown that the use of polyethylene bags is effective in interrupting heat loss through convection, conduction and evaporation mechanisms. Likewise, by preventing hypothermia we not only find stable oxygen saturation but also other vital functions and consequently the most serious complication such as neurological damage is avoided.
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Effectiveness of the warming of endovenous liquids to reduce hypothermia in surgical patients in the intraoperatory phase
(Universidad Privada Norbert Wiener, 2019-08-04) Trejo Ramírez, Olga Silvia; Maima Coz, Mery Laura; Pretell Aguliar, Rosa María
Objective: To systematize the evidence on the effectiveness of intravenous fluid warming in reducing hypothermia in surgical patients during the intraoperative phase. Material and Methods: This systematic review consists of 10 scientific articles on the effectiveness of intravenous fluid warming in reducing intraoperative hypothermia, which were found in the following databases: Pubmed, Scielo and Epistemonikos. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles found, 60% were randomized controlled trials, 20% were systematic reviews and 20% were quasi-experimental studies. Results: Of the 10 evidences found, 90% show that warming intravenous fluids is effective in reducing intraoperative hypothermia in surgical patients and 10% show that warming intravenous fluids is not effective in reducing intraoperative hypothermia in surgical patients. Conclusions: 9 out of 10 evidences show that warming intravenous fluids is effective in reducing intraoperative hypothermia and 1 out of 10 shows that warming intravenous fluids is not effective in reducing intraoperative hypothermia.
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Effectiveness of the warming system for managing hypothermia during the perioperative period
(Universidad Privada Norbert Wiener, 2019-01-06) Rivera Ledesma, Eida Giuliana; Correa Balta, María del Milagro; Calsin Pacompia, Wilmer
Objective: Analyze and systematize the evidence on the effectiveness of the warming system for the management of hypothermia in the perioperative period. Materials and Methods: Quantitative type and a systematic review by study design. The population consisted of 35 articles from the bibliographic review and the sample of 10 scientific articles published in scientific databases, the search instrument Database: Scielo , Lilacs, Cochrane Library, PubMed, British Medical Journal, Medline, Lancet, Wiley Online Library, Lipecs, Plus, ElSevier. GRADE system that is validated with the quality of evidence and recommended strength, we have 100% high and strong Results: The articles, 100%; 10% correspond to Chile, 20% to the United States, 10% to Brazil, 10% to England, 20% to Australia, 10% to South Korea, 20% to the United Kingdom; In relation to the type, it is 100% quantitative and the study designs, 50% correspond to a systematic review, 40% to clinical trials, 10 meta-analysis. Conclusions: 100% of the articles studied have demonstrated the effectiveness of the warming system for the management of hypothermia in the perioperative period.
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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.
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Effectiveness of thermal mattresses in preventing hypothermia in premature or low-birth-weight newborns
(Universidad Privada Norbert Wiener, 2020-01-05) Espinoza Mendoza, Jenifer Solange; Coronel Noa, Anngie Judith; Avila Vargas Machuca, Jeannette Giselle
OBJECTIVE: To systematically analyze the evidence on the effectiveness of the thermal mattress in preventing hypothermia in premature or low birth weight newborns. MATERIAL AND METHOD: This study uses a systematic review of 10 articles about the effectiveness of the thermal mattress in preventing hypothermia in premature or low birth weight newborns, which were found in the following databases: Pubmed , Sciencedirect, Epistemonikos, Cochrane Plus, Medline, Dialnet, Scielo. All articles used in this review were analyzed according to the Grade scale to determine their strength and quality of evidence. RESULTS: 100% of reviewed articles are conclusive. However, some authors suggest the use of a thermal mattress used autonomously and others that it be combined with some other intervention, but always monitoring the temperature to prevent iatrogenic hyperthermia. CONCLUSIONS: 100% (10/10) of the scientific articles in this study show that the use of thermal mattresses in premature and low birth weight newborns; It is effective for the prevention of hypothermia. The use of the thermal mattress simultaneously with the polyethylene bag provides warmth to the premature or low birth weight newborn, preventing hypothermia, but continuous monitoring must be carried out to avoid iatrogenic hyperthermia.
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Effectiveness of warming devices in the prevention and maintenance of temperature in inadvertent hypothermia in the peri- and postoperative period in surgical patients.
(Universidad Privada Norbert Wiener, 2018-07-08) Armas Vicharra, Noemi Berta; Ayala Balbin, Wendy del Carmen; Rivera Lozada de Bonilla, Oriana
Objective: To evaluate the evidence on the effectiveness of warming devices in the prevention and maintenance of temperature during inadvertent hypothermia in the perioperative period in surgical patients. Results: Fifty percent (n = 5/10) indicate the effectiveness of warming devices in preventing and maintaining temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients, while the other 50% (n = 5/10) show concordance but do not provide evidence of effectiveness as it was not measured. Conclusion: Half of the studies (5/10) indicate the effectiveness of warming devices in preventing and maintaining temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients. The remaining 5/10 indicate concordance with the use of warming devices in the prevention and maintenance of temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients.
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Efficacy of forced air in the prevention of hypothermia in presurgical patients
(Universidad Privada Norbert Wiener, 2021-11-14) Lozano Pariona, Julio; Vásquez Mego, Zalomon; Pretell Aguilar, Rosa Maria
Worldwide, surgical interventions are performed where patients are prone to different complications such as hypothermia, surgical site infection, delayed wound healing, and coagulation impairment. Therefore, the nursing professional resorts to the use of forced air warming systems to reduce thermal discomfort. The perioperative period consists of three phases: preoperative (the hour prior to the surgical procedure), intraoperative (time inside the operating room), and postoperative (time in the post-anesthesia recovery unit). Scientific evidence consistently shows that patients undergoing surgery, and thus anesthesia procedures, experience drops in their central temperature during one of these phases or even throughout the entire period.
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Efficacy of forced hot air for the management of hypothermia in the perioperative period
(Universidad Privada Norbert Wiener, 1905-07-09) Moya Malasquez, Maria Isabel; Cuba Vergara, Lissete Pamela; Rivera Lozada de Bonilla, Oriana
Objective: Determine the effectiveness of forced hot air for the management of hypothermia in the perioperative period. Methodology: Systematic review that compiles 11 investigations published between 2006 and 2016, obtained from different databases and scientific journals. Results: This review presents the characteristics and effectiveness of forced hot air and its influence as a strategy in thermal management to reduce perioperative complications and thereby ensure an adequate temperature in the patient to achieve comfort and user satisfaction. Conclusions: The reviewed articles show us that the application of the forced air warming system is one of the most effective methods in maintaining perioperative normothermia, even in comparison with other methods to prevent hypothermia in the perioperative period. Likewise, active warming from the immediate preoperative period, associated with measures such as increasing the ambient temperature and active skin warming, are related to greater effectiveness in preventing perioperative hypothermia; highlighting the importance of temperature monitoring pre-, intra- and post-operatively, and its positive effects in maintaining normothermia during this stage, such as: prevention of infection of the surgical wound, reducing post-hospitalization time. operation, patient comfort, reduce postoperative pain, avoid bleeding, among other important complications.
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Efficacy of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection
(Universidad Privada Norbert Wiener, 2017-08-05) Lugarte Caballero, Giner Valentin; Revatta Beingolea, Hilda; Rivera Lozada de Bonilla, Oriana
The objective of the research is to systematize the evidence on the effectiveness of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection (TUR). 10 scientific articles were reviewed, including controlled, randomized, cohort, case-control, and experimental trials. 50% evidence was found that irrigated patients present hyponatremia, being less with distilled water, 10% evidence that the use of distilled water reduces perioperative hypothermia and tremors, 10% demonstrates in a comparison of the absorption of irrigation fluids (saline solution ) used during rtu, is a non-significant percentage. 10% conclude that glycine solution increases the transparency of the optics, compared to distilled water, 10% demonstrate that irrigation with water in preventing the recurrence of non-muscle invasive bladder cancer is as effective as mitomycin, 10 % conclude that distilled water is an effective solution as an irrigant in procedures such as percutaneous nephrolithotomy. Concluding that both distilled water and glycine produce hydroelectrolyte disorders when used as irrigant in rtu, where the differences are not statistically significant.
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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.
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Efficacy of probiotics in the prevention of the most frequent infections in the preterm newborn.
(Universidad Privada Norbert Wiener, 2018-08-12) Haro Shapiama, Gianina; Guevara López, Lorena Astrick; Calsin Pacompia, Wilmer
90% of the 10 scientific studies demonstrate the effectiveness of the use of probiotics in preventing the most common infections in premature newborns (early sepsis and enterocolitis), while also improving oral tolerance, intestinal maturation, and increasing the weight of preterm neonates. 10% of the studies show that there is no significant difference, highlighting the need for further studies to address the combination of probiotic strains, dosage, and duration to avoid erroneous conclusions, especially in very low birth weight neonates.
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Efficacy of the active warming system to reduce the risk of hypothermia in postoperative patients
(Universidad Privada Norbert Wiener, 2020-12-20) Arbizu Berrocal, Ingrid; Zevallos Cano, Jessica; Cárdenas de Fernández, María Hilda
Objective: Organize evidence on the effectiveness of active warming to reduce the risk of hypothermia in post-operative patients. MATERIALS AND METHODS: The review that synthesizes the results of several research documents. They are important for the nursing area that is based on evidence due to its strict method, detecting outstanding studies to answer the questions of the clinical area. RESULTS: 10 scientific articles published in the database were obtained, with a publication time of 5 years and published in languages such as Spanish, Portuguese and English and were located in the database such as: scielo, epistemonikos, elsiever and google academic, 5 of them are concordant and 5 discordant. CONCLUSION: According to the evidence reviewed, it is concluded that the active warming system to reduce hypothermia in post-operative patients is not effective.
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Efficacy of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention
(Universidad Privada Norbert Wiener, 2020-02-16) Erribari Sulluchuco, Mirtha Nitza; Giraldo Vicente, Betzabé Maira; Gamarra Bustillos, Carlos
Objective: Systematize the evidence on the effectiveness of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention. Materials and Methods: A retrospective systematic review was carried out, which summarizes the findings of various primary studies. These investigations are an important part of evidence-based nursing to answer clinical questions. Thus, it was restricted to documents using the GRADE system, which allowed the recommendation power to be strengthened. Subsequently, the selected investigations were subjected to critical analysis. Results: Finally, 10 articles were selected, carried out in the present study, the active heating methods are efficient, although some seem to be more efficient than others. Better findings were obtained when warming was extended to the preoperative stage to reduce the occurrence of perioperative hypothermia. For this reason, intervention measures are necessary in order to prevent hypothermia and maintain normal temperature before and during the operation. Conclusions: Active warming methods were shown to be effective in maintaining perioperative normothermia. Being an effective measure (efficient and effective), since it increases body temperature and thermal comfort, patient satisfaction and facilitates venous cannulation, it reduces bleeding, infection of the surgical wound, mechanical ventilation time, use of fluids, vasodilators, morphine and antibiotics, blood pressure and cardiac disorders, reduces hospitalization time and costs. Warming during the intraoperative period is sufficient to effectively prevent hypothermia, both at this stage and in the postoperative period.
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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