Examinando por Materia "Hipoxia Encefálica"

Mostrando 1 - 3 de 3

Acceso abierto
Effectiveness of assisted ventilation for neuroprotection in newborns with hypoxic encephalopathy
(Universidad Privada Norbert Wiener, 2018-07-08) Aquino Quintana, Judith Angélica; Gonzales Napuri, Flor De Maria; Remuzgo Artezano, Anika
Objective: To analyze and systematize the evidence on the efficacy of assisted ventilation for neuroprotection in newborns with hypoxic encephalopathy. Materials and Methods: The type of research was qualitative, and the design was systematic review, in which the unit of analysis is the primary original studies, with a population of 25 articles and a sample of 10 articles. The instrument used was from the Scielo, Medline, and Pubmed databases, with articles published in Spanish and English and not older than ten years. The GRADE system was used to evaluate the quality of evidence and the strength of recommendations. Results: Of the 10 articles, 100% were qualitative studies, with 80% from Cuba and 20% from Mexico. Regarding design, 40% were descriptive, retrospective, and observational, 30% were prospective and longitudinal, 20% were correlational, and 10% were explanatory. Conclusions: These 10 scientific articles conclude that 80% found mechanical ventilation to be effective as a neuroprotective measure for newborns, helping to provide oxygen in a timely manner, thus preventing physiological and biochemical changes that could affect the newborn’s central nervous system. The remaining 20% concluded that it was not effective and that there was some degree of neurological sequelae.
Acceso abierto
Effectiveness of assisted ventilation for neuroprotection in newborns with hypoxic encephalopathy
(Universidad Privada Norbert Wiener, 2018-07-08) Aquino Quintana, Judith Angélica; Gonzales Napuri, Flor De Maria; Remuzgo Artezano, Anika
Objective: To analyze and systematize the evidence on the efficacy of assisted ventilation for neuroprotection in newborns with hypoxic encephalopathy. Materials and Methods: The type of research was qualitative, and the design was systematic review, in which the unit of analysis is the primary original studies, with a population of 25 articles and a sample of 10 articles. The instrument used was from the Scielo, Medline, and Pubmed databases, with articles published in Spanish and English and not older than ten years. The GRADE system was used to evaluate the quality of evidence and the strength of recommendations. Results: Of the 10 articles, 100% were qualitative studies, with 80% from Cuba and 20% from Mexico. Regarding design, 40% were descriptive, retrospective, and observational, 30% were prospective and longitudinal, 20% were correlational, and 10% were explanatory. Conclusions: These 10 scientific articles conclude that 80% found mechanical ventilation to be effective as a neuroprotective measure for newborns, helping to provide oxygen in a timely manner, thus preventing physiological and biochemical changes that could affect the newborn’s central nervous system. The remaining 20% concluded that it was not effective and that there was some degree of neurological sequelae.
Acceso abierto
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.