Examinando por Materia "Infusion Pumps"
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Ítem Acceso abierto Effectiveness of Continuous Infusion versus Bolus Administration of the diuretic Furosemide in the management of Acute Decompensated Heart Failure(Universidad Privada Norbert Wiener, 2017-12-03) Cabrera Alarcón, Gloria Adela; Cueva Velaisosa, María Susana; Matta Solis, Hernán HugoObjective: To systematize the evidence on the effectiveness of continuous infusion versus bolus administration of furosemide in the management of acute decompensated heart failure. Materials and Methods: This is a systematic, observational, and retrospective review of quantitative studies, critically selected, using the Grade evaluation system to determine the level of evidence. The articles were found in the following databases: PubMed, Open Access, Wiley Online Library, Science Direct, BioMed Central, and BMJ. Ten articles were systematically reviewed, of which 30% (n=3/10) were meta-analyses, and 70% (n=7/10) were randomized clinical trials. These studies were from the United States (40%), China (10%), Malaysia (10%), Italy (10%), Spain (10%), India (10%), and Portugal (10%). Results: 60% (n=6/10) indicate that continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure. 40% (n=4/10) report no significant differences in safety or efficacy between continuous administration of furosemide and bolus injection in patients with acute decompensated heart failure. Conclusion: Continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure.Ítem Acceso abierto Effectiveness of Continuous Infusion versus Bolus Administration of the diuretic Furosemide in the management of Acute Decompensated Heart Failure(Universidad Privada Norbert Wiener, 2017-12-03) Cabrera Alarcón, Gloria Adela; Cueva Velaisosa, María Susana; Matta Solis, Hernán HugoObjective: To systematize the evidence on the effectiveness of continuous infusion versus bolus administration of furosemide in the management of acute decompensated heart failure. Materials and Methods: This is a systematic, observational, and retrospective review of quantitative studies, critically selected, using the Grade evaluation system to determine the level of evidence. The articles were found in the following databases: PubMed, Open Access, Wiley Online Library, Science Direct, BioMed Central, and BMJ. Ten articles were systematically reviewed, of which 30% (n=3/10) were meta-analyses, and 70% (n=7/10) were randomized clinical trials. These studies were from the United States (40%), China (10%), Malaysia (10%), Italy (10%), Spain (10%), India (10%), and Portugal (10%). Results: 60% (n=6/10) indicate that continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure. 40% (n=4/10) report no significant differences in safety or efficacy between continuous administration of furosemide and bolus injection in patients with acute decompensated heart failure. Conclusion: Continuous infusion is more effective than bolus administration of furosemide in managing acute decompensated heart failure.Ítem Acceso abierto Effectiveness of continuous insulin infusion therapy vs. subcutaneous insulin injection in patients with Diabetes Mellitus.(Universidad Privada Norbert Wiener, 2018-07-08) Poma Solano, Diana Guisella; Ramirez Herrera, Paulita Mavel; Gamarra Bustillos, CarlosObjectives: To analyze and systematize the evidence on the effectiveness of continuous insulin infusion vs subcutaneous insulin injection in patients with diabetes mellitus to regulate and maintain glucose levels. Materials and Methods: Systematic review, the search was restricted to full-text articles, and the selected articles underwent critical reading, using the Grade System to identify their level of evidence. In the final selection, 10 articles were chosen, of which 60% (6) are randomized trials, 30% (3) are systematic reviews, and 10% (1) are cohort studies, all of high evidence quality and strong recommendation strength. Results: Of the 10 articles reviewed, 90% indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in patients with Diabetes Mellitus I and II, while 10% of the articles do not specify in which type of diabetes it is more effective. Conclusion: Of the 10 articles reviewed, (n=9/10) indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in Diabetes Mellitus I and II, (n=1/10) does not specify in which type of diabetes continuous insulin infusion is more effective.Ítem Acceso abierto Effectiveness of continuous insulin infusion therapy vs. subcutaneous insulin injection in patients with Diabetes Mellitus.(Universidad Privada Norbert Wiener, 2018-07-08) Poma Solano, Diana Guisella; Ramirez Herrera, Paulita Mavel; Gamarra Bustillos, CarlosObjectives: To analyze and systematize the evidence on the effectiveness of continuous insulin infusion vs subcutaneous insulin injection in patients with diabetes mellitus to regulate and maintain glucose levels. Materials and Methods: Systematic review, the search was restricted to full-text articles, and the selected articles underwent critical reading, using the Grade System to identify their level of evidence. In the final selection, 10 articles were chosen, of which 60% (6) are randomized trials, 30% (3) are systematic reviews, and 10% (1) are cohort studies, all of high evidence quality and strong recommendation strength. Results: Of the 10 articles reviewed, 90% indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in patients with Diabetes Mellitus I and II, while 10% of the articles do not specify in which type of diabetes it is more effective. Conclusion: Of the 10 articles reviewed, (n=9/10) indicate that continuous insulin infusion is more effective in regulating glucose levels compared to subcutaneous insulin injection in Diabetes Mellitus I and II, (n=1/10) does not specify in which type of diabetes continuous insulin infusion is more effective.Ítem Acceso abierto Factors associated with phlebitis in peripheral venous catheters of hospitalized patients(Universidad Privada Norbert Wiener, 2017-03-02) Condori Báez, María Belén; Contreras Rojas, Eva Gisela; Calsin Pacompia, WilmerMethod: Systematic review, and the population constituted by the bibliographic review of 9 scientific articles published and indexed in scientific databases and that respond to articles published in Spanish, Portuguese and English. Results: The factors associated with phlebitis that were found are the age, weight of the patient, medication that is being infused (drugs with extreme pH and osmolarity solutions), type of infusion and infused solutions, the speed of infusion (using infusion pump ) the quality of infection prevention practices, the length of time the catheter remains in place (no more than five days), caliber of the catheter (the smaller the caliber, the lower the risk of phlebitis), the size of the catheter, the location of insertion, the lack of catheter management protocol, in addition to the time at which the peripheral catheter is placed (day/night shift), having a greater risk of phlebitis on the night shift. Conclusions: According to all the articles reviewed, it is concluded that the factors associated with phlebitis were: the most common was type of medication according to its pH, osmolarity, followed by the place of insertion of the peripheral catheter, length of stay and finally it was considered as a factor. of risk the infusion time of the medication to be infused.
