Examinando por Materia "Insurance"

Mostrando 1 - 9 de 9

Acceso abierto
Determination of the safe disinfectant Orthophthaldehyde versus Glutaraldehyde used by nurses in the High Level Disinfection Process
(Universidad Privada Norbert Wiener, 1905-07-09) Idrogo Maita, Zaida Karina; Ruiz Campos, Deysi; Gómez Gonzales, Walter Edgar
Objectives: Determine the safe disinfectant Orthophthaldehyde vs glutaraldehyde to be used by nurses in the high-level disinfection process. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 articles with full text, and the selected articles were subjected to critical reading. Published and indexed in scientific databases, dating back to the year 2000 and responding to articles published in Spanish, English and Portuguese. In the final selection, 4 articles were chosen, we found that 25% (01) corresponds to England, with 25% (01) to Spain, with 25% (01) to Brazil and while another 25% (01) we find Japan; Two systematic reviews and two cross-sectional studies were included. Results: 80% of the articles reviewed show that glutaraldehyde, compared to orthophthaldehyde, is the one that produces the most cytotoxicity at work, but that orthophthalaldehyde is still toxic. Orthophthaldehyde vs glutaraldehyde, in both cases its greatest adverse reaction when used is in the respiratory tract Conclusion: of the liquid chemical substances used as high-level disinfectants Orthophthaldehyde vs Glutaraldehyde It was evident that Glutaraldehyde is a volatile product that emanates cytotoxic substances causing effects adverse effects on the person who handles it, while Orthophthaldehyde, being exposed through inhalation, turns out to be a sensitizing this. The direct handling of high-level disinfectant substances focuses exposure on the inhalation route, requiring the use of personal protective equipment.
Acceso abierto
Effectiveness of high-level disinfection as a safe reprocessing method for endoscopes
(Universidad Privada Norbert Wiener, 1905-07-09) Soto Espinoza, Miriam Giovanna; Aranguren Hernandez, Nacy Melania; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes. Materials and Methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 06 scientific articles on the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes correspond to the Lipecs, Lilacs, Scielo and Medline databases. The DAN in an endoscope after having been used when there are traces of organic secretions is not sufficient. Conclusion: Every endoscope, after having been used, when there are organic secretions, must be sterilized after high-level disinfection has been carried out.
Acceso abierto
Effectiveness of music therapy for pain management in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-08) Guzmán Moreno, Sisy Cecilia
Material and methods: The PICO instrument was applied and a systematic bibliographic search was carried out through recognized search engines such as LILACS, PubMED, ELSEIVER, etc. Classifying the information through the use of Caspe templates and the level of evidence and degree of recommendation by the GRADE system. Results: 100% of the articles show evidence of the positive influence that music exerts in the different stages of the perioperative period, showing not only the significant decrease in pain but also the decrease in the level of anxiety, 2 articles found showed patients with functional stable vital signs, decreased administration of analgesics and anesthetics, even when the patient is under general anesthesia. Conclusions: Music can be used and implemented as a simple, safe and effective method of reducing potentially harmful physiological responses caused by pain in patients during the perioperative period.
Acceso abierto
Efficacy of a closed suction system compared with open suction system on hemodynamic changes in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Ganto Yarasca, Rosario; Bonilla Asalde, César Antonio
Objectives: Systematize the evidence on hemodynamic changes in patients with mechanical ventilation as a consequence of the use of the closed aspiration system and the open aspiration system. Methodology: Observational and retrospective systematic review, the research has been restricted to articles with full text, the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: After the review, very diverse related research was obtained. In the final selection, 10 articles were selected corresponding to Brazil and Iran with 3 articles each, Turkey with 2 and Australia and Holland with 1 article each comparatively. Conclusions: It was shown that in the studies analyzed there is evidence on the effectiveness of a system closed suction system compared to the open suction system in the hemodynamic changes of patients with mechanical ventilation, 60% (6/10) demonstrated an incidence in hemodynamic changes, while 40% (4/10) do not accept hemodynamic changes or no significant changes were recorded in the use of both systems. Recommendations from consensus and specialists suggest the importance of monitoring hemodynamic changes that may occur in patients during the aspiration procedure, regardless of whether it is performed with the closed system or the open system to prevent complications. They recommend the closed aspiration system as safer. And they clarify that nursing staff should not perform aspiration as part of a scheduled routine due to possible adverse effects.
Acceso abierto
Efficacy of arteriovenous fistula versus central venous catheter in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 1905-07-09) Flores Mesias, Kelly; Ttito Condori, Rosa; Remuzgo Artezano, Anika
Material and Method: Study design was of a systemic, observational and prospective review type, it was carried out through the review of international research articles. The population of 09 articles published in English and Spanish in the database: Pubmed, Scielo, Lilacs, Medline Results: The reviewed studies show that of the total of 09 articles, 100% show that AVFs are more effective Conclusions : AVFs have greater effectiveness compared to CVCs in hemodialysis patients with lower risk of infection, lower cost, it is an indicator of quality, lifestyle (image, self-esteem), safe, fast and greater durability of treatment throughout your illness.
Acceso abierto
Efficacy of Citrate Versus Heparin Anticoagulation in Decreasing Bleeding in Patients With Acute Renal Failure on Continuous Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 1905-07-09) Cabanillas Huamán, Augusto Enrique; Rosas Casique, Diana Beatriz; Remuzgo Artezano, Anika
Objective: Systematize the evidence on the effectiveness of citrate anticoagulation versus heparin to reduce bleeding in patients with acute renal failure on continuous renal replacement therapy. Results: The results obtained from the systematic reviews show that of the total of 10 scientific articles reviewed, 100% (n=10/10) report that the use of citrate anticoagulation is more effective compared to the use of heparin. , show that the implementation of a protocol, and the choice of first-line use of citrate anticoagulation is safe, and has more advantages than heparin, because it presents a lower risk of bleeding complications. and/or bleeding. Fernández states that the incidence of hemorrhage was (0% vs. 10.3%). Zhang indicated that citrate is able to reduce the risk of bleeding 0.28 (95% CI 0.15 0.50). Wu reported a statistically significant decrease in bleeding (RR, 0.34; 95% CI, 0, 17-0.65). Conclusions: 100% (n=10/10) show that the use of citrate anticoagulation is more effective compared to the use of heparin, because it significantly reduces the risk and complications of hemorrhage and/or bleeding.
Acceso abierto
Efficacy of the use of adhesives with chlorhexidine for central venous catheters, in the prevention of bacteremia in patients in intensive care units
(Universidad Privada Norbert Wiener, 1905-07-09) Caballero Malaver, Mónica Elena; Samanamú Mauricio, Gabriela Cecilia; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of the use of chlorhexidine dressings for central venous catheters, for the prevention of bacteremia in patients in intensive care units. Materials and methods: Systematic Review, observational and retrospective research design, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading according to the degree of evidence that synthesizes the results of 01 Meta-analysis and 03 scientific articles that demonstrate the powerful bactericidal activity of the use of dressings with Chlorhexidine for central venous catheters as a preventive measure against bloodstream infections. Results: 1 meta-analysis and 3 articles were chosen in which we found that 50% (02) correspond to the United States with 25% (01), we find France and Israel with 25% (01) respectively. Of the total number of articles analyzed, 100% affirm the effectiveness of the use of dressings with chlorhexidine for CVC in the prevention of bacteremia and infections. The meta-analysis included 9 primary studies that showed a significant reduction in the incidence of infections due to colonization of the central venous catheter as well as bloodstream infection. A randomized trial demonstrated that the use of dressings impregnated with Chlorhexidine gel decreases the rate of CRF in ICU patients with a central venous catheter. A prospective comparative trial provided excellent results of bactericidal and antimicrobial action of the use of transparent dressings impregnated with CHG and finally a randomized controlled study was carried out in a pediatric cardiac intensive unit where gluconate sponge impregnated with chlorhexidine is safe and significantly reduces rates. of CVC colonization in infants and children after cardiac surgery. Conclusion: It was evident in the reviewed research that there is effectiveness in the use of adhesives with chlorhexidine for venous catheters in the prevention of bacteremia since it reduces the percentages of bacteremia associated with central venous catheters, therefore reducing hospital stay, deaths and costs. .
Acceso abierto
Efficiency of descending conductivity and ultrafiltration profiles in renal patients
(Universidad Privada Norbert Wiener, 1905-07-09) Medina Rujel, Blanca Esmidia; Casanotán Ayay, Nadia Bernabita; Mendigure Fernández, Julio
Objective: Systematize the available evidence on the efficiency of descending conductivity and ultrafiltration profiles in renal patients on hemodialysis. Methodology: This is a Systematic Review of 10 articles in the MEDLINE, PUBMED, LILACS, SCIELO database, whose search has been restricted to articles with full text, and the selected articles were subjected to critical reading, using the Sackett evaluation. to identify its level of evidence. Results: With the use of descending conductivity and ultrafiltration profiles, renal patients on hemodialysis have better tolerance to the treatment, their application reduces intradialytic complications such as hypotension, cramps, nausea, vomiting and headaches, and also allows the patient to complete in a stable manner. its treatment time and helps it maintain an adequate dry weight since it is possible to sequester all the accumulated volume. All of this leads to the patient reaching their ideal dialysis dose goal, making hemodialysis a safe and effective treatment that benefits their quality of life. Conclusion: In light of the evidence, the effectiveness of descending conductivity and ultrafiltration profiles in improving the care of renal patients is concluded by verifying that they reduce intradialytic complications, help maintain the patient's dry weight and improve morbidity and mortality rates. in hemodialysis treatment, improving their quality of life.
Acceso abierto
Reduction in complications due to early removal of the Bladder Catheter in patients undergoing Transurethral Resection of the Prostate
(Universidad Privada Norbert Wiener, 1905-07-09) Jaramillo Fernández, Carmen Soledad; Salinas Aite, Virginia Elizabeth; Mendigure Fernández, Julio
Objective: Systematize the available evidence on the reduction of complications with early removal of the bladder catheter in patients undergoing transurethral resection of the prostate. Material and method: It is a systematic review of 10 articles, selected, with full text identifying their quality of evidence through critical reading Caspe. The following databases were used: Lilacs, BVS, Scielo, elsevier, Cochrane. Results: 60% of the evidence has shown that early removal of the bladder catheter (within 24 hours) is safe and feasible, reducing complications such as: Bleeding, urinary tract infection, urinary retention due to bladder catheter obstruction ; It also improves the patient's quality of life, reduces hospital stay and reduces costs. 30% of the evidence indicates that there is no significant difference in the appearance of complications with early or late removal of the bladder catheter and 10% of the evidence indicates that there is a significant relationship between early removal of the bladder catheter and the development of urinary retention. Conclusions: 60% of the evidence demonstrates that early removal of the bladder catheter reduces complications in patients undergoing transurethral prostate resection.