Examinando por Materia "Intubation, Intratracheal"

Mostrando 1 - 20 de 20

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Asociación entre tiempo de intubación y estenosis laringotraqueal en pacientes Covid del hospital nacional PNP "Luis N. Sáenz", Lima, 2020-2023
(Universidad Privada Norbert Wiener, 2025-07-12) Vilchez Barzola, Adaia Keren-Kalid; Aviles Gonzaga, Roberto Carlos
Introducción: La estenosis traqueal post-intubación, común en casos de COVID 19 y asociada a intubación prolongada, puede causar SDRA y requerir ingreso a UCI. Objetivos: Determinar la estenosis laringotraqueal asociada a los días de intubación en pacientes post intubación por COVID del área de otorrinolaringología del “Hospital Nacional PNP Luis N. Saenz”, Lima, 2020-2023” Materiales y métodos: estudio observacional, transversal y retrospectivo con enfoque cuantitativo. La muestra estuvo conformada por 197 pacientes post COVID intubados en la UCI del Hospital Nacional PNP “Luis N. Saenz”, seleccionados por muestreo probabilístico y según criterios de selección. Se utilizó una ficha de recolección de datos validada por juicio de expertos. El procesamiento de datos incluirá el uso de medidas descriptivas, además de pruebas inferenciales para determinar la significancia estadística, entre ellas: test de Chi2 y t-Student. Resultados: Se analizó a 197 pacientes intubados por neumonía por SARS-CoV 2. La mayoría fueron hombres sin comorbilidades, aunque hipertensión y diabetes fueron frecuentes entre los que sí las presentaron. Un 14,72 % desarrolló estenosis laringotraqueal, diagnosticada principalmente por laringoscopia. Los pacientes intubados por más de 18 días presentaron un riesgo notablemente mayor de desarrollar estenosis moderada a severa. Para estenosis grado II, la razón de prevalencias (RP) fue de 3,6 (IC 95 %: 2,6–5,01; p = 0,0001), mientras que para grado III la RP fue de 4,12 (IC 95 %: 3,18–5,3; p = 0,0001) y para grado IV fue de 4,0 (IC 95 %: 3,03–5,2; p = 0,0001). Conclusiones: Estos hallazgos indican que la intubación prolongada se asocia significativamente con una mayor prevalencia de estenosis traqueal en grados avanzados, con implicancias clínicas relevantes para la prevención y manejo de estas complicaciones.
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Conocimientos sobre aspiración endotraqueal y la práctica del profesional de enfermería en pacientes con ventilación mecánica hospitalizados en una unidad de cuidados intensivos de un hospital del MINSA Lima 2024
(Universidad Privada Norbert Wiener, 2024-12-01) Cajas Pío, Renee Lizbeth; Morillo Acasio, Berlina del Rosario
Objetivo: Determinar cómo se relacionan el conocimiento sobre aspiración endotraqueal y la práctica del profesional de enfermería en pacientes con ventilación mecánica hospitalizados en una unidad de cuidados intensivos de un hospital del MINSA Lima 2024.Diseño metodológico: será cuantitativa, básica, correlacional, transversal, no experimental. Participarán 40 enfermeros que trabajan en la unidad de cuidados intensivos. Instrumentos: serán un cuestionario y una lista de cotejo los cuales fueron aplicados en 2017 por Olarte L, Rodas J, Rosas S; su aplicación se realizará en los enfermeros especialistas de la unidad de cuidados intensivos, con un tiempo aproximado de 20 minutos y los datos obtenidos se codificarán de forma automatizada y se procesará la información recolectada en Microsoft Excel y con la información se creará una base de datos en el programa informático SPSS, para comprobar la hipótesis se utilizará el test de correlación de Spearman y los resultados que se obtengan como producto de su desarrollo contribuirán a proponer soluciones a la problemática detectada, de forma que se pueda dar respuesta efectiva y mejorar los servicio sanitarios.
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Conocimientos y cuidados al paciente con tubo endotraqueal del personal de enfermería de una unidad de cuidados intensivos de un hospital público de Lima, 2025
(Universidad Privada Norbert Wiener, 2025-05-25) Inca Adauto, Victor Raul; Peña Guerrero, Leslie Elizabeth
Es esencial que los enfermeros dominen los procedimientos en pacientes intubados de forma endotraqueal para evitar complicaciones que podrían comprometer la salud de los pacientes, sobre todo en aquellos ingresados en la Unidad de Cuidados Intensivos (UCI), donde su condición de salud suele ser crítica. El objetivo es “Determinar de qué manera se relacionan el conocimiento y el cuidado al paciente con tubo endotraqueal del personal de enfermería en una UCI de un Hospital público.” Se emplea un enfoque cuantitativo, de tipo no experimental y aplicado, con un alcance correlacional. El estudio sigue el método hipotético-deductivo para analizar y describir los fenómenos investigados a través de encuestas dirigidas a enfermeros que trabajan en la UCI de un hospital público. Para lo cual, se usarán como técnica la encuesta y se aplicarán instrumentos validados y confiables. Se analizarán los datos obtenidos con métodos estadísticos.
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Effectiveness of direct laryngoscopy versus video laryngoscopy in adult patients undergoing endotracheal intubation
(Universidad Privada Norbert Wiener, 2018-12-02) Tunjar Guimet, Rosario; Vargas Torres, Jackeline; Glenni Garay, Zarely Zabeli
Materials and Methods: Systematic review that simplifies the results of various investigations, identifying what is most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. In the final selection, 10 articles were chosen, finding that 40% (04) correspond to Europe (2 from the United Kingdom, 1 from France and 1 from Italy), 30% (03) from America (2 from the USA and 1 from Canada). ) and 30% (03) Asia (2 from Japan and 1 from Taiwan). These are mostly meta-analysis (60%), clinical trials (20%), systematic review (20%). Results: 90% of the studies affirm that videolaryngoscopy is effective, because it reduced the number of failed intubations particularly in patients with a difficult airway, increased the success of the first intubation attempts, improved glottic vision, reduced laryngeal airway trauma, there was less incidence of postoperative hoarseness and showed higher success rate and shorter intubation time and is not effective for adult patients undergoing intubation endotracheal in 10% of the studies because no significant advantage between both was evident. Conclusions: video laryngoscopy is more effective than direct laryngoscopy in adult patients undergoing endotracheal intubation.
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Effectiveness of endotracheal tube fixation techniques in critically ill patients attending emergency services.
(Universidad Privada Norbert Wiener, 2022-05-22) Salas Loayza, Mirtha; Fernández Rengifo, Werther Fernando
Material and Method: The research design used is a systematic review. The population consisted of a search for 24 articles, with inclusion criteria established. The final sample included 10 articles from indexed databases. Results: By origin, 20% (2/10) of the articles are from India, 20% (2/10) are from the USA, 10% (1/10) are from Korea, 10% (1/10) are from the United Kingdom, 10% (1/10) are from Iran, 10% (1/10) are from Belgium, 10% (1/10) are from Japan, and 10% (1/10) are from Singapore. According to the research design, 50% (5/10) are randomized clinical trials, 40% (4/10) are experimental designs, and 10% (1/10) are descriptive observational designs. According to the quality of evidence, 90% (9/10) are high and 10% (1/10) are low. Conclusions: There is evidence of the effectiveness of endotracheal fixation techniques in critically ill patients who seek emergency services.
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Effectiveness of premedication for endotracheal intubation of the newborn in the reduction of adverse events
(Universidad Privada Norbert Wiener, 2019-12-01) Atalaya Tacilla, Eva Noemí; Calsin Pacompia, Wilmer
Objective: Systematize the effectiveness of premedication for endotracheal intubation of newborns in reducing adverse events. Materials and Methods: Quantitative research type, systematic review design, the population was 10 scientific articles, the search instrument used was databases: Cochrane Library, Scielo, British Medical Journal, PubMed, Lancet, Wiley Online Library, and EBSCO. For article evaluation, the GRADE system was used; 10% correspond to Uruguay, 10% to Saudi Arabia, 10% to Iran, 10% to France, 10% to Malaysia, 30% to the USA, 10% to New Zealand, and 10% to the UK. Regarding designs, 40% were prospective observational, 30% case-control, 10% systematic review, 10% cross-sectional, and 10% retrospective. Results: Most of the systematically reviewed articles indicate the effectiveness of premedication for newborn endotracheal intubation in reducing adverse events. Conclusions: 80% of the studies showed that premedication for newborn endotracheal intubation allowed good relaxation of the jaw, suppression of the pharyngeal and laryngeal reflexes, success on the first attempt, and reduction of adverse physiological responses to pain, bradycardia, severe desaturation, systemic hypertension, and intracranial hypertension, while 20% of the studies showed that the use of premedication for endotracheal intubation was not effective, indicating concerns about possible side effects.
Acceso abierto
Effectiveness of the control of pneumotaponing pressure for the decrease of complications of patients with endotraqueal tube subjected to mechanical ventilation in the icu
(Universidad Privada Norbert Wiener, 2019-08-04) Almeyda Pachas, Milagros Soledad; Cárdenas de Fernández, María Hilda
Objective: To systematically analyze the evidence from studies conducted on the effectiveness of pneumothorax pressure control to reduce complications in patients with endotracheal tube undergoing mechanical ventilation in the ICU. Material and method: The population is comprised of a review of 20 bibliographic articles, from which a sample of 10 articles was taken. The studies were found in the following databases: Cochrane, Lilacs, Scielo, Medline Pubmed, all of which were analyzed according to the Grade scale to determine the strength and quality of evidence. These studies correspond to the methodological design of systematic reviews 20%; clinical trial with 30%; meta-analysis with 10% and cohort studies with 40%. Results: Of the articles, 20% indicate that pressures greater than 30cm H2O cause morphological changes in the tracheal mucosa, therefore, acute complications such as dysphonia, sore throat, tracheal rupture, among other chronic cases, 20% indicate that the use of the aneroid manometer is essential for its. 30% indicate that continuous monitoring is important in the prevention of bronchial microaspirations and 20% indicate that it did not cause a strong impact in the prevention of VAP. According to 20%, it points out that in the prevention of nosocomial pneumonia, the measurement of pneumothorax is effective and enhances other general measures in the prevention of VAP. Conclusions: Of the 10 articles systematically reviewed, 8 articles show the effectiveness of pneumothorax control and conclude its importance in reducing complications in patients undergoing mechanical ventilation.
Acceso abierto
Effectiveness of the fastrach laryngeal mask in comparison with other supraglottic devices in intubation in adult patients.
(Universidad Privada Norbert Wiener, 2020-01-05) Surichaqui Gomez, Luis Rabelo; Matta Solis, Eduardo Percy
Systematize the evidence on the effectiveness of the Fastrach laryngeal mask compared to other supraglottic devices in intubation in adult patients. According to the articles, 80% of the studies demonstrate the effectiveness of supraglottic laryngeal masks for airway management in adult patients. This results in a higher percentage of successful intubations on the first attempt, less time needed for successful intubations, and the conventional tube can be used for blind tracheal intubation. 20% of the studies show effectiveness because they present less incidence of sore throat, less dysphonia, and hoarseness after the removal of supraglottic devices. In the conclusions, it is determined that the Fastrach supraglottic laryngeal masks are effective for airway management in adult patient intubation. In (8/10) of the studies, a higher percentage of intubations on the first attempt is achieved, less time is needed for successful intubations, and the conventional tube can be used for blind tracheal intubation. Likewise, in (2/10) of the studies, effectiveness is demonstrated due to a lower incidence of sore throat, less dysphonia, and hoarseness after the removal of supraglottic devices.
Acceso abierto
Efficacy of apneic oxygenation during oxygen desaturation in patients undergoing endotracheal intubation
(Universidad Privada Norbert Wiener, 2019-02-17) Geldres Alva, Fabiola Carolina; Maldonado Villacorta, Luz Marina; Avila Vargas Machuca, Jeannette Giselle
Material and Methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Sciencedirect, PubMed, Epistemonikos, Scielo, Researchgate. Of the 10 articles systematically reviewed, 50% (n= 5/10) are meta-analyses, 20% (n= 2/10) are a systematic review, 20% (n= 2/10) are randomized controlled trials and 10% (n= 1/10) are cohort studies and come from the countries of Australia (30%), followed by the United States (30%), Canada (20%), Brazil (10%) and Italy (10%). Results: 80% (n=8/10) indicate that apneic oxygenation is effective in reducing oxygen desaturation in patients during endotracheal intubation. 20% (n=2/10) indicate that apneic oxygenation is not effective in reducing oxygen desaturation in patients during endotracheal intubation. Conclusion: apneic oxygenation is effective in reducing oxygen desaturation in patients during endotracheal intubation
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Efficacy of supraglottic devices compared to the endotracheal tube in the prehospital management of the airway in the adult patient with cardiac arrest.
(Universidad Privada Norbert Wiener, 2018-03-25) Cusi Calderón, Edgar Eugenio; Gamarra Bustillos, Carlos
Materials and Methods: A systematic review of 10 scientific articles found in the following databases: Pubmed, Medline, Cochrane Plus. We identified 10 scientific pieces of evidence. The search was restricted to full-text articles, and the selected articles underwent a critical reading, using the GRADE system evaluation to identify their level of evidence. Among the 10 evidences, 40% (4/10) were case-control studies, 30% (3/10) were systematic reviews and meta-analyses, 20% (2/10) were cohort studies, and 10% (1/10) was a randomized controlled trial. 70% of the evidence came from the United States, followed by 20% from Japan and 10% from the United Kingdom. Results: In the final selection, 10 articles were chosen, and it was found that 100% (n=10/10) of the evidence indicated: 40% (n=4) report that supraglottic devices have a similar effectiveness to the endotracheal tube; 20% (n=2) report that supraglottic devices have greater effectiveness than the endotracheal tube; 40% (n=4) report that the endotracheal tube is associated with better outcomes, which are not associated with significant clinical consequences. Conclusions: The scientific articles reviewed provided evidence that supraglottic devices present a similar effectiveness to the endotracheal tube in adult patients with out-of-hospital cardiac arrest.
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Efficacy of the endotracheal tube compared to the laryngeal mask in post-operative adult patients in reducing pain, bronchaspiration, and nausea.
(Universidad Privada Norbert Wiener, 2018-08-26) Calixto Ichu, Milina Lili; Castillo Misagel, Paola Angelica; Calsin Pacompia, Wilmer
The study is quantitative in nature, and the study design is a systematic review, with a population consisting of 18 articles, and 10 articles were selected for the study sample; the sources used were Cochrane Library, British Medical Journal, PubMed, Lancet, Wiley Online Library, Health Systems Evidence, Public Health Group, Scielo, and Epistemonikos; with critical evaluation under the GRADE method for each article; of which 30% were from Lebanon, and 10% from China, Iran, India, Australia, Colombia, and Canada, as appropriate; in terms of the type of study, 70% were quantitative and 30% qualitative; the design was 50% clinical trials, 40% systematic reviews, and 10% meta-analysis. This systematic review concludes that 70% of the articles demonstrate that the laryngeal mask is more effective than the endotracheal tube, as it presents fewer complications in post-operative adult patients in reducing pain, bronchoaspiration, and nausea. In contrast, 20% conclude that both the endotracheal tube and the laryngeal mask are equally effective in post-operative patients in reducing pain, bronchoaspiration, and nausea, and only 10% found that the endotracheal tube is more effective.
Acceso abierto
Efficacy of the endotracheal tube compared to the laryngeal mask in post-operative adult patients in reducing pain, bronchaspiration, and nausea.
(Universidad Privada Norbert Wiener, 2018-08-26) Castillo Misagel, Paola Angelica; Calsin Pacompia, Wilmer
The study is quantitative in nature, and the study design is a systematic review, with a population consisting of 18 articles, and 10 articles were selected for the study sample; the sources used were Cochrane Library, British Medical Journal, PubMed, Lancet, Wiley Online Library, Health Systems Evidence, Public Health Group, Scielo, and Epistemonikos; with critical evaluation under the GRADE method for each article; of which 30% were from Lebanon, and 10% from China, Iran, India, Australia, Colombia, and Canada, as appropriate; in terms of the type of study, 70% were quantitative and 30% qualitative; the design was 50% clinical trials, 40% systematic reviews, and 10% meta-analysis. This systematic review concludes that 70% of the articles demonstrate that the laryngeal mask is more effective than the endotracheal tube, as it presents fewer complications in post-operative adult patients in reducing pain, bronchoaspiration, and nausea. In contrast, 20% conclude that both the endotracheal tube and the laryngeal mask are equally effective in post-operative patients in reducing pain, bronchoaspiration, and nausea, and only 10% found that the endotracheal tube is more effective.
Acceso abierto
Efficacy of the use of the classic laryngeal mask versus endotracheal tube in adult patients with general anesthesia.
(Universidad Privada Norbert Wiener, 2018-11-25) Cochachi Canchan, Judith Roxana; Hervas Meneses, Sandra Mercedes; Calsin Pacompia, Wilmer
In the present study, the type was quantitative, and the design was based on a systematic review style. The population consisted of 21 articles, of which the sample was 10 articles. The instrument used was the search through databases such as: Cochrane Library, Scielo, British Medical Journal, PubMed, Online Library, Epistemonikos, and EBSCO. To evaluate the sample, the GRADE technique was used, which assessed the quality of evidence and the strength of recommendations.
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Efficacy of transnasal humidified rapid insufflation exchange (THRIVE) in increasing apnea during endotracheal intubation in critical patients in the emergency department
(Universidad Privada Norbert Wiener, 2019-10-13) Calla Huamán, María Angélica; Arevalo Marcos, Rodolfo Amado
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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Evidence-based nursing care of the neonate with endotracheal tube
(Universidad Privada Norbert Wiener, 1905-07-09) Alarcón Cordero, Patricia Elsa; Peña Espinoza, Leyssi Claribell; Bonilla Asalde, César Antonio
Objective: To synthesize nursing care in neonates with endotracheal tube based on evidence. Materials and Methods: Observational and retrospective systematic review, 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, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the grade system to assign recommendation strength. In the final selection, 10 articles were chosen, we found that 30% (03) correspond to Spain, with 20% (02) to the Country of Italy, while 50% (05) to Australia, Denmark, Mexico, Colombia and Iran. Of the total number of articles analyzed, 100% affirm that nursing care in neonates with an endotracheal tube is effective when performed on newborns with mechanical ventilation in intensive care units. Results The prone position favors oxygenation in neonates with an endotracheal tube. It is important to apply preventive pain measures before any procedure. Care for neurodevelopment includes interventions aimed at improving both the light and noise environment, as well as the microenvironment in which the child develops. Conclusions: It was evident in the research reviewed, it is concluded that nursing care in neonates with endotracheal tube based on evidence are effective.
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Knowledge and practice of endotracheal suction in intensive care nursing professionals of a hospital in Lima, 2022.
(Universidad Privada Norbert Wiener, 2022-04-24) Porras Carhuancho, Alexandra Lizet; Cabrera Espezua, Jeannelly Paola
This research will be carried out as part of the intensive care nursing specialty and focuses on a very sensitive problem within this context, since it has been detected that the knowledge and practice of some nursing professionals regarding endotracheal aspiration in patients receiving assistance through mechanical ventilation is still insufficient, generating a high risk of becoming infected with pneumonia and harming their well-being and health. Objective: to determine the relationship between knowledge and practice of endotracheal aspiration in intensive care nursing professionals at a hospital in Lima, 2022. Materials and methods: it will be quantitative, the type of applied research and the descriptive-correlational, cross-sectional, non-experimental design. The study population and sample will be 80 nursing professionals who work in the intensive care unit of a hospital in Lima. The technique will be the survey and the instruments will be the questionnaire to measure the variable knowledge of endotracheal suction, organized in four dimensions: biosafety, procedure, patient and equipment, an observation guide for the practical variable of suction structured with three dimensions: before, during and after the procedure. The statistical analysis will be performed using the chi square test, in order to establish the probable correlations between the variables.
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Knowledge and practices of endotracheal intubation maintenance in nurses in the intensive care unit area of DIRESA Lima hospitals 2022
(Universidad Privada Norbert Wiener, 2022-11-06) Canales Ramos, Ana Noemí; Suarez Valderrama, Yurik Anatoli
Methodology: Study with a quantitative approach, cross-sectional and correlational design. The population will be made up of 88 nurses from the intensive care units of the hospitals in the jurisdiction of Diresa Lima. Data collection techniques and instruments: For the first variable, the survey will be used as a technique and the Questionnaire as an instrument; and for the second variable, observation will be used as a technique and the checklist as an instrument. Procedure: Data collection will be carried out over a period of 2 months. Then the data will be processed and analyzed through the SPSS Version 25.0 program. Statistical Analysis: Frequency or percentage tables will be used for the descriptive analysis and inferential statistics will be used to verify the hypothesis, according to the analysis of the normality of the data, the nature of the variable and the scale of their measurement. , parametric or non-parametric tests will be applied as appropriate.
Acceso abierto
Level of knowledge and its relationship with the practice on the aspiration of secretions from the endotracheal tube in the nursing staff of the intensive care service in a hospital in Lima in the year 2023
(Universidad Privada Norbert Wiener, 2023-03-26) Bautista Tito, Dan Isrrael; Molina Torres, Jose Gregorio
The present study aims as OBJECTIVE: To determine the degree of knowledge and its relationship with the practice on the aspiration of secretions from the endotracheal tube in the nursing staff of the Intensive Care Service in a Hospital in Lima in the year 2023. MATERIALS AND METHODS: Observational, quantitative, cross-sectional, descriptive research, the information will be collected in a single moment within the established time. Taking into account as population 80 participants of the nursing staff working in the Intensive Care Unit (ICU). To measure the two variables, two questionnaires validated by expert judgment will be used with a value of 0.73 and a reliability value of 0.86 elaborated by "Quispe (2018)" and 0.98 for the evaluation of the practices elaborated by Olarte (2018) on the aspiration of bronchial secretions. The data will be entered into the SPSS 26 software, the descriptive statistical data being captured in figures and tables to obtain the results which will be used to answer the research questions, by means of the Chi-square analysis it will be possible to know the association between the variables reaching the conclusion if they are related to each other.
Acceso abierto
Level of knowledge of the nursing staff on the aspiration of secretions with an endotracheal tube and its relationship with the practice in intensive care of a hospital in Lima-Peru 2021
(Universidad Privada Norbert Wiener, 2021-10-10) Cajacuri Diaz, Klinsmann Orlando; Cárdenas de Fernández, María Hilda
Objective: To determine the level of knowledge of nursing staff about aspiration of secretions with an endotracheal tube and its relationship with the practice in intensive care of a hospital in Lima, Peru 2021. Materials and methods: Indirect reasoning with a research approach is quantitative, descriptive, simple correlation and transversal since it allows obtaining information about the understanding of nursing staff in the intensive care unit and the daily work of endotracheal aspiration of patients in a hospital in Lima, Peru, therefore, this study is not experimental. It should be noted that the population is made up of 100% of nurses who worked in the intensive care unit of a hospital in Lima, Peru in 2021, with a total of 40 nurses corresponding to the total population under investigation. On the other hand, data collection will be the survey and observation; As a tool, it is a questionnaire (knowledge) and an observation guide (practice), which will be applied to all nurses working in the intensive care unit of a hospital in Lima. Likewise, the tools used were designed and approved based on expert evaluations from the National Institute of Neoplastic Diseases, the School of Nursing and the Education, Research and Training Units. These data are processed in a matrix table of general data and specific data, using the Microsoft Excel software package and the SPSS statistics program. 22.0
Acceso abierto
Nursing care of newborns with endotracheal tubes based on evidence.
(Universidad Privada Norbert Wiener, 2017-08-05) Alarcón Cordero, Patricia Elsa; Peña Espinoza, Leyssi Claribell; Bonilla Asalde, César Antonio
Synthesize Nursing Care in Neonates with Endotracheal Tube Based on Evidence Materials and methods: An observational and retrospective systematic review was conducted, synthesizing the results of multiple primary studies. These studies are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was limited to full-text articles, and the selected articles were subjected to a critical review using the GRADE system to assign the strength of recommendations. Results: In the final selection, 10 articles were chosen, with 30% (3) from Spain, 20% (2) from Italy, and 50% (5) from countries such as Australia, Denmark, Mexico, Colombia, and Iran. Most of the studies were systematic reviews (60%), primarily from Italy, Spain, Australia, Mexico, and Colombia. Clinical trials were found in 20% (2) from Spain, and 10% (1) from Denmark. One analytical study (10%) was from Iran. From the total analyzed articles, 40% affirm that endotracheal suctioning is effective when performed as needed for neonates with mechanical ventilation in intensive care units. 10% (1) state that the prone position improves oxygenation in neonates with endotracheal tubes. 10% (1) emphasize the importance of applying preventive pain measures before any procedure. 10% (1) highlight that neurodevelopmental care includes interventions aimed at improving both the lighting, noise, and microenvironment in which the neonate develops. Conclusions: The evidence-based nursing care for neonates with endotracheal tubes was found to be effective in the reviewed studies.