Examinando por Materia "Inyecciones Intramusculares"
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Ítem Acceso abierto Effectiveness in the administration of medications via intramuscular in ventrogluteal area compared with dorsogluteal in patients who go to the emergency service(Universidad Privada Norbert Wiener, 2018-11-25) Burgos Cotrina, Vilma; Gala Ñahui, Beatriz; Millones Gómez, Segundo GermánObjective: Systematically demonstrate the available evidence from studies on the effectiveness of intramuscular drug administration in the ventrogluteal area compared to the dorsogluteal area in patients attending the emergency department. Materials and Methods: The systematic review of the 11 scientific articles found on the effectiveness of intramuscular injection sites (ventrogluteal compared to dorsogluteal area) shows that administering medications causes less pain and fewer complications in patients attending the emergency department. These were found in the following databases: Cochrane, Lilacs, Scielo, Medline, Pubmed, and were all analyzed using the GRADE scale to determine their strength and quality of evidence. Results: Of the 11 articles reviewed, 100% (n=11/11) indicate the effectiveness of the ventrogluteal injection site compared to the dorsogluteal area, producing less pain, fewer traumas (fear), and fewer complications in patients attending the emergency department. 3/11 articles mention that both sites are adequate and recommend further research. Conclusion: Of the reviewed articles, 100% (n=11/11) report that medication administration in the ventrogluteal area causes less pain and fewer complications.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 Efficacy of using multiple daily insulin injections versus continuous subcutaneous infusion of insulin for patients with type I diabetes mellitus.(Universidad Privada Norbert Wiener, 2018-07-07) Valdez Duran, James; Huaraca Carhuaricra, Carlos Guzmán; Calsin Pacompia, WilmerMaterial and Methods: Of the articles presented, 100% (10/10) are quantitative in nature; the study design is systematic review. The population consisted of 20 articles, and the sample comprised 10 scientific articles. The articles were obtained from databases such as Cochrane Library, British Medical Journal, PubMed, Lancet, and Wiley Online Library. They underwent critical reading, and the GRADE system was used to identify evidence quality and strength of recommendations. Results: According to the evidence, 100% (10/10) of the presented articles are quantitative. Of these, 20% (2) are from Italy, and 10% (1 each) correspond to Switzerland, the United States, Australia, England, China, Spain, Canada, and Brazil, respectively. In terms of study design, 60% (6/10) of the articles are systematic reviews, 20% (2/10) are randomized controlled trials, and 10% (1/10 each) are case-control and experimental studies. Additionally, 100% (10/10) of the articles showed that continuous subcutaneous insulin infusion is effective as it reduces glycated hemoglobin (-0.87 to -0.22), improves glycemic control (weighted mean difference -0.3%), reduces the hypoglycemia rate by 75%, and enhances the quality of life for 90% of patients. Conclusions: It is concluded that the 10 analyzed articles demonstrate the efficacy of continuous subcutaneous insulin infusion as it is relevant in the treatment of type 1 diabetes mellitus.
