Examinando por Materia "Lesiones Encefálicas"

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  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of head elevation in brain-injured patients to reduce intracranial pressure in the intensive care unit
    (Universidad Privada Norbert Wiener, 2019-01-06) Justiniani Quíspe, Sindy Eliana; Espinoza Robles, Roy; Glenni Garay, Zarely Zabeli
    Objective: To systematize the evidence on the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit. Material and Methods: A systematic review of international research articles was conducted, obtained through searches in databases such as Epistemonikos, NCBI, PubMed, Elsevier, SciELO, ScienceDirect, and BVSALUD, which were selected and analyzed using the GRADE system to determine the level of evidence. Articles were searched using DECS and MeSH descriptors for Spanish and English, respectively. Regarding the origin of the articles, 30% (3/10) are from the United States, and 70% (7/10) are from China, Spain, Turkey, Germany, Indonesia, the United Kingdom, and Russia, respectively. Results: 80% (8/10) of the articles studied define the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit, while 20% (2/10) report it as ineffective. Conclusions: It is found that 8 out of the 10 pieces of evidence studied conclude that head elevation is effective in patients with brain injury to reduce intracranial pressure in the intensive care unit, and 2 out of 10 pieces of evidence require further studies to achieve effectiveness in its application.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of the use of mannitol versus hypertonic solution in neurocritical patients with brain injuries
    (Universidad Privada Norbert Wiener, 2017-08-05) Maza Chavez, Evelin Flor; Pachas Cordova, Wendy Cecilia; Pérez Siguas, Rosa Eva
    Objective: To analyze and synthesize the evidence on the efficacy of mannitol versus hypertonic solution in neurocritical patients with brain injuries. Materials and methods: This systematic review is observational and retrospective. Searches were conducted across various databases, but finally, articles with full text were selected and critically reviewed, using the GRADE assessment to identify the level of evidence. Results: Of the 10 articles reviewed, 9/10 articles show that the use of hypertonic solution has greater efficacy in managing neurocritical patients with brain injuries, accounting for 90%. Among these, 10% of the articles do not consider the data sufficient to define the efficacy between these treatments. Conclusions: The systematic review demonstrated that hypertonic solution is more effective in neurocritical patients with brain injuries, showing better cerebral perfusion and increasing the survival rate of the neurocritical patient.