Examinando por Materia "Lung Diseases"

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Acceso abierto
Effectiveness of non-invasive mechanical ventilation in adult patients with lung disease admitted to critical care units
(Universidad Privada Norbert Wiener, 2018-08-26) Meza Ampuero, José Humberto; Rey Tarazona, Miguel Antonio; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of non-invasive mechanical ventilation in adult patients with pulmonary disease entering critical care units. Materials and Methods: This study is qualitative in nature, and the design was a systematic review. The instrument used was research in the following databases: Pubmed, Medline, Epistemonikos, Lilacs, Scielo, Cochrane Plus, and EBSCO. The GRADE system was used to evaluate the articles, which determines the quality of the evidence and grades the strength of the recommendations. The population consisted of 35 articles, and the sample was 15 studies. Results: Of the 100% of the studies, 87% were descriptive studies, 7% were clinical trials, and 6% were systematic reviews. Regarding the country of origin, 53% were from Cuba; 13% from Spain, 13% from Venezuela, 7% from Italy, 7% from Argentina, and 7% from Uruguay. Conclusions: It was concluded that 100% of the studies demonstrate the effectiveness of non-invasive mechanical ventilation because it improved clinical and hemogasometric parameters, reduced the need for endotracheal intubation and invasive mechanical ventilation, complemented respiratory management after invasive ventilation, reduced hospital stay, lowered mortality rates, and increased patient survival.
Acceso abierto
Effectiveness of respiratory physiotherapy in post-operative chest surgery patients to prevent pulmonary complications
(Universidad Privada Norbert Wiener, 2020-01-05) Lazo Trujillo, Patricia; Pisfil Fajardo, Jenny Maribel; Fernández Rengifo, Werther Fernando
Objective: To systematize the evidence on the effectiveness of respiratory physiotherapy in postoperative patients who have undergone thoracic surgery. Materials and methods: Among the 10 articles systematically reviewed on the effectiveness of respiratory physiotherapy in preventing pulmonary complications in postoperative thoracic surgery patients, high-quality and high-strength articles were selected from Scielo, PubMed, and Dynaed, all within the healthcare field. The studies include systematic reviews (20% - 2/10), randomized clinical trials (50% - 5/10), quasi-experimental studies (10% - 1/10), cohort studies (10% - 1/10), and case-control studies (10% - 1/10). These studies were conducted in Spain (30%), Australia (20%), Italy (10%), Japan (10%), Iran (10%), the United Kingdom (10%), and Sweden (10%). Results: The review of these scientific articles shows that 80% of them support the effectiveness of respiratory physiotherapy in postoperative thoracic surgery patients. They highlight the importance of respiratory physiotherapy and its benefits in preventing postoperative pulmonary complications, reducing hospital stays, and decreasing healthcare costs. Conclusions: 80% of the studies revealed the effectiveness of respiratory physiotherapy through respiratory training exercises, which reduce the presence of pulmonary complications in postoperative thoracic surgery patients. It is thus determined that respiratory exercises before and after surgery are crucial. However, 10% of the articles using incentives such as an incentive spirometer did not present significant evidence of effectiveness, and 10% indicated that respiratory physiotherapy was not necessary.