Examinando por Materia "Mechanical Ventilation"

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  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of endotracheal suction in a closed circuit compared to an open circuit to reduce complications in mechanically ventilated trauma patients in shock
    (Universidad Privada Norbert Wiener, 2020-01-05) Ñiquen Villoslada, Carla Teresa; Arevalo Marcos, Rodolfo Amado
    Objective: Systematize evidence of closed-circuit endotracheal aspiration compared to open-circuit to reduce complications in patients with mechanical ventilation in trauma shock. Material and Method: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system found in the following database: PubMed, Redalyc, Cochrane, Lylacs, Scielo. Of the 10 articles systematically reviewed with the period 2008 – 2018, 60% (n=6/10) are a systematic review, 10% (n=1/10) are a prospective randomized study, 10% (n=1/10 ) experimental study, 10% (n=1/10) randomized crossover study and 10% (n=1/10) clinical trial, of which had different origins such as: Brazil (30%), China (10%), Japan (10%), Iran (10%), USA (10%), Colombia (10%), Sweden (10%) and Australia (10% ). Results: the evidence found at 100% (n=10/10) indicates that the use of a closed endotracheal suction system has fewer complications than the open system in patients with mechanical ventilation. Conclusion: according to the evidence analyzed from 10 100% scientific articles, 70% conclude that there are greater complications in the open endotracheal aspiration system than the closed endotracheal aspiration system in patients with mechanical ventilation and 30% do not compare their effectiveness in the use of both endotracheal suction circuits.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of protocolized sedation to reduce mechanical ventilation duration in ICU patients
    (Universidad Privada Norbert Wiener, 2019-06-30) Mendoza Medina, Gladis Victoria; Quino Ordoñez, Angela Lizeth; Arevalo Marcos, Rodolfo Amado
    Objective: To systematically analyze the available evidence from the studies carried out on the effectiveness of protocolized sedation to reduce the time of mechanical ventilation in ICU patients. Material and Method: The Systematic review of the 10 scientific articles found on the effectiveness of protocolized sedation to reduce the time of mechanical ventilation in ICU patients, were found in the following databases Lilacs, Scielo, Medline Pubmed and Dialnet, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence. Results: Of the 10 articles reviewed, the research designs were: 20% (2/10) were systematic reviews, 30% (03/10) were meta-analysis and 50% (05/10) were randomized controlled trials. Conclusions: Of the total number of studies, 80% (08/10) showed that interrupting sedation does not reduce mechanical ventilation time in critically ill patients; while 20% (2/10) showed that protocolized sedation did achieve a reduction in mechanical ventilation time.