Examinando por Materia "Monitoring, Intraoperative"

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Acceso abierto
Effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgery
(Universidad Privada Norbert Wiener, 2017-11-12) Huamán Islachín, Angela Rocío; Mendoza Valencia, María Eugenia; Perez Siguas, Rosa Eva
Objective: To systematize the evidence on the effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgical intervention. Materials and Methods: This is an observational and retrospective systematic review that synthesizes the results of multiple primary studies, which 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 restricted to full-text articles, and the selected articles underwent critical reading using the GRADE system to assign the strength of recommendations. Results: The studies were found in the following databases: Lilacs, Scielo, Pubmed, Medline, Ebsco. All studies correspond to the following study types and designs: systematic review and meta-analysis (3), meta-analysis (4), controlled clinical trial (1), randomized clinical trial (1), and meta-analysis of randomized clinical trials (1). 100% (n=10/10) of the studies evidence that the use of the harmonic scalpel is highly effective in controlling intraoperative bleeding during surgical interventions. Conclusions: All the scientific articles included in this systematic review provide evidence that the harmonic scalpel is effective in controlling intraoperative bleeding in patients undergoing surgical interventions. It should be emphasized that the evidence supporting this conclusion comes from studies of the highest level regarding the quality of evidence and strength of recommendation, and therefore, the use of the harmonic scalpel should be implemented in all surgical interventions.
Acceso abierto
Effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgery
(Universidad Privada Norbert Wiener, 2017-11-12) Huamán Islachín, Angela Rocío; Mendoza Valencia, María Eugenia; Perez Siguas, Rosa Eva
Objective: To systematize the evidence on the effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgical intervention. Materials and Methods: This is an observational and retrospective systematic review that synthesizes the results of multiple primary studies, which 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 restricted to full-text articles, and the selected articles underwent critical reading using the GRADE system to assign the strength of recommendations. Results: The studies were found in the following databases: Lilacs, Scielo, Pubmed, Medline, Ebsco. All studies correspond to the following study types and designs: systematic review and meta-analysis (3), meta-analysis (4), controlled clinical trial (1), randomized clinical trial (1), and meta-analysis of randomized clinical trials (1). 100% (n=10/10) of the studies evidence that the use of the harmonic scalpel is highly effective in controlling intraoperative bleeding during surgical interventions. Conclusions: All the scientific articles included in this systematic review provide evidence that the harmonic scalpel is effective in controlling intraoperative bleeding in patients undergoing surgical interventions. It should be emphasized that the evidence supporting this conclusion comes from studies of the highest level regarding the quality of evidence and strength of recommendation, and therefore, the use of the harmonic scalpel should be implemented in all surgical interventions.