Examinando por Materia "Morphine"

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Acceso abierto
Efficacy of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention
(Universidad Privada Norbert Wiener, 2020-02-16) Erribari Sulluchuco, Mirtha Nitza; Giraldo Vicente, Betzabé Maira; Gamarra Bustillos, Carlos
Objective: Systematize the evidence on the effectiveness of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention. Materials and Methods: A retrospective systematic review was carried out, which summarizes the findings of various primary studies. These investigations are an important part of evidence-based nursing to answer clinical questions. Thus, it was restricted to documents using the GRADE system, which allowed the recommendation power to be strengthened. Subsequently, the selected investigations were subjected to critical analysis. Results: Finally, 10 articles were selected, carried out in the present study, the active heating methods are efficient, although some seem to be more efficient than others. Better findings were obtained when warming was extended to the preoperative stage to reduce the occurrence of perioperative hypothermia. For this reason, intervention measures are necessary in order to prevent hypothermia and maintain normal temperature before and during the operation. Conclusions: Active warming methods were shown to be effective in maintaining perioperative normothermia. Being an effective measure (efficient and effective), since it increases body temperature and thermal comfort, patient satisfaction and facilitates venous cannulation, it reduces bleeding, infection of the surgical wound, mechanical ventilation time, use of fluids, vasodilators, morphine and antibiotics, blood pressure and cardiac disorders, reduces hospitalization time and costs. Warming during the intraoperative period is sufficient to effectively prevent hypothermia, both at this stage and in the postoperative period.
Acceso abierto
Intervenciones eficaces para la prevención y manejo de la mucositis oral en el paciente oncológico
(Universidad Privada Norbert Wiener, 1905-07-09) Pajuelo Coronel, Carmen Guadalupe; Pizarro Paucar, Maribel Felicitas; Mendigure Fernández, Julio
El 100% de los estudios incluidos en la revisión sistemática evidencian que las intervenciones eficaces para la prevención son: La higiene oral sistemática, la amifostina, la pastilla o la pasta de antibióticos, , las pastillas de hielo, suplementos de zinc, enjuagues con bicarbonato sódico, la crioterapia, enjuagues con llantén, enjuagues con clorhexidina y terapia con láser; y para el tratamiento son: la enzimas hidrolíticas, enjuagatorios con morfina enjuagatorios con bicarbonato sódico , suplementos de zinc, la crioterapia, enjuagatorios con clorhexidina y la aplicación tópica de miel pura.