Examinando por Materia "Norepinefrina"
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Ítem Acceso abierto Effectiveness of noradrenaline versus dopamine in patients with septic shock that come to the emergency service(Universidad Privada Norbert Wiener, 2018-11-25) Chavez Davila, Zoila Doris; Villarroel Vega, Lizeth Geraldine; Perez Siguas, Rosa EvaObjective: To analyze and systematize the evidence on the efficacy of dopamine versus norepinephrine for patients with septic shock in the emergency department. Materials and methods: This study is a systematic review. The GRADE system was used to assess the quality of the evidence and grade the strength of the recommendations. The search was conducted in the following databases: LILACS, SciELO, Cochrane Plus, PubMed, MEDLINE, Epistemonikos, and EBSCO. Of the 10 articles systematically reviewed, 30% were systematic reviews and meta-analyses, 20% were clinical trials, and 20% were randomized primary studies. Regarding the country of origin, 30% were from the U.S. and China, and 10% were from France, India, England, and Spain. Results: 90% of the articles agree that norepinephrine is more effective than dopamine, as it has a lower incidence of cardiac-related events compared to dopamine, and 10% found no difference in mortality between the two drugs. Conclusions: It is concluded that norepinephrine is more effective than dopamine in patients with septic shock in the emergency department.Ítem Acceso abierto Efficacy of noradrenaline compared to dopamine in reducing adverse events in the treatment of patients with septic shock.(Universidad Privada Norbert Wiener, 2018-07-08) Patricio Centeno, Luis Alberto; Lugo Ostos, Evila Isabel; Rivera Lozada de Bonilla, OrianaThe Systematic Review, analysis unit, primary original studies. Databases used: Intramed, Pubmed. Ten articles were selected, of which 80% are systematic reviews and high-quality meta-analyses from countries such as China, Israel, the United States, Brazil, and Australia, and 20% are clinical trial articles from the United States. Results: In the 10 articles, it was evidenced that 80% (8/10) of the authors agree that the use of norepinephrine in patients with septic shock presented fewer cardiac adverse events, and decreased the arrhythmia rate, compared to the use of dopamine. Conclusions: The reviewed articles showed that norepinephrine is more effective than dopamine as it does not present adverse effects in the treatment of patients with septic shock, and they state that dopamine is not as effective compared to norepinephrine in the treatment of septic shock due to adverse effects such as cardiac arrhythmias and increased mortality.Ítem Acceso abierto Efficacy of noradrenaline compared with dopamine in reducing adverse events in the treatment of patients with septic shock.(Universidad Privada Norbert Wiener, 2018-07-08) Lugo Ostos, Evila Isabel; Rivera Lozada de Bonilla, OrianaSystematic Review, unit of analysis, original primary studies. Databases: Intramed, PubMed. Ten articles were selected, of which 80% were high-quality systematic reviews and meta-analyses from countries such as China, Israel, the United States, Brazil, and Australia. The remaining 20% were clinical trial articles from the United States. Results: The 10 articles revealed that 80% (8/10) of the authors agree that the use of norepinephrine in patients with septic shock resulted in fewer adverse cardiac events and reduced arrhythmia rates compared to dopamine use. Conclusions: The reviewed articles show that norepinephrine is more effective than dopamine in treating septic shock, as it does not present adverse effects, such as cardiac arrhythmias, and is associated with lower mortality rates. In contrast, dopamine is less effective compared to norepinephrine due to its adverse effects like arrhythmias and increased mortality.
