Examinando por Materia "Oxigenación por Membrana Extracorpórea"

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  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of anticoagulation practice in reducing thromboembolism during veno-arterial extracorporeal membrane oxygenation (ECMO) in patients undergoing cardiac surgery.
    (Universidad Privada Norbert Wiener, 2018-07-08) Meza Valenzuela, Marco Antonio; Rivera Lozada de Bonilla, Oriana
    Objective: To systematize the evidence on the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial extracorporeal membrane oxygenation (ECMO) in adult patients undergoing cardiac surgery. Materials and Methods: A systematic review design, quantitative type. The population consisted of 80 articles, with a sample of 10 scientific articles from databases: PubMed, Wolters Kluwer, Ovid Insights. The methodological design was 20% systematic review, 20% systematic review, meta-analysis, and case series, 40% cohorts, 20% case-control studies according to the quality of evidence: 40% high and 60% moderate. According to the strength of recommendation: 40% strong and 60% weak. Based on the country of origin of evidence: Italy 40%, Canada 20%, United Kingdom 10%, Korea 10%, Germany 10%, and the United States 10%, respectively. Results: 10% (n = 1/10) of the articles indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% (n = 3/10) indicate the concordance of anticoagulation practice but not its effectiveness. 60% (n = 6/10) of the articles disagree. Conclusion: We conclude that 10% indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% indicate the concordance of anticoagulation practice but not its effectiveness. 60% disagree, due to the limited quality of the studies.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial extracorporeal membrane oxygenation (ECMO) in patients undergoing cardiac surgery.
    (Universidad Privada Norbert Wiener, 2018-07-08) Saravia Ramos, Jacinto; Meza Valenzuela, Marco Antonio; Rivera Lozada de Bonilla, Oriana
    Objective: To systematize the evidence on the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial extracorporeal membrane oxygenation (ECMO) in adult patients undergoing cardiac surgery. Materials and Methods: A systematic review design, quantitative type. The population consisted of 80 articles, with a sample of 10 scientific articles from databases: PubMed, Wolters Kluwer, Ovid Insights. The methodological design was 20% systematic review, 20% systematic review, meta-analysis, and case series, 40% cohorts, 20% case-control studies according to the quality of evidence: 40% high and 60% moderate. According to the strength of recommendation: 40% strong and 60% weak. Based on the country of origin of evidence: Italy 40%, Canada 20%, United Kingdom 10%, Korea 10%, Germany 10%, and the United States 10%, respectively. Results: 10% (n = 1/10) of the articles indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% (n = 3/10) indicate the concordance of anticoagulation practice but not its effectiveness. 60% (n = 6/10) of the articles disagree. Conclusion: We conclude that 10% indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% indicate the concordance of anticoagulation practice but not its effectiveness. 60% disagree, due to the limited quality of the studies.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of nursing care in extracorporeal membrane oxygenation to improve survival in emergency cardiac support patients
    (Universidad Privada Norbert Wiener, 2020-02-01) Rodriguez Gonzales, Carlos Alfredo; Ramirez Povis, Jeullisa Janina; Matta Solis, Eduardo Percy
    Objective: Systematize the evidence of the effectiveness of nursing care in extracorporeal membrane oxygenation to improve survival in patients with cardiac support in emergency. Materials and Methods: The study design was a systematic review. The population was 20 studies, the sample was 10 studies found in the databases EBSCO Host, Scielo, Dialnet, Science Direct, Pubmed, Elvesier. Results: According to origin, the studies were from Italy 30% (n= 3/10), Australia 20% (n= 2/10), China 10% (n= 1/10), Netherlands 10% (n= 1 /10), United States 10% (n= 1/10), Canada 10% (n= 1/10) and Czech Republic 10% (n= 1/10). According to design, 50% (5/10) were systematic reviews and meta-analyses, 10% (1/10) systematic reviews, 30% (3/10) experimental studies and 10% (1/10) quasi-experimental studies. According to quality of evidence, 90% (9/10) of the studies were quantitative, high quality of evidence according to the GRADE system and strong recommendation strength, and 10% (1/10) were of medium quality of evidence according to the GRADE system. GRADE system and weak recommendation strength. According to evidence, 90% (9/10) evidence effectiveness of extracorporeal membrane oxygenation in improving survival in patients with cardiac support in emergency and 10% (1/10) is not relevant. Conclusions: 9 out of 10 evidence concludes that there is effectiveness of nursing care in extracorporeal membrane oxygenation to improve survival in patients with cardiac support in emergency and 1 out of 10 evidence concludes that it is not relevant for this study.