Examinando por Materia "Palpation"

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Acceso abierto
Efficacy of arterial cannulation by ultrasound versus cannulation by palpation in critically ill patients in reducing insertion time
(Universidad Privada Norbert Wiener, 2020-07-26) Fuertes Coronado, Shirley Hayda; Marcapiña Guaygua, Evelin Noelia; Pretell Aguliar, Rosa María
Objective: To systematize the available studies on the efficacy of arterial cannulation by ultrasound versus cannulation by palpation in critically ill patients. Materials and methods: The study responds to the quantitative approach, systematic review design, population 21 articles and the sample of 10 studies, studies were located in the Cochrane Plus, Lilacs, Pubmed, Scielo, Elsevier, Epistemonikos databases. A critical and intensive assessment of each study was performed, from which the quality of the evidence and the strength of recommendation for each study were determined through the GRADE method. Results: According to the results obtained from the systematic review carried out in the present study, of the 10 articles systematically reviewed, 30% (n = 3/10) are systematic reviews, 70% (n = 7/10) are randomized controlled trials; and the articles come from the countries of the USA with 40%, Denmark 10%, India 10%, Thailand 20% and Japan 10% respectively. Finally, from the results obtained from the systematic review, of the total of 10 articles reviewed (17,18,19,20,21,22,23,24,25,26), 100% (n= 10/10) show that there is sufficient scientific evidence to suggest a statistically significant difference in the effectiveness of arterial cannulation by ultrasound versus cannulation by palpation in reducing catheter insertion time in critically ill patients. Conclusion: Arterial cannulation by ultrasound is the most effective in reducing catheter insertion time compared to arterial cannulation by palpation in critically ill patients.
Acceso abierto
Efficacy of Cuff Pressure Control in Patients With Endotracheal Tube
(Universidad Privada Norbert Wiener, 1905-07-09) Aguilar Tafur, Sory Marianita; Socla Cadenas, Paulina Yaqueline; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of cuff pressure control in patients with an endotracheal tube. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 30% (03) correspond to Iran, with 10% (01) we find the United States, France, Switzerland, Spain, India and Venezuela respectively. It has been studied that the majority of these were quasi-experimental studies, with 40%, mainly in the countries of Iran, India, Venezuela and Mexico. A Meta-analysis of France was found, with 10%, with 20% randomized clinical trials, mainly in the countries of the United States and Spain, likewise 20% we have experimental studies and 10% descriptive studies in Iran. Where of the total articles analyzed; 80% affirm that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and the digital palpation technique is not a reliable measure to estimate pressure. Conclusions: It was evident in the reviewed research that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and palpation is not a reliable measure to estimate the pressure, thereby reducing the risk. of tracheal mucosal lesions in patients treated in critical units.