Examinando por Materia "Perioperative Period"

Mostrando 1 - 9 de 9

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Effectiveness of nursing interventions to prevent perioperative complications
(Universidad Privada Norbert Wiener, 2021-12-05) Marin Camones, Katherin Rocio; Ortega Garay, Heydy Yuvitza; Cárdenas de Fernández, María Hilda
The bibliographic search of the 11 scientific articles regarding the effectiveness of nursing interventions to prevent complications in the perioperative period resided in the databases of the BVS, Scielo, Medline and Ebsco, which were being evaluated according to the Grade scale for check the strength and quality of the evidence, the 35 manuscripts found from the last five years and only 11 studies compatible with the PICO question were selected, 73% ensure the effectiveness of nursing interventions for prevent complications, 18% say that nurses should anticipate the patient's needs and 9% say that there is not enough evidence in this regard. According to this assessment, nursing plays a very preponderant and relevant role in the perioperative stage since its interventions during this period are aimed at satisfying physical and emotional biological needs and this helps with the prevention of complications.
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Effectiveness of the forced air warming system in the prevention of hypothermia in the perioperative period
(Universidad Privada Norbert Wiener, 2017-11-10) Guzman Ore, Ruth; Portocarrero Pavlich, Victoria Dora; Pretell Aguliar, Rosa María
Objective: To analyze and systematize the evidence on the effectiveness of forced air warming systems in the prevention of hypothermia during the perioperative period. Materials and methods: The systematic review includes 14 scientific articles identified in the following databases: Lilacs, Lipecs, PubMed, Medline, Ebsco, Cochrane Plus, and Scielo. Of the 14 pieces of evidence, 71% (10/14) are systematic reviews and 29% (4/14) are meta-analyses. All the studies have high evidence quality and strong recommendation strength. Results: 79% (n=11/14) of the systematically reviewed articles show that forced air warming systems are effective in preventing hypothermia during the perioperative period. 21% (n=3/14) of the reviewed articles disagree, stating that with the advent of new technologies used in active cutaneous warming systems, further research is needed to confirm systems that showed superiority when compared to forced air warming systems, as well as systems with a reduced number of studies developed so far. Conclusions: The effectiveness of forced air warming systems in preventing hypothermia during the perioperative period has been demonstrated.
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Efficacy of forced air in the prevention of hypothermia in presurgical patients
(Universidad Privada Norbert Wiener, 2021-11-14) Lozano Pariona, Julio; Vásquez Mego, Zalomon; Pretell Aguilar, Rosa Maria
Worldwide, surgical interventions are performed where patients are prone to different complications such as hypothermia, surgical site infection, delayed wound healing, and coagulation impairment. Therefore, the nursing professional resorts to the use of forced air warming systems to reduce thermal discomfort. The perioperative period consists of three phases: preoperative (the hour prior to the surgical procedure), intraoperative (time inside the operating room), and postoperative (time in the post-anesthesia recovery unit). Scientific evidence consistently shows that patients undergoing surgery, and thus anesthesia procedures, experience drops in their central temperature during one of these phases or even throughout the entire period.
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Efficacy of forced hot air for the management of hypothermia in the perioperative period
(Universidad Privada Norbert Wiener, 1905-07-09) Moya Malasquez, Maria Isabel; Cuba Vergara, Lissete Pamela; Rivera Lozada de Bonilla, Oriana
Objective: Determine the effectiveness of forced hot air for the management of hypothermia in the perioperative period. Methodology: Systematic review that compiles 11 investigations published between 2006 and 2016, obtained from different databases and scientific journals. Results: This review presents the characteristics and effectiveness of forced hot air and its influence as a strategy in thermal management to reduce perioperative complications and thereby ensure an adequate temperature in the patient to achieve comfort and user satisfaction. Conclusions: The reviewed articles show us that the application of the forced air warming system is one of the most effective methods in maintaining perioperative normothermia, even in comparison with other methods to prevent hypothermia in the perioperative period. Likewise, active warming from the immediate preoperative period, associated with measures such as increasing the ambient temperature and active skin warming, are related to greater effectiveness in preventing perioperative hypothermia; highlighting the importance of temperature monitoring pre-, intra- and post-operatively, and its positive effects in maintaining normothermia during this stage, such as: prevention of infection of the surgical wound, reducing post-hospitalization time. operation, patient comfort, reduce postoperative pain, avoid bleeding, among other important complications.
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Efficacy of hypothermic perfusion machine compared to cold storage in reducing the risk of developing delayed graft function in cadaveric donor renal transplantation
(Universidad Privada Norbert Wiener, 2020-02-01) Orozco Espinoza, Katherine Thalia; Salvador Ramirez, Karla Stefany; Arevalo Marcos, Rodolfo Amado
Objective: Systematize the evidence on the hypothermic perfusion machine compared to cold storage to reduce the risk of developing delayed graft function in deceased donor kidney transplantation. Material and Methods: Retrospective and observational systematic review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following information sources Scielo, Elsevier, PubMed and Epistemonikos. Of the 10 articles reviewed systematically, 100% of high quality as described below: 90% of high quality as described below: 50% (n= 5/10) are meta-analyses, 20% (n= 2/ 10) is a systematic review and 20% (n= 2/10) are randomized controlled trials of moderate quality. 10% (n= 1/10) is a cohort study and They belong to the countries of China (20%), Australia (10%), England (10%), Spain (10%), Canada (10%), Brazil (10%), Belgium (10%), Netherlands (10%). %) and the United States (10%). Results: 100% (n=10/10) indicate that the hypothermic perfusion machine is more effective than cold storage in reducing the risk of developing delayed graft function in kidney transplant from a deceased donor. Conclusion: The hypothermic perfusion machine is more effective than cold storage in reducing the risk of developing delayed graft function in deceased donor kidney transplantation.
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Fluid therapy during the perioperative period to reduce complications and hospital stay in surgical patients
(Universidad Privada Norbert Wiener, 2019-11-24) Muñoz Chumpe, DeysiQuispe Gamboa, Angela; Calsin Pacompia, Wilmer
OBJECTIVE: Systematize evidence through fluid therapy to reduce complications and hospital stay in surgical patients. MATERIAL AND METHODS: Of these 10 scientific articles evidenced on fluid therapy to reduce complications and hospital stay in surgical patients, they were obtained from the following database Epistemonikos, Scielo, Pubmed, Dial net and Google academic. Of the 10 articles, the evidence found corresponds 60% to Systematic Review, 20% to Randomized Studies and finally Meta-analysis in 10%. According to the Grade System we can show that 80% of the studies were of high quality and 20% of them were of medium quality. RESULTS: Of the 10 articles reviewed, 70% demonstrate that fluid therapy in the perioperative period reduces complications and hospital stay in surgical patients and 30% do not demonstrate an association between the amount of perioperative intravenous fluid administration and the Postoperative complications in patients undergoing surgery. CONCLUSIONS: Of the 10 articles reviewed, 7 of them indicate that fluid therapy in the perioperative period reduces complications and hospital stay in surgical patients and the remaining 3 do not demonstrate an association between the amount of perioperative intravenous fluid administration and the Postoperative complications in surgical patients.
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Impact of using the surgical checklist on reducing perioperative morbidity and mortality
(Universidad Privada Norbert Wiener, 2018-03-25) Anticona Pomaina, Fanny Anny; Aguilar Suárez, Susy; Calsin Pacompia, Wilmer
Materials and Methods: The study type is qualitative, with a systematic review design. The population consisted of 70 articles, and the sample was 10 scientific articles. They originated from Australia (10%), Switzerland (10%), Germany (10%), the Netherlands (10%), the United States (40%), Iran (10%), and Chile (10%). The instrument was obtained from the following databases: PubMed, Wolters Kluwer, Wiley One Library. The GRADE system was used for article evaluation. The studies included 40% (4/10) qualitative studies and 60% (6/10) quantitative studies. Results: According to the level of evidence based on the methodological design, 40% of studies showed high evidence, and 60% showed moderate evidence. Of these, 40% (4/10) were systematic reviews, 40% (4/10) were cohort studies, and 20% (2/10) were case-control studies. Conclusion: After the systematic review, 90% (9/10) of the articles show the impact of the surgical checklist on reducing perioperative morbidity and mortality, while 10% (1/10) were inconclusive regarding the topic.
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Use of effective devices and measures for the prevention of perioperative hypothermia
(Universidad Privada Norbert Wiener, 2017-07-22) Arévalo Bardález, Anggie Fiorella; Mori Gonzáles, Erick Yanis; Gómez Gonzales, Walter Edgar
OBJECTIVE: This is a systematic review that included 10 articles no older than 10 years, published in English, Portuguese, and Spanish, in databases such as Elsevier, Lipecs, Lilacs, Scielo, Cochrane Plus, Pubmed, and Medline. The main topic was the use of devices and effective measures for the prevention of perioperative hypothermia. RESULTS: Of the 10 articles reviewed, 20% (2) were systematic reviews, and 80% (8) were experimental studies. The results show that 60% (n = 6/10) of the articles demonstrate that the use of forced air warming systems is the most effective device for preventing perioperative hypothermia. The remaining 40% of the articles mention other devices and measures (e.g., heated water circulation systems, polyethylene plastic bags, acrylic wool blankets, fluid warmers, artificial noses, thermal sheets, heating pads, hot dogs, among others), which are less effective in preventing perioperative hypothermia. CONCLUSION: The evidence indicates that active warming (forced air system) is more effective compared to other devices and measures in preventing perioperative hypothermia.
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Use of the thermal blanket to prevent hypothermia in adults intervened in cardiovascular surgery during the perioperatory in the surgical center
(Universidad Privada Norbert Wiener, 2020-12-13) Pardo Morales, Marie Beatriz; Revollar Quispe, Norma; Pretell Aguilar, Rosa Maria
Objective: Systematize the evidence on the use of thermal blankets to prevent hypothermia in adults undergoing cardiovascular surgery during the perioperative period in a Surgical Center. Material and methods: This Systematic Review consists of 10 research articles on the effectiveness of the use of a thermal blanket to prevent hypothermia in adults undergoing cardiovascular surgery during the perioperative period. They were obtained from the following databases: Pubmed, Scielo, Epistemonikos, among others. Its analysis was based on a grade scale to identify quality of evidence and strength, also of ten articles, 60% (6/10) correspond to the review of the methodological design, twenty percent (2/10) are prospective observational and 20% (2/10) are design. randomized trial and controlled trial. On the other hand, in the quality of evidence, 80% (8/10) is of high quality and 20% (2/10) is of moderate quality. Results: Upon review of the ten articles, 80% (8/10) demonstrate that the use of the thermal blanket is effective because it prevents hypothermia in adults undergoing Cardiovascular Surgeries during the perioperative period. On the other hand, 20% (2/10) showed that the use of a thermal blanket is not effective. Conclusions: 80% (8/10) evidenced the use of the thermal blanket prevents hypothermia in adults undergoing Cardiovascular Surgery during the perioperative period and 20% (2/10) without the use of the thermal blanket.