Examinando por Materia "Permeabilidad"

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Critical Review: Effects of Omega-3 Polyunsaturated Fatty Acid Supplementation on Vascular Access Patency of Patients with Chronic Kidney Disease in Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 2021-01-14) Palacios Melgarejo, Katerine Alexandra; Gutíerrez Ramírez, Karla Verónica
Nutritional intervention is supplementation with fatty acids in patients with chronic kidney disease in renal replacement therapy. The present secondary research entitled as a critical review: Effects of supplementation with omega 3 polyunsaturated fatty acids on the permeability of vascular accesses of patients with chronic kidney disease on renal replacement therapy, aimed to identify the effects of supplementation with fatty acids polyunsaturated omega 3 in the permeability of vascular accesses of patients with chronic kidney disease in renal replacement therapy The clinical question was: - Will the nutritional intervention of supplementation with omega 3 fatty acids improve the Permeability of vascular access in patients with chronic kidney disease on renal replacement therapy? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in Medline, Pubmed and Scielo, finding 17 articles, being selected 9 that have been evaluated by the CASPE critical reading tool, finally selecting the review and meta-analysis article entitled Omega – 3 polyunsaturated fatty acid supplementation to prevent arteriovenous fistula and graft failure: a systematic review and meta-analysis of randomized controlled trials, which has a level of evidence I and Grade of Recommendation I, according to the expertise of the researcher. The critical commentary led to the conclusion that omega-3 PUFA supplementation initiated at the time of arteriovenous access surgery likely prevents loss of primary patency within 12 months.
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Effectiveness of the use of saline solution compared to the use of heparinized solution to patent the arterial line and avoid obstructions in intensive care unit patients
(Universidad Privada Norbert Wiener, 2020-02-16) Murillo Solis, Jufet Fabriccio; Arce Condor, Miguel Angel; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence about the effectiveness of the use of saline solution compared to the use of heparinized solution to permeabilize the arterial line and avoid obstructions in intensive care unit patients. Method: Review A review of the evidence available in the databases: MEDLINE, PUBMED, SCIELO AND COCHRANE LIBRARY has been carried out, from the years 2010 to 2019; Randomized, quasi-experimental, cross-sectional clinical trials on the use of heparin versus the use of saline to improve the patency of arterial catheters were included. Results: 10 articles were found, which discuss, compare and analyze the use of heparin to improve arterial catheter patency. Conclusions: Studies show that the use of heparin is associated with a lower incidence of arterial catheter obstruction, also increasing its average life and improving its duration. However, some articles showed little difference when choosing whichever solution was used.
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Efficacy of early extubation vs. conventional intubation in reducing the hospital stay of older adults undergoing cardiac surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Cruzado Garay, Liliana Margot; Espinoza Ramirez, Rosa Guadalupe; Gómez Gonzales, Walter Edgar
Objective: To establish the effectiveness of early extubation vs. conventional extubation in reducing the hospital stay of older adults undergoing cardiac surgery. Materials and Methods: The systematic bibliographic review is Observational and retrospective in Spanish, with a history of no more than 5 years, the search has been restricted to full-text articles and which have been selected through critical reading. Results: In the final selection, 10 articles were chosen, 10% being Chile and 90% of other Latin American countries, no attempt was made to calculate the sample sizes required to determine if the mortality rates and major morbidities after cardiac surgery They change depending on the moment chosen to perform the extubation. 30% are Quasi-experimental studies, another 30% are Random Studies applying conventional extubation with early extubation and prospective studies of the study criteria considering risk factors and patient age in search of evaluating the morbidity and mortality of the patients. patients undergoing cardiac surgery. Conclusions: It was evident in scientific research and systematic reviews of the different types of randomized, quasi-randomized and prospective studies that consider Early Extubation effective in cardiac surgery patients, which reduces the risk of infection and the hospital stay of the post-surgery patient. cardiac surgery, therefore, reduces institutional costs. In addition, the nurse plays important roles in standardizing the care of the intubated patient through timely care in the patency of secretions, position of the patient, well-being and maintenance of the physical and mental comfort of the patient undergoing cardiac surgery.
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Efficacy of early initiation of enteral nutrition in critically ill patients in the intensive care service
(Universidad Privada Norbert Wiener, 1905-07-09) Loyola Figueroa, Flor de Maria; Castañeda Naupari, Catalina; Rivera Lozada de Bonilla, Oriana
Objective: To analyze the effectiveness of early initiation of enteral nutrition in critically ill patients in the intensive care unit service. Materials and methods: Observational and retrospective systematic review. Of which 30% are systematic reviews, 40% are cohort studies and a smaller percentage are 30% correlational, cross-sectional and retrospective studies. Results: In the final selection, 10 articles were chosen, 40% (04) correspond to Brazil, 20% correspond to Spain, and (02) correspond to Mexico, while 10% (01) are found in California, and (01) in cuba respectively, of the total number of articles analyzed, 90% affirm that the early start of enteral nutrition in critically ill patients before 48 hours improves intestinal permeability by reducing bacterial translocation, and reduces morbidity and mortality. Conclusions: early initiation of enteral nutrition with good nutritional support improves the nutritional status of critically ill patients in the intensive care unit, reducing other complications, in-hospital infections and hospital stay.
Acceso abierto
Efficacy of the use of Sodium Chloride 0.9% vs Sodium Heparin in the patency of venous catheters
(Universidad Privada Norbert Wiener, 1905-07-09) Alarcón Quiroz, Shirley Paola; Wong Zárate, Samuel Christian; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of using 0.9% sodium chloride versus sodium heparin on the patency of venous catheters. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 scientific articles with full text no older than 10 years, the selected articles underwent a critical reading to identify their level of evidence. Results: the results obtained (n=8), 25% (n=08/02), show that the use of heparin is more effective (7.8); 50% (n=08/04) showing the effectiveness of both methods (6, 9, 11,12) and finally we find 25% (n=08/02) showing the effectiveness of saline solution (10 ,13) and that the use of saline solution is preferable to avoid complications with heparin. Conclusions: it is concluded that sodium heparin vs 0.9% sodium chloride are equally effective for maintaining the permeabilization of venous catheters. Recommendations: The use of 0.9% sodium chloride is recommended for the patency of venous catheters because it has lower cost and complications.