Examinando por Materia "Postoperative Complications"

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Complicaciones metabólicas y hepáticas en recién nacidos quirúrgicos que reciben nutrición parenteral en la unidad de cuidado intensivo neonatal. Instituto Pediátrico Especializado – Lima 2021 - 2022
(Universidad Privada Norbert Wiener, 2024-06-19) Gil Galarza, Ivett Connie; Velásquez Acosta, Pablo Máximo
Método. Estudio con enfoque cuantitativo, observacional, descriptivo, transversal y retrospectivo. Resultados. Ingresaron al estudio 56 recién nacidos que cumplieron con los criterios de inclusión. El 55,4% (31/56) fueron de sexo femenino; 60,7% (34/56) pesaron 2500 gramos a más y 73,2% (41/56) fueron a término (EG de 37 semanas a más). Las patologías más frecuentes para el uso de la NP fueron cardiopatía, malformación ano rectal, atresia esofágica y atresia intestinal con 23,2%, 21,4%, 19,6% y 12,5% respectivamente. El 67,9% (38/56) de los pacientes presentaron complicaciones, algunos pacientes presentaron más de 1 complicación. De las complicaciones metabólicas las más frecuentes fueron la hipofosfatemia, hipertrigliceridemia, hiponatremia y hiperkalemia que representan el 35,5%, 30,1%, 12,3% y 11,0% respectivamente. La enfermedad hepática se presentó en el 34,6% (9/26) de los pacientes que recibieron nutrición parenteral más de 14 días. Conclusiones. El 67,9% (38/56) de recién nacidos con son problemas quirúrgicos que reciben nutrición parenteral presentaron complicaciones metabólicas y/o hepáticas. Las complicaciones metabólicas más frecuentes fueron hipofosfatemia, hipertrigliceridemia e hiponatremia. La colestasis se presentó en el 34,6% de los pacientes.
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Complicaciones posoperatorias en cirugía de terceros molares inferiores de acuerdo al grado de dificultad según el índice de Gbotolorum atendidos en una clínica dental de la ciudad de Lima, 2025
(Universidad Privada Norbert Wiener, 2025-07-27) Duran Gonzáles, Walter Engels; Gómez Carrión, Christian Esteban
Este trabajo buscó determinar la relación de las complicaciones posoperatorias en cirugía de terceros molares inferiores con el grado de dificultad según el índice de Gbotolorum de pacientes atendidos en una clínica dental de la ciudad de Lima, 2025. Se diseñó un estudio cuantitativo, básica, de diseño no experimental, longitudinal; se analizaron 80 pacientes, utilizando la ficha de recolección de datos debidamente estructurado, registrando edad, distribución de complicaciones postoperatorias según el grado de dificultad, se observó que el 37,5 % de los pacientes no presentaron complicaciones, siendo más frecuente en procedimientos de grado fácil (52,1%) que en los moderados (15,6%). Entre las complicaciones más reportadas en el grupo de grado fácil destacan la alveolitis (16,7 %) y el trismus (14,6 %), mientras que en el grupo de grado moderado, las complicaciones se diversifican, siendo comunes alveolitis con trismus (12,5 %), parestesia (12,5 %) y combinaciones complejas como parestesia, hematoma, alveolitis y trismus (6,3 %). Concluye que existe relación de las complicaciones posoperatorias en cirugía de terceros molares inferiores con el grado de dificultad según el índice de Gbotolorum de pacientes atendidos en una clínica dental de la ciudad de Lima, 2025. Esta relación se mostró estadísticamente significativa (p = 0,000).
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Critical review: effectiveness of perioperative oral immunonutrition to avoid postoperative complications to colorectal cancer surgery patients
(Universidad Privada Norbert Wiener, 2024-06-12) Colan Ortiz, Gerson Ricardo; Bohórquez Medina, Andrea Lisbet
The academic work was based on evidence regarding perioperative immunonutrition to prevent postoperative complications in patients who underwent colorectal cancer surgery. It was found that no single immunonutrient can prevent all postoperative complications; however, glutamine is the most effective in reducing TNF-α levels and shortening hospital stays. Similarly, the combination of omega-3 and arginine was the most optimal for lowering IL-6 levels. Lastly, probiotics were the most effective in reducing pneumonia incidence in colorectal cancer patients.
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Effectiveness of artereovenous fistula for hemodialysis therapy in patients with chronic kidney disease in the hemodialysis unit
(Universidad Privada Norbert Wiener, 2020-12-13) Cruz Atuncar, Rosa Maria Berenise; Nuñez Oblitas, Danny Elizabeth; Arevalo Marcos, Rodolfo Amado
Objective: To synthesize evidence regarding its efficacy in hemodialysis therapy in patients with atherovenous fistula and chronic kidney disease in the Hemodialysis Unit. Material and Methods: The review was carried out by searching the databases: PubMed, Scielo and Cochrane EBE, which have been selected and analyzed using the Grade system to locate the respective degree of evidence. Using the articles used the DECS and MESH descriptors for the search in Spanish and English respectively. Results: It is observed that when evaluating the articles, the result was that 30% (3/10) of the reviewed articles correspond to the United States (USA), 30% (3/10) of the reviewed articles correspond to Cuba, 10% (1/10) correspond to Issue, 10% (1/10) corresponds to Ecuador, 10% (1/10) corresponds to Brazil, 10% (1/10) corresponds to Germany, 10% (1/10) corresponds to Valencia, 10% (1/10) corresponds to Spain.
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Effectiveness of early ambulation in reducing complications in post-anesthesia patients.
(Universidad Privada Norbert Wiener, 2017-12-03) Okamura Silva de Becerra, Liliana; Ramirez Guevara, Vanessa Rosa; Calsin Pacompia, Wilmer
Objective: To systematize the evidence on the effectiveness of early mobilization in reducing complications in post-anesthesia patients. Materials and Methods: A total of 10 studies were selected for the final review, and the study type is qualitative with a systematic review design. The articles were found in the following databases: Lilacs, Pubmed, Medline, Scielo, and Ovic. The population consisted of 30 studies, with a sample of 10 studies, analyzed using the Grade system. Results: After the systematic review of the articles, the breakdown of article origins is as follows: 10% from the USA, 10% from Chile, 20% from Australia, 20% from Iran, 10% from Japan, 10% from France, and 20% from Brazil. Regarding the designs and types of studies, 50% were systematic reviews, 10% quasi-experimental, 10% clinical trials, 20% cohort studies, and 10% controlled trials. Conclusion: The evidence confirms that early mobilization is the most effective intervention to reduce complications and is a viable and safe strategy for post-anesthesia patients.
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Effectiveness of early ambulation in reducing complications in post-anesthesia patients.
(Universidad Privada Norbert Wiener, 2017-12-03) Okamura Silva de Becerra, Liliana; Ramirez Guevara, Vanessa Rosa; Calsin Pacompia, Wilmer
Objective: To systematize the evidence on the effectiveness of early mobilization in reducing complications in post-anesthesia patients. Materials and Methods: A total of 10 studies were selected for the final review, and the study type is qualitative with a systematic review design. The articles were found in the following databases: Lilacs, Pubmed, Medline, Scielo, and Ovic. The population consisted of 30 studies, with a sample of 10 studies, analyzed using the Grade system. Results: After the systematic review of the articles, the breakdown of article origins is as follows: 10% from the USA, 10% from Chile, 20% from Australia, 20% from Iran, 10% from Japan, 10% from France, and 20% from Brazil. Regarding the designs and types of studies, 50% were systematic reviews, 10% quasi-experimental, 10% clinical trials, 20% cohort studies, and 10% controlled trials. Conclusion: The evidence confirms that early mobilization is the most effective intervention to reduce complications and is a viable and safe strategy for post-anesthesia patients.
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Effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis
(Universidad Privada Norbert Wiener, 2017-12-03) Ramírez Escobar, Brigitte Thalia; Saavedra Carranza, Delcy Tanith; Pretell Aguilar, Rosa Maria
Objective: To systematize the available evidence from studies on the effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis. Materials and Methods: A systematic bibliographic search was conducted for 10 scientific articles found in the following databases: Cochrane Library, PubMed, Epistemonikos, Intramed, Elsevier, and Google Scholar. The research designs of the 10 identified studies included 60% (6/10) meta-analyses, 30% (3/10) randomized clinical trials, and 10% (1/10) systematic reviews. Results: 80% (n=8/10) of the reviewed articles show that early laparoscopic cholecystectomy is more effective than late laparoscopic cholecystectomy in patients with acute cholecystitis. On the other hand, 20% (n=2/10) of the articles reported no significant differences between the two procedures, but still recommended early intervention, as it would lead to better outcomes benefiting both the patient and the healthcare institution providing the service. Conclusion: Of the 10 articles reviewed, evidence shows that early laparoscopic cholecystectomy is more effective than late cholecystectomy, decreasing the risk of conversion to open surgery, reducing the duration of postoperative antibiotic therapy, decreasing the frequency of intraoperative drainage placement, and being more cost-effective for hospital management. Regarding patient perception, there is greater satisfaction and fewer lost workdays.
Acceso abierto
Effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis
(Universidad Privada Norbert Wiener, 2017-12-03) Ramírez Escobar, Brigitte Thalia; Saavedra Carranza, Delcy Tanith; Pretell Aguilar, Rosa Maria
Objective: To systematize the available evidence from studies on the effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis. Materials and Methods: A systematic bibliographic search was conducted for 10 scientific articles found in the following databases: Cochrane Library, PubMed, Epistemonikos, Intramed, Elsevier, and Google Scholar. The research designs of the 10 identified studies included 60% (6/10) meta-analyses, 30% (3/10) randomized clinical trials, and 10% (1/10) systematic reviews. Results: 80% (n=8/10) of the reviewed articles show that early laparoscopic cholecystectomy is more effective than late laparoscopic cholecystectomy in patients with acute cholecystitis. On the other hand, 20% (n=2/10) of the articles reported no significant differences between the two procedures, but still recommended early intervention, as it would lead to better outcomes benefiting both the patient and the healthcare institution providing the service. Conclusion: Of the 10 articles reviewed, evidence shows that early laparoscopic cholecystectomy is more effective than late cholecystectomy, decreasing the risk of conversion to open surgery, reducing the duration of postoperative antibiotic therapy, decreasing the frequency of intraoperative drainage placement, and being more cost-effective for hospital management. Regarding patient perception, there is greater satisfaction and fewer lost workdays.
Acceso abierto
Effectiveness of enteral nutrition compared to parenteral nutrition in reducing complications in post-operative gastrointestinal surgery patients
(Universidad Privada Norbert Wiener, 2018-12-02) Vásquez Reque, Erica Janet; Lino Rosales, Carmen Rosa; Uturunco Vera, Milagros Lizbeth
Objective.- Analyze the evidence on the effectiveness of enteral nutrition versus parenteral nutrition to reduce complications in patients after gastrointestinal surgery. Material and methods.- The systematic review of the 10 articles, prospective literature was found and the search was consulted in articles with full text. Ten articles were selected, corresponding to a period from 2008 to 2017, from Latin American countries; and among the articles that were included are systematic reviews, using Epistemonikos, Pubmed as a database. Results.- The effectiveness of enteral nutrition versus parenteral nutrition to reduce complications in patients after gastrointestinal surgery, according to the results obtained from the systematic review carried out in the present study, we have 100% due to the type of design (10 /10) systematic reviews and by type of quality, 100% (10/10) are of high quality. Of the 10 studies investigated, 80% (8/10) indicate that enteral nutrition is more effective in patients after gastrointestinal surgery since we observed: Shorter hospital stay time (50%), lower incidence of post-operative infections ( 10%), lower cost-benefit (15%), improves the increase in albumin and the early appearance of flatus (15%), and improves quality of life by reducing dehiscences and anastomoses (10%). Conclusions.- According to the evidence reviewed, it is concluded that enteral nutrition is more effective than parenteral nutrition in preventing postoperative complications.
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Effectiveness of intermittent pneumatic compression in preventing venous thromboembolism in post-operative patients
(Universidad Privada Norbert Wiener, 2020-01-19) Ñahuincopa Benito, Pilar Rocio; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of intermittent pneumatic compression for the prevention of venous thromboembolism in postoperative patients. Material and Method: The systematic review consists of 10 scientific articles which were obtained from the following database: Pubmed, Epistemonikos, Journals books, Cochrane Library. Of the 10 articles, 100% are of high quality, 60% are systematic reviews, 20% are meta-analyses and 20% are randomized controlled trials. According to the strength of recommendation, it is 100% strong, depending on the country where the investigations were carried out, 50% corresponds to the United States, 10% to Singapore, Ireland, China, London and Spain. Results: Of the 10 articles reviewed, 80% demonstrate that intermittent pneumatic compression is effective for the prevention of venous thromboembolism in postoperative patients. On the other hand, 20% demonstrate effectiveness in the use of a combined approach for the prevention of venous thromboembolism in postoperative patients. Conclusions: 8 of the 10 articles demonstrate the effectiveness of intermittent pneumatic compression in the prevention of venous thromboembolism in postoperative patients and 2 of 10 demonstrate that intermittent pneumatic compression was not effective alone for the prevention of venous thromboembolism in postoperative patients.
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Effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients
(Universidad Privada Norbert Wiener, 2017-12-03) Lachos Ospina, Johanna Paola; Zavaleta Alvarez, Vanessa; Pretell Aguilar, Rosa Maria
Objective: To systematize the evidence on the effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients. Materials and Methods: A systematic review of the 10 scientific articles found in the following databases: Scielo, PubMed, Medigraphic, and Springer. These allowed us to find 10 scientific pieces of evidence. The search was restricted to full-text articles, and the selected articles were subjected to a critical reading using the GRADE system evaluation to identify their level of evidence. Among the 10 pieces of evidence, the types of research are as follows: 40% (4/10) quasi-experimental, 20% (2/10) systematic review and meta-analysis, 20% (2/10) cohort studies, 10% (1/10) descriptive, and 10% (1/10) controlled clinical trial. Results: In the final selection, 10 articles were chosen. We found that 100% (n=10/10) of the evidence suggests that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients, as we observed: shorter hospital stay (50%), less postoperative pain (10%), less bleeding (10%), lower cost (5%), better aesthetics and mental health (15%), and improvement in quality of life (10%). Conclusions: The 10 scientific articles reviewed all conclude that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients.
Acceso abierto
Effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients
(Universidad Privada Norbert Wiener, 2017-12-03) Lachos Ospina, Johanna Paola; Zavaleta Alvarez, Vanessa; Pretell Aguilar, Rosa Maria
Objective: To systematize the evidence on the effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients. Materials and Methods: A systematic review of the 10 scientific articles found in the following databases: Scielo, PubMed, Medigraphic, and Springer. These allowed us to find 10 scientific pieces of evidence. The search was restricted to full-text articles, and the selected articles were subjected to a critical reading using the GRADE system evaluation to identify their level of evidence. Among the 10 pieces of evidence, the types of research are as follows: 40% (4/10) quasi-experimental, 20% (2/10) systematic review and meta-analysis, 20% (2/10) cohort studies, 10% (1/10) descriptive, and 10% (1/10) controlled clinical trial. Results: In the final selection, 10 articles were chosen. We found that 100% (n=10/10) of the evidence suggests that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients, as we observed: shorter hospital stay (50%), less postoperative pain (10%), less bleeding (10%), lower cost (5%), better aesthetics and mental health (15%), and improvement in quality of life (10%). Conclusions: The 10 scientific articles reviewed all conclude that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients.
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Effectiveness of nursing care in abdominal surgical patients for the prevention of postoperative infections
(Universidad Privada Norbert Wiener, 2021-04-18) Carrera Velasquez, Lidia Maribel; Huamani Huaraca, Cindy; Basurto Santillán, Ivan Javier
Objective: Systematize the evidence found on the effectiveness of nursing care in abdominal surgical patients for the prevention of postoperative infections. Material and Methods: for this work, the systematic review design has been used, which is based on the GRADE evaluation system, in order to evaluate the quality of the articles chosen from the reviewed databases EBSCO, ScientDirect, PubMed, Scielo . Results: the reviewed articles showed that 30% are systematic reviews, 20% literature reviews, 10% systematic reviews and meta-analysis, 10% prospective cross-sectional, 10% cross-sectional, 10% narrative review and 10% integrative review. On the other hand, in 90% of the articles evidence was found of the effectiveness of nursing care in abdominal surgical patients for the prevention of postoperative infections. Conclusion: Of the 10 articles systematically reviewed, in (9/10) evidence was found of the effectiveness of nursing care in abdominal surgical patients for the prevention of postoperative infections and in (1/10) no evidence was found of the effectiveness of nursing care in abdominal surgical patients for the prevention of postoperative infections.Centeno C. (18) It consists of 21 questions and/or closed statements with multiple and dichotomous alternatives. The questions in the questionnaire are based on the knowledge that the nursing professional who works in the emergency area must have, the dimensions are to identify cardiorespiratory arrest and cardiopulmonary resuscitation, perform chest compression, airway, ventilation and early defibrillation. The evaluation according to the score is high from 15 to 21, medium from 7 to 14 and low from 1 to 6.
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Effectiveness of positioning after macular hole surgery in decreasing complications in ophthalmology surgical patients.
(Universidad Privada Norbert Wiener, 2018-03-25) Delgado Wong, Melissa Cristina; Paredes Perez, Nardi; Rivera Lozada de Bonilla, Oriana
Objective: Systematize the evidence on the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients. Material and Methods: The type of quantitative study, the design was a systematic review. The Population was 57 articles, the sample was 10 scientific articles, the instrument was the following databases: Pub Med, Wolters Kluwer, Ovid insights. After the systematic review of the results obtained, according to the methodological design, 20% (n= 2/10) are systematic review, 20% (n= 2/10) meta-analysis, 20% experimental (n=2/10). ) and 40% (n=4/10) cohort, according to the quality of evidence 60% (n=6/10) high and 40 (n=4/10) moderate, in relationship to the strength of recommendation 60% (n=6/10) strong and 40% (n=4/10) weak. According to the country of origin: London 10%, United Kingdom 20%, China 10%, Ireland 20%, India 10%, Japan 10%, Italy 10%, Norway 10% respectively. Results: 50% (n = 5/10) of the articles demonstrate the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients. Conclusion: It was concluded that 50% (n = 5/10) agree on the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients. Discrepancy was found regarding the effectiveness of positioning after macular hole surgery to reduce complications in ophthalmology surgical patients by 50% (n = 5/10).
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Effectiveness of preoperative respiratory training to reduce respiratory complications in adult patients postoperative major surgery
(Universidad Privada Norbert Wiener, 2020-02-22) Salcedo Mateo, Milagro Katia; Pretell Aguliar, Rosa María
Objective: To systematize the evidence on the effectiveness of preoperative respiratory training in preventing respiratory complications in adult patients after major surgery. Materials and methods: This is a systematic review of 10 articles selected for their effectiveness in preoperative respiratory training to reduce respiratory complications in adult patients post-major surgery, corresponding to the period 2011 to 2016. The studies are of a quantitative type and were obtained from databases such as Cochrane, Epistemonikos, Scielo, Pubmed, Uninave, and Journal of Physiotherapy. The Grade scale was applied to assess the strength and quality of the evidence. Results: According to the results of this study, by study design: 80% (8/10) were systematic reviews, 10% (1/10) were quasi-experimental, and 10% (1/10) were experimental. By quality type: 90% (9/10) were of high quality, and 10% (1/10) were of moderate quality. 100% of the articles demonstrated that preoperative respiratory training is effective in reducing respiratory complications in adult patients after major surgery. Conclusions: All 10 articles demonstrate the effectiveness of preoperative respiratory training in reducing respiratory complications in adult patients after major surgery.
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Effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients
(Universidad Privada Norbert Wiener, 2018-12-02) Atencio Antonio, Edulvina Gloria; Guillén Valencia, Luzmila; Pretell Aguilar, Rosa María
OBJECTIVE: Systematize evidence on the effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients. MATERIAL AND METHOD: Systematic review of 10 selected articles on the effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients corresponding to the period 2011 to 2016 from different countries. These quantitative articles were obtained from the database; of Cochrane, epistemonikos, scielo, pubmed, uninave, journalofphisiotherapy and the Grade scale was applied, evidencing its strength and quality of evidence. According to the results obtained from this study, we have that by the type of design: 80% (8/10) systematic review, 10% (1/10) quasi-experimental, 10% (1/10) experimental. By type of quality: 90% (9/10) high quality, 10% (1/10) moderate quality. RESULTS: Of 10 studies investigated, 100% agree that preoperative respiratory training is effective in reducing respiratory complications in postoperative adult patients. CONCLUSIONS.- Of the 10 articles reviewed, 10 confirm the effectiveness of preoperative respiratory training to reduce respiratory complications in postoperative adult patients.
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Effectiveness of respiratory physiotherapy in post-operative chest surgery patients to prevent pulmonary complications
(Universidad Privada Norbert Wiener, 2020-01-05) Lazo Trujillo, Patricia; Pisfil Fajardo, Jenny Maribel; Fernández Rengifo, Werther Fernando
Objective: To systematize the evidence on the effectiveness of respiratory physiotherapy in postoperative patients who have undergone thoracic surgery. Materials and methods: Among the 10 articles systematically reviewed on the effectiveness of respiratory physiotherapy in preventing pulmonary complications in postoperative thoracic surgery patients, high-quality and high-strength articles were selected from Scielo, PubMed, and Dynaed, all within the healthcare field. The studies include systematic reviews (20% - 2/10), randomized clinical trials (50% - 5/10), quasi-experimental studies (10% - 1/10), cohort studies (10% - 1/10), and case-control studies (10% - 1/10). These studies were conducted in Spain (30%), Australia (20%), Italy (10%), Japan (10%), Iran (10%), the United Kingdom (10%), and Sweden (10%). Results: The review of these scientific articles shows that 80% of them support the effectiveness of respiratory physiotherapy in postoperative thoracic surgery patients. They highlight the importance of respiratory physiotherapy and its benefits in preventing postoperative pulmonary complications, reducing hospital stays, and decreasing healthcare costs. Conclusions: 80% of the studies revealed the effectiveness of respiratory physiotherapy through respiratory training exercises, which reduce the presence of pulmonary complications in postoperative thoracic surgery patients. It is thus determined that respiratory exercises before and after surgery are crucial. However, 10% of the articles using incentives such as an incentive spirometer did not present significant evidence of effectiveness, and 10% indicated that respiratory physiotherapy was not necessary.
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Effectiveness of stoma marking in the prevention of complications in patients who are going to undergo an ostomy
(Universidad Privada Norbert Wiener, 2020-02-01) Jiménez Chunga, Elisa Roxana; Sanchez Ortiz, Darlinj Emperatriz Otilia; Arevalo Marcos, Rodolfo Amado
Objective: To systematize the evidence on the effectiveness of stoma marking in the prevention of complications in patients undergoing ostomy surgery. Materials and Methods: A systematic, observational, and retrospective review of a quantitative type, subjected to critical selection, using the Grade evaluation system to identify the level of evidence, found in the following databases: PubMed, Scielo, Medline, BVS, Cochrane, and Google Scholar. Of the 10 articles systematically reviewed, 20% (n=2/10) were systematic reviews, 20% (n=2/10) were cohort studies, and 60% (n=6/10) were low-quality studies. According to the results obtained from the systematic review conducted in this study, the articles came from Turkey (30%), the U.S. (30%), El Salvador (10%), Spain (10%), Israel (10%), and Mexico (10%). Stoma marking was found to be effective in preventing complications in patients undergoing ostomy surgery. Results: Furthermore, 100% (n=10/10) of the evidence found indicated that stoma marking is effective in preventing complications. Conclusion: Stoma marking before surgery is more effective in preventing complications in patients undergoing ostomy surgery.
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Effectiveness of warming devices in the prevention and maintenance of temperature in inadvertent hypothermia in the peri- and postoperative period in surgical patients.
(Universidad Privada Norbert Wiener, 2018-07-08) Armas Vicharra, Noemi Berta; Ayala Balbin, Wendy del Carmen; Rivera Lozada de Bonilla, Oriana
Objective: To evaluate the evidence on the effectiveness of warming devices in the prevention and maintenance of temperature during inadvertent hypothermia in the perioperative period in surgical patients. Results: Fifty percent (n = 5/10) indicate the effectiveness of warming devices in preventing and maintaining temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients, while the other 50% (n = 5/10) show concordance but do not provide evidence of effectiveness as it was not measured. Conclusion: Half of the studies (5/10) indicate the effectiveness of warming devices in preventing and maintaining temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients. The remaining 5/10 indicate concordance with the use of warming devices in the prevention and maintenance of temperature during inadvertent hypothermia in the peri- and postoperative period in surgical patients.
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Efficacy of continuous bladder irrigation in the management of Hematuria
(Universidad Privada Norbert Wiener, 1905-07-09) Rojas Reyes, Luz; Sanchez Espejo, Eloisa Ada; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness and uses of continuous bladder irrigation in the management of urological events. Materials and methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The reviewed articles were found in the databases Scielo, Dialnet, Ebsco, Lilacs, the results show that there is a lower incidence of immediate postoperative complications inherent to the operation of the urethrovesical catheter, in patients left without irrigation, likewise the average day in the hospital stay of these patients was shorter, concluding that continuous bladder irrigation as a post-prostatectomy treatment is not essential. The other authors also agree that the use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended. Conclusions: The reviewed articles show that continuous bladder irrigation as a post-prostatectomy treatment and intervention is not essential in patients. The use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended, it reduces hospital stay, reduces fever and quickly improves the patient's general conditions as well as making cultures negative in a shorter period of time. The management of hematuria of bladder origin through continuous bladder irrigation as a treatment with the application of intravesical bismuth solution is effective in shortening the time of hematuria control.