Examinando por Materia "Pradera"

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Acceso abierto
Efficacy of a closed suction system compared with open suction system on hemodynamic changes in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-12-03) Ganto Yarasca, Rosario; Bonilla Asalde, César Antonio
Objectives: Systematize the evidence on hemodynamic changes in patients with mechanical ventilation as a consequence of the use of the closed aspiration system and the open aspiration system. Methodology: Observational and retrospective systematic review, the research has been restricted to articles with full text, the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: After the review, very diverse related research was obtained. In the final selection, 10 articles were selected corresponding to Brazil and Iran with 3 articles each, Turkey with 2 and Australia and Holland with 1 article each comparatively. Conclusions: It was shown that in the studies analyzed there is evidence on the effectiveness of a system closed suction system compared to the open suction system in the hemodynamic changes of patients with mechanical ventilation, 60% (6/10) demonstrated an incidence in hemodynamic changes, while 40% (4/10) do not accept hemodynamic changes or no significant changes were recorded in the use of both systems. Recommendations from consensus and specialists suggest the importance of monitoring hemodynamic changes that may occur in patients during the aspiration procedure, regardless of whether it is performed with the closed system or the open system to prevent complications. They recommend the closed aspiration system as safer. And they clarify that nursing staff should not perform aspiration as part of a scheduled routine due to possible adverse effects.
Acceso abierto
Use of effective devices and measures for the prevention of perioperative hypothermia
(Universidad Privada Norbert Wiener, 2017-07-22) Mori Gonzáles, Erick Yanis; Arévalo Bardález, Anggie Fiorella; Gómez Gonzales, Walter Edgar
It is a Systematic review that included 10 articles no older than 10 years published in English, Portuguese and Spanish in the database: Elsevier, Lipecs, Lilacs, Scielo, Cochrane Plus, Pubmed, Medline that had as their main topic the use of effective devices and measures for the prevention of perioperative hypothermia. 20% (02) systematic reviews were found, 80% (08) correspond to experimental studies. Results: 60% (n = 6/10) of the articles show that the use of the forced air warming system is the most effective device for the prevention of perioperative hypothermia. 40% of the articles mention, among others, different devices and measures (heated water circulation system, polyethylene plastic bags, acrylic wool blanket cover, fluid heater, artificial nose, thermal sheet, heating pad, hot dog, among others). ), are less effective in preventing perioperative hypothermia. Conclusions: Evidence shows that active warming (forced air system) is more effective compared to other different devices and measures for the prevention of perioperative hypothermia.