Examinando por Materia "Presión Intracraneal"

Mostrando 1 - 3 de 3

Acceso abierto
Complications of cervical collar use in trauma patients requiring immobilization
(Universidad Privada Norbert Wiener, 2017-11-12) Montero Crisologo, Diana Carolina; Vega López, Karen Rocio; Gamarra Bustillos, Carlos
Methodology: Systematic, observational and retrospective 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. In the final selection, 10 articles were chosen, we found that 30% (03) correspond to the United States, with 20% (02) in Holland, while with 10% (01) we find England, Iran, Norway, Australia and Iceland respectively. Among the systemic reviews we find the countries of the United States, Norway, England and Iran, which account for 40% of the studies carried out, also with 20% we have prospective studies belonging to Australia and Holland, 20% of retrospective studies carried out in the US and the Netherlands, 10% corresponds to a US randomized controlled trial. Results: Of the 10 articles found, 6 of them mention that one of the first most frequent complications are pressure ulcers, followed by 2 articles that tell us that there is an increase in intracranial pressure caused by excessive adjustment of the cervical collar and 2 articles where the authors agree with the presence of pressure ulcers and increased intracranial pressure. In this way we were able to confirm that there are complications from the use of the cervical collar in traumatized patients who require immobilization. The authors confirm that pressure ulcers are due to the patient's skin type and the length of time the collar is worn. Conclusions: Of the total number of articles analyzed, 100% confirm that the use of the cervical collar produces compilations such as pressure ulcers at primary and secondary level, jugular venous pressure and tissue interface pressure in traumatized patients requiring immobilization.
Acceso abierto
Effectiveness of head elevation in brain-injured patients to reduce intracranial pressure in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-01-06) Justiniani Quíspe, Sindy Eliana; Espinoza Robles, Roy; Glenni Garay, Zarely Zabeli
Objective: To systematize the evidence on the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit. Material and Methods: A systematic review of international research articles was conducted, obtained through searches in databases such as Epistemonikos, NCBI, PubMed, Elsevier, SciELO, ScienceDirect, and BVSALUD, which were selected and analyzed using the GRADE system to determine the level of evidence. Articles were searched using DECS and MeSH descriptors for Spanish and English, respectively. Regarding the origin of the articles, 30% (3/10) are from the United States, and 70% (7/10) are from China, Spain, Turkey, Germany, Indonesia, the United Kingdom, and Russia, respectively. Results: 80% (8/10) of the articles studied define the effectiveness of head elevation in patients with brain injury to reduce intracranial pressure in the intensive care unit, while 20% (2/10) report it as ineffective. Conclusions: It is found that 8 out of the 10 pieces of evidence studied conclude that head elevation is effective in patients with brain injury to reduce intracranial pressure in the intensive care unit, and 2 out of 10 pieces of evidence require further studies to achieve effectiveness in its application.
Acceso abierto
Effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-09-29) Murga Aranda, Oskar Luis; Aliaga Estrada, Judith Yessica; Arevalo Marcos, Rodolfo Amado
Objective: To systematically analyze the available evidence from studies carried out on the “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.” material and method: The systematic review of the 10 scientific articles found; “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.”, were found in the following databases Cochrane, Lilacs, Scielo, Medline Pubmed, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence, Results: Of the 10 articles reviewed correspond to the methodological design of the study, 10% (1/10) randomized controlled trial, 20% (2/10) meta-analysis, 20% (2/10) observational study, 20% (2/10) retrospective study and 30% (3/10) case study. Of the 10 articles systematically reviewed, 90% (9/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit. Conclusions: Of the 10 articles reviewed, 100% (10/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.