Examinando por Materia "Presión Venosa"

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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 immobilization using the cervical collar in the transfer of polytraumatized patients
(Universidad Privada Norbert Wiener, 2019-05-19) Vicente Yataco, Wilmer Fernando; Yanamango León, Jose Luis; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of the use of cervical collar in polytraumatized patients to prevent sequelae and disabilities. MATERIAL AND METHOD: Systematic observational and retrospective review, the search has been restricted to articles with full text, using Jover's evaluation to identify its level of evidence. The systematic review of the 10 scientific articles evidenced on the effectiveness of the use of cervical collar in polytraumatized patients to prevent sequelae and disabilities, were obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs . They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 80% (8/10) correspond to the methodological design of a systematic review, and 20% (2/10) are randomized studies. Results: Of the 10 articles reviewed, 70% (7/10) demonstrate that the effectiveness of the use of cervical collar in polytraumatized patients in the short term prevents sequelae and disabilities, in immobilization and transportation from the scene of an accident to the hospital; and 30% (3/10) show that the use of cervical collar in long-term polytraumatized patients produces cerebral edema, pressure ulcers, muscle exhaustion, jugular and tissue venous pressure. Conclusions: Of the 10 articles reviewed, 7 of 10 show that the use of cervical collar in polytrauma patients in the short term is effective for immobilization and transportation from the scene of an accident to the hospital; and 3 out of 10 show that the use of the cervical collar in long-term polytraumatized patients produces cerebral edema, pressure ulcers, muscle exhaustion, jugular and tissue venous pressure.