Examinando por Materia "Procedimientos Quirúrgicos Mínimamente Invasivos"

Mostrando 1 - 4 de 4

Acceso abierto
Effectiveness of high-level disinfection of medical devices to prevent infections in patients undergoing minimally invasive procedures
(Universidad Privada Norbert Wiener, 2019-01-06) Neyra Gil, Lourdes Soraya; Cárdenas Cossio, Gisela Coralí; Glenni Garay, Zarely Zabeli
Objective: Systematize the evidence on the effectiveness of high-level disinfection in medical devices to prevent infections in patients undergoing minimally invasive procedures. Material and Methods: Systematic review that summarizes the results of various investigations, identifying what is most relevant to answer specific questions. The search has been limited to articles with full text that have been critically read, using the GRADE evaluation to assign their level of evidence. Results: In the final selection, 05 articles were chosen, finding that 40% (04) correspond to Brazil, Peru and Mexico and 10% (01) Asia (India). These are mostly experimental studies (10%), descriptive case series type (20%), systematic reviews (10%), controlled clinical trials (10%). 100% of the articles state that high-level disinfection (HLD) does not ensure the elimination of the most resistant microorganisms such as endospores and some mycobacterium, such as microorganisms of the Coccidia subclass such as M. Masiliense, so this process is not considered effective in preventing infections in minimally invasive procedures. Conclusions: High-level disinfection is not effective in medical devices to prevent infections in patients undergoing minimally invasive procedures.
Acceso abierto
Effectiveness of surfactant administered by minimally invasive technique to prevent complications in premature newborns with respiratory distress syndrome
(Universidad Privada Norbert Wiener, 2017-12-03) Huasacca Albites, Sofia Rosa; Zeña Seclén, Maria Isabel; Remuzgo Artezano, Anika
Objective: To systematize the effectiveness of surfactant administered by a minimally invasive technique to prevent complications in premature newborns with respiratory distress syndrome. Materials and Methods: Systematic review; the search was restricted to full-text articles, and the selected articles underwent critical reading using the Jover evaluation system to identify their level of evidence. Results: A total of 10 articles were selected, with 30% (3/10) from the United States, 20% (2/10) from Germany, 20% (2/10) from England, and 10% (1/10) from Spain, Switzerland, and Brazil, respectively. Most studies were systematic reviews and meta-analyses, accounting for 40%, mainly from the United States, England, and Germany. 30% were case-control studies from the United States and Germany, 20% were cohort studies from Spain and Brazil, and 10% (1) was a controlled trial from England. Of the articles analyzed, 90% state that surfactant administered by a minimally invasive technique is effective and safe in preventing complications, reducing the need for mechanical ventilation, and reducing bronchopulmonary dysplasia in premature newborns with respiratory distress syndrome. Only 10% state that it does not increase survival in bronchopulmonary dysplasia and complications. Conclusions: The best evidence reviewed demonstrates that surfactant administration through a minimally invasive technique is safe, well tolerated, with a lower failure rate of non-invasive ventilation, and reduced need for conventional mechanical ventilation, thereby reducing complications in premature newborns with respiratory distress syndrome.
Acceso abierto
Effectiveness of surfactant administered by minimally invasive technique to prevent complications in premature newborns with respiratory distress syndrome
(Universidad Privada Norbert Wiener, 2017-12-03) Huasacca Albites, Sofia Rosa; Zeña Seclén, Maria Isabel; Remuzgo Artezano, Anika
Objective: To systematize the effectiveness of surfactant administered by a minimally invasive technique to prevent complications in premature newborns with respiratory distress syndrome. Materials and Methods: Systematic review; the search was restricted to full-text articles, and the selected articles underwent critical reading using the Jover evaluation system to identify their level of evidence. Results: A total of 10 articles were selected, with 30% (3/10) from the United States, 20% (2/10) from Germany, 20% (2/10) from England, and 10% (1/10) from Spain, Switzerland, and Brazil, respectively. Most studies were systematic reviews and meta-analyses, accounting for 40%, mainly from the United States, England, and Germany. 30% were case-control studies from the United States and Germany, 20% were cohort studies from Spain and Brazil, and 10% (1) was a controlled trial from England. Of the articles analyzed, 90% state that surfactant administered by a minimally invasive technique is effective and safe in preventing complications, reducing the need for mechanical ventilation, and reducing bronchopulmonary dysplasia in premature newborns with respiratory distress syndrome. Only 10% state that it does not increase survival in bronchopulmonary dysplasia and complications. Conclusions: The best evidence reviewed demonstrates that surfactant administration through a minimally invasive technique is safe, well tolerated, with a lower failure rate of non-invasive ventilation, and reduced need for conventional mechanical ventilation, thereby reducing complications in premature newborns with respiratory distress syndrome.
Acceso abierto
Pain of the newborn subjected to invasive nursing procedures in the neonatal intensive care unit of the Carlos Lanfranco La Hoz hospital - Puente Piedra, 2020
(Universidad Privada Norbert Wiener, 2020-10-25) Benavides Minchola, Mónica Isabel; Fernández Rengifo, Werther Fernando
This academic work has a quantitative approach, through scope and analysis of the results, it has a descriptive level; according to the period and sequence of the investigation it is transversal and according to the time of occurrence of the investigated events it is prospective. The sample will consist of all newborns hospitalized in the Intensive Care Unit of the Carlos Lanfranco La Hoz Hospital in Puente Piedra, during the months of October to November 2020, applying inclusion and exclusion criteria raised in this research. The sample size will consist of 60 study subjects and the type of sampling will be non-probabilistic and non-random for convenience. To assess pain, the Susan Givens Bell Pain Assessment Scale will be applied.