Examinando por Materia "Prone Position"

Mostrando 1 - 9 de 9

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Effectiveness of early-onset prolonged prone position in improving hypoxemia in patients with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 2020-02-29) González Gestro, Rosaluz Elcira; Barrantes Quiñones, Rocío del Pilar; Rivera Lozada de Bonilla, Oriana
The prone position for prolonged periods and early onset improves the risk of hypoxemia in patients with ARDS. In the present work, the existing evidence on the effectiveness in the application of the prone position was systematically analyzed, of which 13 scientific articles with GRADE recommendation and strength of evidence were identified; These respond to different designs: randomized clinical trials; meta-analysis and systematic reviews of the last 10 years in countries such as Spain, the United Kingdom, Great Britain, the United States, Korea, Canada and China. Results: Of the 13 scientific articles, 100% indicate that there is effectiveness in prone positioning therapy, being chosen early and in prolonged periods, improving the hypoxemia compromise in patients with severe lung injury: ARDS. Conclusion: Prolonged prone positioning with early onset improves the risk of hypoxemia in patients with ARDS.
Acceso abierto
Effectiveness of the prona position in patients in mechanical ventilation with acute respiratory difficulty syndrome in pressure laceration prevention
(Universidad Privada Norbert Wiener, 2019-08-04) Zavaleta Castro, Magaly Zulay; Carrera Tafur, Isabel Cristina; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of the prone position in patients on mechanical ventilation with acute respiratory distress syndrome in preventing pressure lacerations. Materials and methods: Quantitative research, the design was a systematic review, with a population of 34 articles, sample of 10 articles published in the databases, the instrument was a search in the databases: Cochrane, BVS, Lilacs, Scielo, Pubmed, Epistemonikos, the GRADE system was used to evaluate the quality of evidence and the strength of recommendation. Results: All articles show that the prone position is effective in patients on mechanical ventilation with acute respiratory distress syndrome, but does not prevent the development of pressure lacerations, occurring in areas of the face, chest and legs, the number of hours in this position is an important factor and there was a comparison on the supine and prone position where it was shown that the prone position increases the development of lacerations. Conclusions: 100% of the studies show that ventilation in the prone position improves lung oxygenation in patients with acute respiratory distress syndrome, proving to be a therapeutic measure with excellent results, although it does not prevent the development of pressure lacerations.
Acceso abierto
The effectiveness of the prone position to improve oxygenation and decrease mortality in patients with acute respiratory distress syndrome.
(Universidad Privada Norbert Wiener, 2018-12-02) Torpoco Acevedo, Rocio Maria; Cardenas Espinoza, Heydi Kuvenka; Uturunco Vera, Milagros Lizbeth
Objective: To systematically analyze the available evidence from studies on the effectiveness of the prone position to improve oxygenation and reduce mortality in patients with acute respiratory distress syndrome. Materials and methods: The systematic review of the 10 scientific articles found on the effectiveness of the prone position to improve oxygenation and reduce mortality in patients with acute respiratory distress syndrome was conducted in the following databases: Epistemonikos, Cochrane, Lilacs, Scielo, Medline, Pubmed. All were analyzed according to the GRADE scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed, 100% (10) correspond to the methodological design of systematic reviews and meta-analyses. All 10 systematically reviewed articles provide evidence of the effectiveness of the prone position to improve oxygenation and reduce mortality in patients with acute respiratory distress syndrome. Conclusions: Of the 10 articles reviewed, 100% (10) provide evidence of the effectiveness of the prone position to improve oxygenation and reduce mortality in patients with acute respiratory distress syndrome. This is because it improves oxygenation in patients with respiratory distress syndrome in adults, and in patients with more severe disease, it also showed a significant trend toward reducing mortality.
Acceso abierto
Efficacy of supine versus prone body position in reducing operative time in patients undergoing percutaneous nephrolithotripsy surgery
(Universidad Privada Norbert Wiener, 2022-03-06) Rivero Regalado, María Elena; Olivo Velasquez, Yesenia Ysabel; Pretell Aguilar, Rosa Maria
Systematize the effectiveness of the supine position compared to the prone position to reduce operating time in patients undergoing percutaneous nephrolithotripsy (PN) surgery. Material and methods: The systematic exploration that entails of 10 scientific articles evidenced on the Efficacy of the supine body position before Prone position to reduce operating time in patients undergoing NP surgery were obtained from the following databases: Google Scholar, Epistemonikos, Scielo. Of the 10 articles, 10% (1/10) corresponds to Case and Control Design, 30% (3/10) is Systematic Review design, 50% (5/10) is Meta-Analysis Design and 10% (1 /10) is a descriptive study.
Acceso abierto
Efficacy of the prone position used in the patient with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Choque Madueño, Dreysi Eliyana; Campos Taquire, Giovanna Victoria; Avila Vargas Machuca, Jeannette Giselle
Objective: To evaluate the effectiveness of the prone position used in patients with Acute Respiratory Distress Syndrome in the Intensive Care Unit. Materials and Methods: Systematic observational and retrospective review, the search was restricted to articles with full texts and the selected articles were subjected to critical reading. In the final selection, 12 articles were chosen, we found that 42% (05) correspond to the United States, we found 25% (03) in France and 17% (2) in Korea, while only 8% (01) we found Canada and Colombia respectively. . Most of the Meta-analysis studies have been studied with 50%. Among the systematic reviews we find 8.3% in Colombia, controlled clinical trials 33.3% in the United States, France, and we have 8.3% case-control studies belonging to France. Results: In the articles we found that 46.6% (08) affirm that the prone position reduces mortality in patients with Acute Respiratory Distress Syndrome in the prone position, we found 8.3% (01) affirm that the prone position is also safe in patients obese and improves oxygenation more than in non-obese patients and 8.3%(01) affirm that patients with Acute Respiratory Distress Syndrome In the prone position, the cardiac index improved. Conclusions: Of the total number of articles analyzed, 83.3% of the reviewed research affirm that there is effectiveness of the prone position used in patients with acute respiratory distress syndrome in the intensive care unit, there is a better redistribution of gas volume in the lung. , improving the ventilation/perfusion ratio, thus reducing mortality and increasing the survival benefit of patients who were prone.
Acceso abierto
Efficiency of the Supine position VS. Prone position to reduce bleeding after percutaneous nephrolithotomy in adults
(Universidad Privada Norbert Wiener, 2020-01-25) Torres Cardenas, Nelly Alejandra; Ricapa Astorayme, Fatima del Rosario; Gamarra Bustillos, Carlos
Objective: Systematize the effectiveness of the supine position vs. the prone position to reduce bleeding after Percutaneous Nephrolithotomy in adults. Material and methods: The following systematic review consists of 10 pieces of evidence. They were obtained from the following databases Pubmed, Scielo, Medline, Epistemonikos and Google scholar. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 pieces of evidence, 50% (5/10) are of high quality, 30% (3/10) are of medium quality and 20% (2/10) are of low quality. Results: Of the 10 articles reviewed, 60% (6/10) of the evidence demonstrate that the supine position is equally effective as the prone position for reducing bleeding after Percutaneous Nephrolithotomy in adults and 40% (4/10 ) of evidence shows that the supine position is more effective than the prone position for reducing post-Percutaneous Nephrolithotomy bleeding in adults. Conclusions: (6/10) indicate that the supine position is equally effective as the prone position for reducing bleeding after Percutaneous Nephrolithotomy in adults and (4/10) indicate that the supine position is more effective than the prone position for Decreased bleeding after Percutaneous Nephrolithotomy in adults.
Acceso abierto
Nursing care in prone ulna position patients with acute respiratory distress syndrome due to covid – 19
(Universidad Privada Norbert Wiener, 2021-11-14) Hurtado Travezaño, Jezabel Lizzet; Trujillo Condezo, Helen Rosmery; Palomino Taquire, Rewards
Materials and methods: Systematic review consisting of 10 articles of high and moderate quality with a strong recommendation degree. The academic search engines used were Dialnet, Scielo, Redalyc, PubMed, Scopus, TesiUNAM, Academia.edu, Google Scholar, BASE, Science Research, RefSeek, Science.gov and World Wide Science. According to the country of origin of the scientific evidence, 20% (2) are articles from Mexico, 20% (2) Spain, 10% (1) United States, 10% (1) China, 10% (1) Italy, 10% (1) Australia, and finally 10% (1) from Costa Rica. Results: The prone position favors the expectation of survival by improving hypoxemia in patients with ARDS due to COVID - 19 *. 100% of scientific evidence ratifies the importance of nursing care in the proper management of the position, preventing complications and patient comfort *. Conclusions: Nursing care during the prone position in patients with ARDS due to COVID-19 is essential to reduce complications and negative events, and must be carried out under a protocol or care guide previously implemented in hospitals and clinics.
Acceso abierto
Nursing care related to prone decubitus complications in patients with acute respiratory distress syndrome, in the intensive care unit of the Alberto Sabogal Sologuren Hospital, Callao - 2022
(Universidad Privada Norbert Wiener, 2022-11-20) Paredes Quispe, Silvia Marisol; Cárdenas de Fernández, María Hilda
Objective: To determine what nursing care is related to complications in the prone position in patients with Acute Respiratory Distress Syndrome, in the intensive care unit of the Hospital Alberto Sabogal Sologuren, 2022. Materials and methods: Quantitative cross-sectional study. The study population will consist of 36 nursing graduates with a specialty in intensive care who are working for more than three months in the ICU area of the Alberto Sabogal Sologuren Hospital. The survey and observation technique will be used. A modified Likert format that measures nursing care in the action of proning the patient with about 25 items. To measure complications in the prone position, the data collection technique to be used will be observation and The instrument, the verification sheet, is divided into the dimensions of preparation, execution and maintenance phase, its validity was approved by a clinical judgment of health experts, through the Crombach's Alpha reliability test, obtaining a 0.68 being reliable. , The data processing will be the statistical program SPSS version 23 to present the results through graphs and tables for the respective descriptive analysis of the variables.
Acceso abierto
Wake prono and high flow cannula in patients with acute respiratory failure covid-19 in a Lima Hospital, 2021
(Universidad Privada Norbert Wiener, 2023-02-03) Gutierrez Garcia, Carla Alejandra; Cautín Martinez, Noemi Esther
COVID-19 is caused by the new coronavirus known as SARS-CoV-2. Early management of the disease, when its progression was not yet known, involved implementing emergency strategies for respiratory rescue of these patients, such as Prone Vigil, which is an awake prone position that facilitates better gas redistribution at the pulmonary level, particularly oxygen, as well as the use of high-flow nasal cannula, a device for oxygen therapy that uses high flows of humidified air to improve oxygenation in hypoxemic respiratory failure. This disease showed its worst form, with mortality rates exceeding 60% among patients admitted to critical units who were on mechanical ventilation. Therefore, the hypothesis of this project aims to investigate the relationship between Prone Vigil and high-flow nasal cannula in patients with acute respiratory failure due to COVID-19 at a hospital in Lima, 2021.