Examinando por Materia "Respiratory Distress Syndrome"

Mostrando 1 - 16 de 16

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Effectiveness of continuous positive airway pressure in the treatment of respiratory distress syndrome in premature newborns.
(Universidad Privada Norbert Wiener, 2018-07-08) Huarancca Nuñez, Denisse Fabiola; Sinche Cuca, Araceli Fresia; Avila Vargas Machuca, Jeannette Giselle
Objective: Analyze the available evidence from studies on the effectiveness of continuous positive airway pressure in the treatment of respiratory distress syndrome in premature newborns. Materials and Methods: Systematic reviews of 10 articles. Most of the studies are cohort studies, with 60% primarily from Mexico, Iran, Colombia, and California. Among the meta-analysis, experimental, and controlled reviews, we find studies from Mexico, Iran, the USA, with 20% (02). Additionally, 10% of the studies are clinical trials from Denmark and India. Results: 9 out of 10 articles report that the use of continuous positive airway pressure is effective in treating respiratory distress syndrome in premature newborns; however, 1 out of 10 articles states that the use of CPAP is not effective due to the immaturity of the newborn, causing treatment failure. Conclusions: 9 out of 10 articles recommend the use of continuous positive airway pressure as it is effective in treating respiratory distress syndrome, improves the clinical course of patients, and shortens hospital stays. On the other hand, 1 out of 10 articles does not recommend it due to complications and the probable need for mechanical ventilation, and it reduces the incidence of nosocomial infections.
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Effectiveness of conventional ventilation versus high-frequency oscillatory ventilation to reduce mortality in patients with acute respiratory distress syndrome
(Universidad Privada Norbert Wiener, 2018-12-16) Saavedra Maquin, Doris Nancy; Isidro Valerio, Danitza Lida; Pérez Siguas, Rosa Eva
Objective: Systematize the evidence on the effectiveness of conventional ventilation versus high-frequency oscillatory ventilation to reduce mortality in patients with acute respiratory distress syndrome. Material and Methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Scielo, Sciencedirect, Pubmed, Researchgate. According to the results obtained from the systematic review carried out in the present study, shown in the 10 articles systematically reviewed, 90% being of high quality and 10% of medium quality as described below: 80% (n= 8/ 10) are meta-analyses, 10% (n= 1/10) is a systematic review and 10% (n= 1/10) is a randomized controlled trial and come from the countries from China (40%), followed by Canada (40%), India (10%) and England (10%). Results: 70% of the articles indicate that conventional ventilation is more effective than high-frequency oscillatory ventilation in reducing mortality in patients with acute respiratory distress syndrome. 30% of the articles indicate that high-frequency oscillatory ventilation is more effective compared to conventional ventilation in reducing mortality in patients with acute respiratory distress syndrome. Conclusion: conventional ventilation is effective in reducing mortality in patients with acute respiratory distress syndrome.
Acceso abierto
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.
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Effectiveness of percutaneous tracheostomy in breathing and ventilation of patients with respiratory distress
(Universidad Privada Norbert Wiener, 2020-07-26) De la Matta Poma, Yovana; Turpo Chura, Sonia Gloria; Fernández Rengifo, Werther Fernando
Objective: To systematize the evidence on the effectiveness of percutaneous tracheostomy in patients with respiratory difficulty. Materials and Methods: The research was quantitative in approach, and its design corresponded to a systematic review. The population consisted of 35 articles, with the sample made up of 10 scientific articles from indexed journals. The search tools used were the EBSCO, Scielo, British Medical Journal, Wiley Online Library, Journal of Rheumatology, PubMed, Lancet, and Cochrane Library databases. Regarding the evaluation of the articles, the method used was GRADE, which assessed the quality of the evidence as well as the strength of its recommendation. Results: The publications considered, 100%, were from Canada (20%), Brazil (20%), Colombia (10%), Germany (10%), the United States (10%), India (10%), Italy (10%), and China (10%). Conclusions: It was concluded that 70% of the studies on the effectiveness of percutaneous tracheostomy in patients with respiratory difficulty show characteristics of lower investment and a high degree of effectiveness when early tracheostomy is applied, compared to late tracheostomy. Only 30% of these studies indicate relative efficiency.
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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.
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Effectiveness of the recruitment maneuver to reduce mortality in patients with acute respiratory distress syndrome
(Universidad Privada Norbert Wiener, 2019-02-17) Alarcon Yauri, Jhonatan Israel; Uturunco Vera, Milagros Lizbeth
Objective: To systematize the evidence on the effectiveness of the recruitment maneuver to decrease mortality in patients with acute respiratory distress syndrome (ARDS). Material and Methods: This is a systematic observational and retrospective review, critically analyzed and using the GRADE evaluation system to identify the level of evidence in the articles. The articles were published in the following databases: SCIELO, EPISTEMONIKOS, SCIENCEDIRECT, PUBMED, and RESEARCHGATE. Of the 10 articles systematically reviewed, 30% (3/10) are meta-analyses, 20% (2/10) are systematic reviews, 40% (4/10) are randomized controlled trials, and 10% (1/10) is quasi-experimental. Results: 60% (6/10) (17, 18, 19, 22, 23, 24) indicate that the recruitment maneuver is effective in reducing mortality in patients with ARDS. 40% (4/10) (16, 20, 21, 25) indicate that the recruitment maneuver is not effective in reducing mortality in these patients. Conclusion: The study concluded that the recruitment maneuver is effective in reducing mortality in patients with ARDS, due to alveolar reopening, improving the ventilation/perfusion ratio, and promoting gas exchange.
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
Eficacia de la presión positiva continua en la vía aérea en el tratamiento del síndrome de distrés respiratorio en el recién nacido prematuro.
(Universidad Privada Norbert Wiener, 2018-07-08) Sinche Cuca, Araceli Fresia; Avila Vargas Machuca, Jeannette Giselle
Objective: Analyze the available evidence from studies on the effectiveness of continuous positive airway pressure in the treatment of respiratory distress syndrome in premature newborns. Materials and Methods: Systematic reviews of 10 articles. Most of the studies are cohort studies, with 60% primarily from Mexico, Iran, Colombia, and California. Among the meta-analysis, experimental, and controlled reviews, we find studies from Mexico, Iran, the USA, with 20% (02). Additionally, 10% of the studies are clinical trials from Denmark and India. Results: 9 out of 10 articles report that the use of continuous positive airway pressure is effective in treating respiratory distress syndrome in premature newborns; however, 1 out of 10 articles states that the use of CPAP is not effective due to the immaturity of the newborn, causing treatment failure. Conclusions: 9 out of 10 articles recommend the use of continuous positive airway pressure as it is effective in treating respiratory distress syndrome, improves the clinical course of patients, and shortens hospital stays. On the other hand, 1 out of 10 articles does not recommend it due to complications and the probable need for mechanical ventilation, and it reduces the incidence of nosocomial infections.
Acceso abierto
Knowledge and attitudes about measures to prevent acute respiratory infections in mothers of children under 5 years old at the "C.S. Mariscal Castilla - Rímac 2017"
(Universidad Privada Norbert Wiener, 2018-12-04) Sánchez Barrantes, Ingrid Melissa; Gere Reyna, Cinthia Rocio; Huapaya Pizarro, Cleopatra de América
Material and method: this research had a quantitative approach with a descriptive, correlational, and cross-sectional design. The sample consisted of 60 mothers, the survey was used as a technique and the questionnaire designed by the researchers as an instrument. Result: they showed that in terms of knowledge the medium level predominates with 51.7%, followed by high level with 45% and finally 3.3% low level, in terms of attitude of the mothers they were mostly favorable with 68.3% and 31.7% unfavorable . The correlation was determined using Pearson's Chi-square statistical test, where P value is 0.023. Conclusion: There is a relationship between knowledge and attitudes of preventive measures for Acute Respiratory Infections in mothers of children under 5 years of age, in terms of knowledge the average level and a favorable attitude predominate.
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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.
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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
Oxygen therapy and level of inflammation in patients with acute respiratory distress syndrome at Hospital Nacional Almanzor Aguinaga Asenjo - Essalud, 2022
(Universidad Privada Norbert Wiener, 2023-05-31) Torres Coronel, Harley Davidson; Diaz Mau, Aimee Yajaira
High-flow nasal cannula oxygenation improves ventilatory parameters in Acute Respiratory Distress Syndrome (ARDS), reducing the respiratory period, cardiac period, oxygen demand (O2), capillary oxygen saturation (SpO2), and oxygen partial pressure (PaO2), while not affecting pH20 and CO2 results. Most studies with significant scientific evidence regarding the use of High-Flow Nasal Cannulas (HFNC) have been conducted in adult patients with hypoxemic respiratory failure in critical care units. This is the reason for my interest in conducting this research, considering that high-flow oxygenation is frequently used in hospitalized patients at the National Almanzor Aguinaga Asenjo Hospital (HNAAA). This research aims to determine whether there is a relationship between HFNC oxygen therapy and the level of inflammation in patients with ARDS.
Acceso abierto
Respiratory distress syndrome and the use of the mechanical ventilator in neonates, Guillermo Díaz De La Vega Regional Hospital – Abancay 2022
(Universidad Privada Norbert Wiener, 2023-11-13) Urpe Cárdenas, Juana Catalina; Chero Pisfil, Santos Lucio
The purpose of this study is to determine the association between respiratory distress syndrome and the use of mechanical ventilation in neonatal patients. Its implementation will allow the description and analysis of these results, serving as evidence for the causes and consequences that lead to newborns being hospitalized in the Neonatal Intensive Care Unit (NICU). This will enable prevention and avoid morbidity and mortality in newborns, and the results will provide relevant information to make decisions and change the reality in this field.
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Risk factors and respiratory distress syndrome in neonates in a public hospital, Quevedo, Ecuador, 2024
(Universidad Privada Norbert Wiener, 2024-06-23) Delgado Rodríguez, Mirian Yadira; Montoro Valdivia, Marcos Antonio
Objective: To determine the relationship between risk factors and respiratory distress syndrome in neonates in the intensive care unit of a public hospital in Quevedo, Ecuador, 2024. Materials and Methods: The study follows the hypothetical-deductive method, with a quantitative approach, applied purpose, non-experimental and correlational design, using a census sample of 84 premature neonates with respiratory distress. Document analysis will be used as a technique, and two data collection forms will serve as instruments, both previously validated by expert judgment and reliability tested through a pilot study, obtaining Cronbach's Alpha of 0.93 and 0.90, equivalent to excellent reliability, respectively. With prior institutional authorization and informed consent, data will be collected from both maternal and neonatal medical records, entered into a database, and analyzed using the SPSS® statistical software version 26. The non-parametric Spearman correlation coefficient test will be used to establish the relationship between the variables, determine the direction of the association, and test the proposed hypothesis. Relevant tables and graphs will be included in the results explanation, based on the stated hypotheses, to outline the conclusions of the study.
Acceso abierto
Risk factors associated with respiratory distress syndrome in neonates hospitalized in the intermediate care unit of Ventanilla Hospital, 2022
(Universidad Privada Norbert Wiener, 2022-12-18) Bardales Romero, Deysi Onito; Molina Torres, Jose Gregorio
This study aims to determine the risk factors associated with Respiratory Distress Syndrome in neonates hospitalized in the Intermediate Care Unit at Hospital de Ventanilla. It adopts a quantitative approach, applied type, with a non-experimental, cross-sectional, correlational design. The study population consists of 80 clinical records of hospitalized neonates from the aforementioned hospital. Documentary analysis will be used by reviewing neonatal clinical records. To measure the risk factors associated with Respiratory Distress Syndrome, a data collection form, developed and validated in Peru by Jessica Z. Chiquilín Saucedo (UNAC) in 2018, with a Cronbach's alpha of 0.680, indicating reliability and acceptability, will be employed. The instrument consists of two parts: maternal risk factors with 7 items (age, educational level, prenatal check-ups, type of delivery, PROM, UTI, preeclampsia), and neonatal risk factors with 5 indicators (gestational age, sex, Apgar score, birth weight). The results will be presented in statistical tables and graphs, coded using SPSS software, with central tendency analysis for the quantitative data. This research will provide insights to identify risk factors for Respiratory Distress Syndrome in hospitalized neonates, facilitating prompt and immediate care to prevent pulmonary complications. Nurses play a crucial role in protecting life from birth to death, ensuring physical, mental, and spiritual well-being.
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Risk factors associated with respiratory distress syndrome in neonates hospitalized in the intermediate care unit, Hospital de Ventanilla 2020
(Universidad Privada Norbert Wiener, 2020-09-27) Cabrera Sanchez, Doris; Fernández Rengifo, Werther Fernando
This research has a quantitative approach and presents a descriptive, retrospective, cross-sectional methodological design. The main objective is to study factors associated with respiratory distress syndrome in neonates hospitalized in the intermediate care unit of Ventanilla Hospital, 2020.