Examinando por Materia "Reversión de la Anticoagulación"

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  • Miniatura
    ÍtemAcceso abierto
    Comparative effectiveness of trisodium citrate and heparin for extracorporeal circuit anticoagulation in adults with renal failure undergoing renal replacement therapy.
    (Universidad Privada Norbert Wiener, 2018-11-04) Espinoza Canales, Carolina Desidet De Jesús; Pretell Aguilar, Rosa Maria
    Objective: To analyze and systematize the evidence on the effectiveness of trisodium citrate versus heparin for anticoagulation of the extracorporeal system in adult patients with renal failure undergoing renal replacement therapy. Materials and methods: A systematic review of eleven scientific articles with a maximum age of ten years. According to the type of research, 54.5% are systematic reviews, 18.2% are clinical trials, 18.2% are retrospective cohorts, and 9.1% are meta-analyses. Regarding quality, 81.8% are of high quality and 18.2% are of moderate quality. 36.4% of the evidence comes from China, followed by 36.4% from England, 9.1% from Switzerland, 9.1% from Austria, and 9.0% from Amsterdam. A summary table was prepared with the main data from each selected article. Results: 100% of the evidence indicates that the use of trisodium citrate is more effective for anticoagulation of the extracorporeal circuit in adult patients with renal failure undergoing renal replacement therapy, in terms of filter lifespan, lower bleeding risk, and less circuit loss. Conclusions: The use of citrate is more effective compared to heparin in adult patients undergoing renal replacement therapy for anticoagulation of the extracorporeal circuit.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of anticoagulation practice in reducing thromboembolism during veno-arterial extracorporeal membrane oxygenation (ECMO) in patients undergoing cardiac surgery.
    (Universidad Privada Norbert Wiener, 2018-07-08) Meza Valenzuela, Marco Antonio; Rivera Lozada de Bonilla, Oriana
    Objective: To systematize the evidence on the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial extracorporeal membrane oxygenation (ECMO) in adult patients undergoing cardiac surgery. Materials and Methods: A systematic review design, quantitative type. The population consisted of 80 articles, with a sample of 10 scientific articles from databases: PubMed, Wolters Kluwer, Ovid Insights. The methodological design was 20% systematic review, 20% systematic review, meta-analysis, and case series, 40% cohorts, 20% case-control studies according to the quality of evidence: 40% high and 60% moderate. According to the strength of recommendation: 40% strong and 60% weak. Based on the country of origin of evidence: Italy 40%, Canada 20%, United Kingdom 10%, Korea 10%, Germany 10%, and the United States 10%, respectively. Results: 10% (n = 1/10) of the articles indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% (n = 3/10) indicate the concordance of anticoagulation practice but not its effectiveness. 60% (n = 6/10) of the articles disagree. Conclusion: We conclude that 10% indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% indicate the concordance of anticoagulation practice but not its effectiveness. 60% disagree, due to the limited quality of the studies.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial extracorporeal membrane oxygenation (ECMO) in patients undergoing cardiac surgery.
    (Universidad Privada Norbert Wiener, 2018-07-08) Saravia Ramos, Jacinto; Meza Valenzuela, Marco Antonio; Rivera Lozada de Bonilla, Oriana
    Objective: To systematize the evidence on the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial extracorporeal membrane oxygenation (ECMO) in adult patients undergoing cardiac surgery. Materials and Methods: A systematic review design, quantitative type. The population consisted of 80 articles, with a sample of 10 scientific articles from databases: PubMed, Wolters Kluwer, Ovid Insights. The methodological design was 20% systematic review, 20% systematic review, meta-analysis, and case series, 40% cohorts, 20% case-control studies according to the quality of evidence: 40% high and 60% moderate. According to the strength of recommendation: 40% strong and 60% weak. Based on the country of origin of evidence: Italy 40%, Canada 20%, United Kingdom 10%, Korea 10%, Germany 10%, and the United States 10%, respectively. Results: 10% (n = 1/10) of the articles indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% (n = 3/10) indicate the concordance of anticoagulation practice but not its effectiveness. 60% (n = 6/10) of the articles disagree. Conclusion: We conclude that 10% indicate the effectiveness of anticoagulation practice in reducing thromboembolism during venous-arterial ECMO in adult patients undergoing cardiac surgery. 30% indicate the concordance of anticoagulation practice but not its effectiveness. 60% disagree, due to the limited quality of the studies.
  • Miniatura
    ÍtemAcceso abierto
    Efficacy of sealing the catheter with anticoagulant added with antibiotics compared with sealing with anticoagulant only to prevent bacteremia in adult patients with hemodialysis.
    (Universidad Privada Norbert Wiener, 2018-11-04) Millones de la Cruz, José Ernesto; Ordoñez Sangama, Luis Manolo; Borda Izquierdo, Alejandro
    Systematic observational and retrospective review of 10 research articles, obtained through searches in the following databases: Epistemonikos, Pubmed, Nephrology Journal, Scielo, and Google Academic. It is observed that when evaluating the 10 pieces of evidence under study, the type of research they correspond to is: 90% (9/10) Systematic Reviews, and 10% (1/10) Meta-analysis, all of high quality. Results: 100% (n = 10/10) of the evidence found are from international sources, reporting that the efficacy of sealing the catheter with anticoagulant added with antibiotic compared to sealing with only anticoagulant to prevent bacteremia in hemodialysis patients. Conclusions: Based on the evidence found and reviewed, it is determined that the efficacy of sealing the catheter with anticoagulant added with antibiotic compared to sealing with only anticoagulant to prevent bacteremia in hemodialysis patients.